HomeMy WebLinkAboutPermit Signage 1981-10-21
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CITY OF SPRINGFIELD
SPRINGFIELD, OREGON 97477
I~FO~~TIO': 726-3753
CITY OF SPRI~GFIELD
SIG~ CO'STRUCTIO' ~~D ELECTRICAL I~STALLATIO~
CO'lBINATID' APPLICATIO~/PER.'IlT \"
IXSPECTIO~ r~QUESTS: 7:6.3~69
'.
LOCATIO' OF SIG'(ADDRESS) 6 t: 1"1 /?:"",~...I L.//- =:
/7 ~/J ,~.- '~Sj --3:1 !
4' "':N.,/ '2 ~
,- - TAX LOT . C)/) lJ/)~' Q~.l , i
PHO'E b f't.'~";~4"":~
'ZIP ~'
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SIG:-l CHAR..\CTER (CHECK AP?Ur..\BtE ITbtSl:
A.. IDENTITY NO~-IDE~TITY
PROJECTI'G SECO~DARY
PHO'E 9</.:1-<;//"//.
LEGAL DESCRIPTIO'
01iSER OF PROPERTY 1..''/.'':''- / 'j. o. -..
ADDRESS
OliXER OF SIG~(IF D1liER nu.~ PROPERTY Oh'NER)
AODRESS /~'" d"" ,99 III
~A.\tE OF BUSI~ESS. FIR.'I~ ETC. 7.4/'("; I? r
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TYPE OF BUSI~ESS
TYPE OF :,'ORK:
L
ERECT
RELOCATE
ALTER
onlER
TYPE OF SIGN:
WALL FREEST~'DI~G
~ ROOF PROJECTI~G
~IARQUEE READER BOARD
x: D1liER BILLBOARO
~/,.> /?;'tnn;-~) dn
-C){/s77,,:".' i~/~.
INCIDENTAL
~ ,DOUBLE FACE
SI~GLE FACE
MULTI-FACE
VE~DORS. CO~iR.'\CTORS:
SIC~ ERScrOR 7;" .C~., f~ 4/1 ,/ /1.;;'."
ADDRESS /..r~,"'I'.? AJ'LJU qq/l/ ~~_~'..-rr r:::;'~""I"::=""-
CITY LICE~SE ~lJ)IBER ? C'(, ",-3 J
SIG'I ~1A.'UFAcruRE~ (IF onlER m....~ ERECTORl
ADDRESS
ELECTRICAL CO:lTIUCTOR ,'~,
ADDRESS
PHO'E 9'~J.. Y/'l ,<
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EXP, DATE /- 9-J':L
PHO~E
PHONE
LICENSE NIDIBER
ODIE:-;SIO~:S. r~ST,ULnIG:-: :\.~D CO:\SiRUCTION INFOIt\t\TIQ:-l:
TOTAL HEIGHT ABOVE GRADE VERTICAL DHIENSION OF SIGN .<,t.' HORI:O~TAL WIDTH OF SIGN <,t:.',
DI:IE'SIO~ FRO)l GRADE TO BOTTO" OF SIGN THICK~ESS OR DEPTH OF SIGN /,7 "
DOES SIG~ PROJECT BEYO~D PROPERTY LINE YES ~ NO IF YES, DI>IENSIO' BEYOND PROPERTY LINE
/OOTE: IF PROJECTIO~ IS ',;ORE TIlA.' 12" OVER PUBLIC PROPERTY THE SIGN ERECTDR'mST FILE IUTII THE BUILDI~G DIVISIO~ COPIES OF
HIS PU6LIC LIABILITY ~'D PROPERTY D~'~GE INSU~'CE POLICIES.
WILL SIl;'~ HAVE ELECTRICAL IIIRI'G? IS-YES -.JID IF YES. WHICH APPLY? A-ELECTRICAL SIGN _ILLIDII'ATED (lNOlRECTLY LIGHTED)
DESCRIBE TYPE OF ~\TF.~IALS SIG.'! IS CQ!-!S:~IJcrED O~ . ".h1t4.f:;/ # Llrr-.r:u/;;' //',.,,-.y-;r.
PROVIDE UL ~'U~IBER IF APPLICABLE ;; h/9C?7Q'7 / VALUE OF SIGN ~ -//? ~
. SITE 1!~FO~'lATlON (LA.,n USE) -~EXISTI'G USE Of BUILDiNG OR LAND (PR LAST ,~SE..IF 'tACA.'IJ):
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PROPOSED USE OF BUILDING OR LAND:
EXISTING SIGNS
FI~~. ETC.:
CHECK ONE IF APPLICABLE: _INDOOR BUSINESS _OIITDOOR IIERCH~'DISI~G
(SIGN CDOE): AIlE TIlERE EXISTING S~? x..YES -.JID IF YES, DESCRIBE ~,E:lIs:r~NG"SI~N~J9R ~US,~~E~S.
({!;'iT'( C _'r---72. ,Me r
ALL EXISTING SIGNS ON PREmSE5(S~'lE TAX LOT):
,SIGN DISTRICT-2J[70/ /Jv'fZ) ZO~E DISTRICT ,. ().. - '3 TOTAL SQUARE fOOT~,E OF, SIGN
INSPECTIONS REQUIRED: :""SITE/LOCATIO' _FOOTING OR ~lEmOD OF ATTACH.'lENT ~CTRICAL
,
I HAVE CAREfULLY E~IINEO the completed application for permit and do hereby certify that all information hereon is true and
correct, and I further certify that all work performed shall be done in accordance with the Springfield Sign Ordinance. the
Uniform Sign Code as adopted by the City of Springfield and all other Ordinances of the City of Springfield and the laws of
the State of Oregon pertaining to the work described herein. I further certify th3t my Sign Contractors License with the
City of Springfield is in full force and effect as required by Springfield City Codes 8-2-6(~} and 9.]-20(21. I will request
all required sign inspections listed on the 3pproved permit. ./1~ /__A 7 "'. ...:....::.....:: ... _ ~.4,; ,;;. r//J<
NAME (PLEASE PRWT)', ,- SIGNATURE~~ DATELILBf-IIL
FOR OFFICE USE ONLY ~
Itp, 0/
~AL
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_OTHER
TOTAL FEE FOR PERMIT:
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ELECTRICAL PERmT:
CllARGES:
STATE SURCHARGE:
J;J IIi, ,If:{)'
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FEES:
SIGN PE~'I!T:
CHARGES:
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PlE.\SE :"=.'-0
1) Seou:\te Si'!n .~~::II iCJ.tbn: A sep.uJ.te ::1pplicJ.tion
Sep3fJ.te sl~n ~s ~~[lnCa in the Sign Code.
2) Electrlc31: ~y per~it issued under this 3pplicati
log 1n or on sign stru~ture. the supply wires for c
covered on J.n electricJ.l permit. Electric31 con nee
only by :1 Stolte licensed ElectricJ.l ContrJ.ctor. IJ
intern~llr J.nd cxternJIly) ~ust conform to Section~
9~1.1S of the ?prin~tielJ Sign Ordinance.
3) P13ns Reouired: This application is to be submitt.
sets or pl3n! drJ,~n to sC31e. showing dImensions a'
vertising ~eSSJ~e on sign; 10c3tion of sign on pro
to prorerty linc~. structu31 details of support ir
(00t1n&5; n3tcr131s of construction for sign and s
tricJ.I equi~~ent :1nJ lighting; si:~ and location 0
pro?er:y for the s~~e business, all as required to
with the Sprir.~ri~lJ Sign Ordinance (Article 7 of
Code). Also. sno~ the following information on t~
.5~owinl property lines and location oi signs}:
.i) Show the loc,uion of .111 existing sign(s} as \
b) Show th~ lengt~ of the street frontage taken ~y
building.
c) Show the loc.1tion of entrances open to the pu
4) lihen required. bec.Juse of design. size, etc.. eng
c.Jlcul.1tions ~ust be prc?ared by a licensed engin
to desl.n standards on file .1t the Buildin~ Divis
'- I I '~f SPRINGFIELD I,~
City Hall ~ . (
-
Springfield. Oregan
Department of Public Work. (
OFFICIAL RECEIPT "
f-
No. B
Date IO-,z I 19 g I
Rec'd From fE; AJ - ~ SISAJ a-,
f,<;;-A-;, f.LuHd 99AJ, ~:t
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57490(
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Address
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Received For:
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Plans of insufficient clarity or detail will be l
pli~.1nt wit~ no per~it being issued.
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,Amount Received
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~OTE: ~o sign C.1y be erected which is less than
orverticJ.lly froo overhe:1d electrical conductor "
volts, or less than 5 feet in any direction irom ~r.
lines which :lre energi:ed at less than 750 voltst- .
8) If ~ si;n is not inst~lled within 60 days after the date of issue of
this pe~it. the pe~it shall.be void.
6)
Signs ~uSt ~cct corner vision clearance require~'
Fig. 9 of the Springfield C~cprehensive Zoning C.
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9) Insocct ions:
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AUTHOltlZItD SIGNATUltl[
'''IlLTO'''TU''H.'ULL ~'"''U''' . IUQl..l, O. '7.0'
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3) Site rn~~eetion - to be made before the sign is placed. Usually.
the Foo::nr I~~~ection (if applicable) may be ~ade at the same
ti~e as tn~ SL~e Inspection. The Footing Inspection is to be
m~Jc after hol~(sl is excavated. but prior to the placement of
concrete.
b) Final r~sDection - to be made upon completion of all work.
/
CLERK
DATE
c) Electrical - All electrical signs must be inspected for electri-
c31 hoo~ u? after the sign is erected and beiore the sign is
turned on.
CALL FOR THE REQUIRED I~SPECTIONS ON THE 24 HOUll INSPECTION LINE AT
726-3769.,
"
,SPECIAL CONDITlO~S TO
/'. ,'-- :.,""";. . .,'
. ..,/ -.-" " ," _ . (,..i ~..;,
BE SATISFIED BEFORE ERECTION OF SIGN: ___'
,/'':;( d--;. (~/)t'V /,-,r;'i~.-:./-f ~" .' /c:.'.; ee',':;;;, t~...,
ADilITlO~AL I~FOR.'IATlO~ Ni:EDED Di:FOi<E PW'IT ~IAY BE lS~lJi:U:
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PL\NS REVIEliED BY:
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DATE
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INSPECTION LINE
726-3769
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- R E QUI RED
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INS P E C T ION S -
INSPECTro~ PROCEDURE FOR THE CITY OF SPRINGFIELD
BUILDING DIVISION 346 MAIN STREET
INFORMATION LINE
726-3753
Y[lJR CIlY DESIGllAIDl JOB NUilER IS: R 1011P
The following indicated inspections are required for your construction at '. ~ t~...." !Yr~:) ~r:
It is the responsibility of the permit holder to see that all inspections are made at the proper time. that each address 1S
readable from the street. and that the permit card is located at the front of the property.
~ SITE INSPECTION: To be made
atter excavatlon. but prior to set-
up of fonns
r-"l UNDERSLAB PLUMBING. ELECTRICAL &
MECHANiCAL: To be made betore any
work 1S covered
~ FOOTING & FOUNDATION: ' ,To be '
maae atter trenChes-are excavated
and forms are erected. but prior to
pouring concrete
r-~ UNDERFLOOR PLUMBING & MECHANICAL:
To be maoe prlor to lnstallatlon of
floor ins~lation or decking
~ 'POST & BEAM: To be made, prior to
installatlon of floor insulation
or decking
~E9U~H PLUMBING. ELECTRICAL & MECH-
A~ILAL: NO work 1S to be covered
untll these inspections have been
made and approved
~ uEEP~CE: Prior to p1acing fac-'
10; ;,latl:rials and before framiilg
inspection
~ FRAMING INSPECTION: Must, be re~
, quested after approval of rough
plumbing. electrical & mechanical.
All roofing. bracing & chimneys. etc.
must be completed. No work is to be 0
concealed until this inspection has
been "made and aoorove.d. ~." .
D FINAL PLUMBING 0 FINAL ELECTRICAL
BUILDWG INSPECTH1'IS:
~
~
INSULATION/VAPOR BARRIER INSPEC-
flON: To be made atter all insula-
tion and required vapor barriers are
in place but before any lath. gypsum
board or wall covering is applied.
and before any insulation is con-
cealed
WOODSTOVES: After installation is
completed
SPECIAL INSPECTIONS: When re-
qUlred by BUllding Code. special
inspector to be present when "work
is in progress. A copy of the
special testing report to be
furnished to the Building Division
D
DRYWALL INSPECTION:
after all drywall is'
prior to any taping
To be made
in place, but
~
~
D
Glu-lam Beams: Inspection certificate
(by approved agency) supplied to Build-
ing Division before"bearns.are placed
Structural" Concrete:
3000 P,S,l.,
In excess of
~
MASONRY: Steel location; bond
beams. grouting or verticals in ac-
cordance with U,B,C, Section 2415
Structural Welds:
the Job
Performed on
~
~
D
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FIRE & SEPARATION WALL: 'Located
& constructed according to plans
ATTIC DRAFT STOPS:
D
Before Instal-
Prior
Fire Retardant Roofing:
lation
ROOF SHEATHING AND NAILING:
to installing any roofing
'OTHER INSPECTIONS: May be
:in accordance with Building
be indicated in plans or by
from Building Inspector
/
requi red
Code. to
notice
SIDEWALK & DRIVEWAY: Required for
al I concrete paving within street
right-of-way, to be ~ade efter all
excavating complete & fonn work & .
sub-base material in place
D
CURB AND APPROACH APRON: After
forms are erected but prior to pour-
i n9 concrete
SEWER. WATER & DRAINAGE LINES:
~rlor ro tllllna 1n trencnes
D
D
FINAL MECHANICAL
FINAL ,FIRE DEPARTMENT
All project conditions. such as the installation of street trees. completion of the required landscaping. etc.,
must be satisfied before the BUILDING FINAL can be requested,
D Construction projects that required approval by the City's Site Plan Review Board shall be inspected by the Review Board
before requesting a final building inspection. Requests "for inspection by the Site Plan Review Board must be made 2 days
in advance of the date you wish inspection.
~ FINAL BUILDING: The Final Building Inspection must be requested 'after the Final Plumbing, Electrical ~ and Mechanical
Inspections have been made and approved.
No occupancy of the premises can be made until the Final Building Inspection has been made and approved, and a
CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING, nIVISION AND POSTED ON THE PREMISES,
"~1gnatur~:
.~hone: ;"
Date;
r10BlLE HCl1ES-Your Job' is:
OTHER-Your Job' is:
D B10cking/Setu~
D Plumbing Connections
. Sewer and Water
D Electrical Connection
From Service to Mobile Home
D Electrical ~~~vice
Pedistal
D Accessory Buildi~g - May require
Inspection as Buildings - See Build-
ina. Insoections Above .
~ Final - After Porches. Skirting. Decks.
etc. are completed
Signature
Date
SIG/lS-Your Job' is:
f?11J 73..f
D
~
D
D
D
D
Site/Location
Footing or Method of Attachment
E1 ectri ca 1
ORoU9h OFinal
Final - After Installation is com-
pleted
Fence - When Completed
Demolition - When Completed
}\/!I. 4~'AW!; (~-t
r~1 Date
~lgnature
Date
BUILOWG DIVISIOII APPROVED PLANS SHALL REMAIN ON THE BUILDING SITE AT ALL TIMES. AND ALL WORK MUST BE COMPLETED IN
ACCORDANCE WITH THOSE APPROVED PLANS,
NOTE: All manholes and cleanouts are to be adjusted at no cost to the City.
PROCEDURE FOR INSPECTION REOUEST - Call 726-3769 (recorder) state your City designated job number. job address, type
of inspection requested and when you will be ready for inspection. Contractors or Owners name and phone numbers.
Requests received before 7:00 a.m. will be made the same day. requests made after 7:00 a.m. will be made the next
working day. .
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