HomeMy WebLinkAboutPermit Signage 1992-03-30d 5q -s:
INSPECTION LINE
726-37 69
:::
CITY OF SPRiNGFIELD
COMBI NATI ON APPLICATION/PERMIT 726-3753
Job Address EIIERGY SOURCES
Hea t
llater Heater
Ra
Sq n
Sq. Ftg. Access._
Sq. Ftg 0ther
l,lew-A66-q1 ter_P.ep .
_Fence_Demo Change/Use
0ther
s
Legal Description
Va'l ue of tlork
!s 5Lt'O eBftfur'. sA Lcl) c,Dustr_Bre!c-\;g1 C5rl5i-S.., lJ
Addres s P.o.t5Dx E'3Ll q nr'""" ;fr[!;Builciin
Fami I y
q Perntit Info: Describe llork('
llesidence llith Attached Garaqe
.e., Build Single
R>€.{]-p r.-}o r q-1L8 3 -olg1 1.Ehe, CFFC -r. Q-rS'lQpoF l o CfO Sq.Ff,
Construction Lender 6^)l\-0r \&. rllflr ol.^)cps-a.De-LrrllG eLr+s
Phone SFI^S.eI. F1 SSraGUss Bl .N.c.)
I]15 I GN TEAI'{name 'lcs. no.exDt res ohone no.
Primary
Structura I
Electrical
Mechani cal
CONTRACTORS name lics- no- )(pxn res )(ohone no. )
(er:trs €r=>FtxrG \q o? rr/q I q z- SHq -ou"1
I
Pl umbi nq Lko^lL{ C;Rsl (e-o
El ectri cal suc,4sNJs . q-lLloL-
t
Itlechanical
PLUI.IB I NG ELECTR I CAL MECHANICAL
FEE CHARGE NN FFF CHARGF NO FFF CHAPCF
Each single fixture Residence of
SQ FT
furnace/burner to
BTU'S
Relocated building
(new fix. additional)
New circuits alts
or extensions
Floor furnace
and vent
S. F. Residence
( I bath)SERV I CES
Recessed wal I
Snacc hpaicr and vpnt
Duplex (1 bath) each
Additional bath Apol iance vent
seDa rate
I^iater servi ce C hang
rpsid
e in existing
E NCF
Stati onar.v evap
cool er
Sewer multifamily, comm or
Tndrrstrial
Vent fan with
sinole duct
Storm Sewer 0f Vent systern apart from
heatino or A-C.
COMI.I./IND, FEEDERS
Mechanical exhaust
hond and duct
Instal I /a1 ter/re1 ocate
distrih^ fpeders l'Jood stove/heater
0f amps.
iSSUANCF OF PFRIIIT
TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES
WHERE STATE Ll\l/ REQUIRES that the Electrical work be done by an Electrical Contractor, the electrical portion of this permit
shall not be valiC until the label has been signed by an Electrical Supervisor and returned to the Building Division
I HAVE CAREFULLY EXAMINED the completed apnlication for permit, and do hereb,y certify
and correct, and i further certify that any and all work performed shall be done in accor,of Springfield and the Laws of the State of Oregon oertaining to the work described hereirof any structure without the permission of the Building Division. I further certify that
Board is in full force and effect as required by ORS 701.055, that if exempt the basis fo
only subcontractors and employees who are in comcliance with 0l?S 701.055 wilI be used on
that all information hereon is true
dance with the 0rdinances of the City
n, and that NC OCCUPANCY will be made
m.y registration vrith the Builder'sr exemption is noted hereon, and that
s project
t{AtlE(please print IGNA DATE
\
Zone Tyoe/Const its Sq Ftg
Ftg
Ftg
Val ue
Fire Zone Bedrooms
Flood Plain Stories
Load Access x Val
Group Sq x Val
TOTAL VALUATION-
0ther
BUILDING PERNIT
Charges and
Surcharges
PIan Ck. Conm/Ind
651"/Bldo Per Fee
Svsterirs Deve'
charqe (1.5t"'opment
PIan Ck. Res
30%/Bldq Per Fee
PLUI4BING PERMIT
Charges and
Surcha rges
Fence
Dgmo
Sidewal k
A/C Paving Total Cornb. Permit
MECHANICAL PERMIT
Charges and
Surc ha rges
Curb Cut
TOTAL
I I ?, I *l I 1\ Mnuoutt g.^/o
/
Addre s s
Temporary Constructi on
tr-
ELECTRICP.L PERI1IT
Charges and
Surcha rges
COMBINATION APPLICATION/PERMIT (CAP)
I. Applicant to furnishA. Job AddressB. Legal Description
1. example- Tax Lot 100, Lane County Map Reference
17 03 432. example- Lot 1. Block 3, Znd Addition toSpringfield EstatesC. Name, etc. of owner and construction lenderD. Energy Sources1. exampl e- heat/e-leqtrjre_l_q3j_l-i!9/2. Examp 1 e-e- wa terhEETeEETeE trJcETo
Square footage or valuation,-ETd-
or forced qir gasr solai
rit information:
construct single family house with an
garage
to sign the electrical label.
E
F.
i. example- 1250 sq. foot house, 500 sq. foot garage2. example- if new project, check new - if addition,
check add, etc.
Building perm
1. example -
a ttac hed
II.
III
IV.
2. example - remodel existing garage into family room3. example - convert single family residence into
restaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructurai Specia)ty CodeH. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, Bui)d.ing
Division Staff must be able to contact appropriatepersons regarding design information or job sitecorrections, etc.
Abbreviated Plumbing, Mechanical, & Electr.ical SchedulesA. Except where blank spaces occur in the descr.iptionportion of the Mechanical and Electrical Schedules,the applicant need fill-in only the No. Boxes adjacentto the appropriate item(s) to be installedB. Ful l Plumbing, Mechanical, and Electrical Schedules
are available at the Building Division1. To conserve space on the perm.it form the schedules
have been abbreviated?. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult thefuI I schedu lesC. BUILDING DIVISION STAFF I.IILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his electricalsupervisor. The generai contractor is not authorized
v
Applicant to sign and date
Whenever possibie, the initial application will be used asa worksheet only. Where possible, Building Division Staffwill prepare a type written copy and return.it to theapplicant at the time the actual perm.it is.issued for his
s i gna ture.
Fees and Charges
Plan check fees are due and payable at the time of theappiication, and no pjans |,Jil) be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued.
FOR OFFICE USE ONLY
PERMIT VALIDATION
Permi t Cl erk
b
PROJECT CONDITIONS TO BE S TISFIED BEFORE OCCUPAI{CY :
t
Permit appl icant exempt from reg'istrat'ion with the Builder's Board because:
Additional Project Information :
PLANS REVIEWED BY:
s'ignature datename
KTSV
&
qa,
tOlM No. 723-BAncAtN AND SAtE OEED llndividu, crporotr,.
I -1.7 4
\
9332'.;-.1 BARGAIN AND SATE DEED
By:
By
I 9.1
3Y' r3.N€3t LAW rutLttxrNo co., ,ottLArDr oi.,rtoa
"14/1/
INC.
@
Or
forpa
KN)W.ALLMEN By THESE pREsEivrs,That T & C SHOPPTNG CENTER, INC., anegon colrporation --. - -' ' -".'
rtnership --' o- --'--' ---D..'-' "v't' vu v'1'\'
hereinafter called lrantee, and unlo lrantee's fteirs, .successors and assi6lns all ol tltat certain real propeTlt. *;tn tlti,t"
/enemenfs, hereditamenfs and appurtenances thereunto belon$infi or in anywise appertainin!, situated in tlrc Countyol Lane , Sfale of Ore$on, described as lollows, to-wit:
Lot 3, Block 5, MOHAWK ADDITION, dS platted andrecorded in Book L2, page 28, Lane County OregonPlat Records, in Lane County, Oregoni
EXCEPT all easements and restrictions of record.
l13 | Y]y]tohclK
8396A0 t)L 09 / L3/ 83 REC
rr0 0 04*r
q
ro Have and to Hotd the Jff'iT"',ff';i]! il;a'?)lliY:""*u'i?:"?:"1:",":';;:j,lccessors and assi6lns {orever.
The true and actual consideration paid lor this transler, slaled in terms of dollars, rs.!10.00
aHowever, the actual consideration consisfs oI or includes other property or value liven or promised which is
*X*l*"consideration(indicatewhich).@6hesentencebets,eenthesymbolsO,ilnotapplicabte,shouldttedeteted.SeeoRs 93.o3o.)In construinf this deed and where lhe context so require.s, the singular includes the plural and all lrammatical
chanSes shall be implied to make the provisions hereof apply equally lo corporalions and to individuals.
lrantor has executed this inslrunrent this 7 th da', of September ,1983
used ils name to be sifined and seal altixed by its ollicers, dul'y autltorized thereto byT&C
t0
I
I
I
I
I
., In'lilitness Whereol, the
il a corpo).qf'g.grantor, if has ca
oider ol'its board ol directors.
. :. '.)
^.-r
!- ..
I :llf crxutedj/ or(dDorbtion, ' '' :.oHir orpb'rri_fdt: .l-l , -:
SIIOPPING
-dd.b^
i, '.
lll tfir tiglrrT ol tfic obqvl b'. (orporolion,
utr lh. ,oril o, claoirlcdgmnt oppcritr.l IORS
STATEOF
'REGON,
)
) ss.
County ol )
The toreloin! insltunrnt u'as acftnon'Ied4ed bclote
me tfiis , 19 , by
Notary Pibtic ior Or"non
(SEAL)
My commission expircs:
.570)
sTATE oF oREcoN, cottnty. o1 Multnomah " . '..'t';i'i ', )ss.
. .n The lorefioitr| instrunrcnl rras ac&nd*/ed Aiod'i"tor" mC'tlris
JC /J.L, / , te 83,ry Sam Kay ,' Jr'. .'?xxx*xxxxx president,anabyCdrl H. Cadonau' :xxxxxxxxx secretary ot T & C Sfroi:pitg .,,., ,.'..,Center, fnc.., .. r......,r ...r1.
an Of egon corporation,onbehall ol thccorpst.iltion.
V-tcft-t ,/,^r",- tl\ttr-t lusc( ''i"
Nolart Pultlic h>r;Qregon / \\,, .\ / (9EAL)
My cootmission erpires.' lf l'Ei
T & C Shopping Center, Inc.
6149 SW Shattuck RoadPortland, Oregon gtZZI
GRANTOR'S NAME ANO ADDRESS
Alprop Co.
6L49 SW Shattuck Road
Por t r and'
3^::.n:: *?'^3"1*r*=
Att.r racording lalurn lo:
Howard M. Dupu11, Jr., attorney42I SW Fifth Avenue, Suite 202
Port land, or:g:I^,?^l!,?or3
Unlll o <hongr lt roquorlrd qll tot llol.m.nlt rholl bc rnl to lho lollowlag oddrrr.
Alprop Co.
6L49 SW Shattuck Road ,Portland, Oregon 97221. NAME. ADDRESS. ZIP
r I, the County Clerk, In and for the said'' County, do hereby certify that the plthln
-. instrunent ras received for record 6t
6
t] sEP 8, t5r ?4
L?.6 2 R
STATE OF OREGON,
State of Oregon.
County of Lane--ss
I
SPACE RESERVEO
FOR
RECOROER'S USE
i
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r
)Rae I
( Lane County OFFICIAL Records
Lane County Clerk
By:ztd
-::._::-::: c 30-53
Deputy
il
)
wABlrAt't I I llEEt)
'io*
roarE RECETvED tlAzEL p. pErERsoN, a singre person,
herein referred to as granlors, hereby grant, bargain, sell, and convey unlo T & C SHOPPING CENTER, INC.,
an Oregon corporation,
horeln rofcrrod to ar grantecs, thc following described reat property, wilh lenementr, hereditrmentl, rnd.ppurtcnrnccs, to wit:
Lot 3, Block 5, MOHAWK ADDITION, Ers platted and
recorded in Book L2, Page 28, Lane County OregonPlat Records, in Lane County, Oregon.
TO HAVE AND TO HOLD the said premises unto said Grantees, their heirs and assigns forever. And the said Grantors hereby
covenant that they are lawfully seized in fee simple of said premises; that they are free from all incumbrances, excepteasements, restrictions, reservations, dnd conditions of reeord.
and that they will warrant and defend the above ganted premiscs against all lawful ctaims whatsoever, exccpt as above stated.
The true and actuat consideration for this transfer is S-?-5--.-9-0--Q --.-..-.--------:-
7-:,(F
r
'-"'-'Hazel----P;--'Petet:sorr"---'---'--"-'(SeaI)
,..-...---..--...r.-..--(&d)
Personally appeued the abovc namcd
and deed. Before
Notary Publlc for Oregon
tr^rq
?:.:.,_1.qGoN,
county of rene, s.
HfzEl p.".?mensoN, a single person,
',r'i .\ .1 I :
. drd ri<nowtcugiU iho foicgoing insrrument to Ue -.h.9.f.-----
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I t .'.1.7 t'.^.tr'l ,-i ', r ,.
city of springfield
225 n.5th street
SPFIINGFIELD
slG ERMIT APPLICATION
INFORMATIONT
INSP€CTIONS: 726-37b'9
726-37s3
A o'LoCATIoN OF SrcN (ADDRESS)
LECAL DESCRIPTIOI.I 4
olrNER otr PROPERTY
ADDRESS
1"l.,:-TAY LOT T ,L144
PHOI.lE ,Ltv-Zs-t f
ZTP
oIJNER OF SIcr{ CIF OTIER TIIAN pROpERTy OWNER)
ADDRESS
NAME OF BUSII,IESS, FIR}I ,src. LiTfLE
?
PHONE
OT BUSII:ESS
kr
ZA
TYPE fltrORK:tiun ALrER
B.
RELOCATE
OT}IIiR
STP.UCTURAL TYPE OF- SIGN:-/
TIALL I4U,",[NDITIG
MAROUEE
ITNDER I{ARqUEE
OT}I,ER
PROJECTING
c.
Ar'E ?Ot-g
ROOF
usr 4;w.cre"racrrn
./ly' rortqrrry
-,*.,,,TITAL 1 W
D.
126u"'FACE
YTTLTI-FACE
SINGLE FACE
OF SIGN:
PJADER BOARD
BILLBOARD
E
4&.D ZTP
EXP. DATE
. VENDORS, CONTRACTORS:
SIGN
CITY LICENSE
' .}^DDPTS
SIGN I.IANUFACTURER CIF OTHER TITAN ERECTOR)
ADDP.ESS
Du.rEusroNs, rtrsr;al,uttrolt L coHsrnuctron
TlrrcKnEss oR DEprn Lb'W
DcEs srcN pRorEcr BEyoND jVPtt
PRoPERTI LrNE? _yEs /lroIF YES, DI}IENSION BEYOND
PROPERTY LINE
NorE: rF pRoJEcTrolr rs l{oRE "il*F-ovER puBt.rc pRopERTy rraE srcN rnecionI'ruST rILE WITI{ THE BUILDING DIVISIONCOPIES OF HIS/}IER LIABILI,TY AI,ID PP.OP-ERTy DAITAcE rlrsup"ANce rot.rctui. -----
DESCRIBE TYPE OR YATERIALS SIGN ISCONSTRUCTED OT.
\oFf
t.
TOTAL HEICHT ABOVE GRADE
VEPJICAL DIYENSION OF SIG.'I
HORIZONIAL WIDTTI OF SIGN
DI}IENSION FROM GRADE TO
BOTTOM OF SIGN
E
. VALUE OF SIGN:25eJ"uK
ARE THERE ANY EXISTI}'IG SIG}IS? YES
'SITE INFOF){ATIOU (LAUD USE) -OF BUILDI}IG OR LAND (OR I,AST
BLISINESS _OUTDOO3, I,IERC}LANDIS ING
A
ZE
H
J
PB.OPOSED
Lv?4 il^gw/&t-
?*ztz)/z-
- EXISTING USE
usE rF vAcANT)
G. ,rrsrr*a srcNs
OF BUILDINC OR I.AND:
. IILL SIGN HAVE ELECTF.ICAL
LIGHTED)
LISC. NT'MBER
IT YES, WHICII APPLY?
_ILLI]}{INATED
ALL EXISTING SIGNS
rOR. EUSINESS, ETC.
ELECTRICAL
ADDRESS
. I HAVE CAREFULLY EXAI1INED che complered applicarion for E and do herlnformation is true and correct andlf permithat aOrdinance
urther certi
the
fy
Uni form S
11 work oerforrneaccordance with tngfield and allhe Sp ringfield Signher Ordinances of the Clty of Springfie
eby certifyd shall thac all
Sori
Creg
cens
8-2-
be done 1n
Code as adopced by the City ofnd the laws'of ch6 Srace oFed ncre.l.n. I further certl.fv thatin ful1 force and effecE as reoui mv Xlgn Coltractor I-1-
sc all required sign insoecrionj I field Codes
ignlda
permit.
NAME (PLEASE PRIM)
OEo t:1e worl: <IescribofSpringfield isI will reque
on oercaining te wirh che Cicy6(3) and 9-7-20
SI
(2)
C
DATE
red by Springisted on Ehe approved
/ trzt ,:c Dl7?f1
7
a
,r'vv PLEASE READ
1)Fw:AseParateaPP1ication1srequ1redforeachseparatesignasdeflned
2)
3)
a) show the locarion of all exisrlng stgn(s) as well as proposed sign(s).b) Show the length of the street frontage laken up by the business or building. For wal1signs, show the lengt,h of the buildiig frontage.
c) show the Location of entrances open to the public and driveways.
4) l'ihen-required, because of design,.size, etc,, engLneered drawings and calculations 1nust be pre-pared-by a licensed engineer or shall conform to-design standards on file at the Building Divi-sion Offlce.
Electrical: Anv oermiE issued under thts application will include wiring i1 or on sign sEruccure,Eh-e =updE.wires i.ot "o""".;i;";;;t be covlied o., "., elecrrical p-ermir. Elecrrical connecEionmusE be made onlv by a state Licensed Electrical concractor. rlllminated signs (boch inEernarryand exEernatlv) must conform to sections-g-t-t+ t+j-t-i5l-."i g-7:riioI-rrr. springfield Sign or-dinance
Plans Required: This application ls to be subrnttted wlth two complete sets of plans showing di-
=:Ef]:ig!t "r !i-gn;-ia"".ti"r"g *""""g"-o., "ig.; locarion of sign on properry wirh di-::":1:::_.::,PI:P?IEy lines, ,srructural details--of supp5ri framing, braciig ""a'rolti"is; r,arerratsol construcEion for sign and sign strucEure; electritil eguipmeni-and ligf,Eing; sir. 5"i locationof existing-siEni on pioperty f{r the-same busienssl-aI1 js l"q"ir"J-ro deterninq comnriance wirhthe Springfteld Sign Ordinante (Article 7 of the spiingiieta-ciiy-c.a;i.--Ai;;;.';rr"r"'ir,J-fo11ow-ing inforrnaEion on-Ehe plot ptan (plan showing prop"ily linee and locarion "i-iis""j ,
--'-
s)
6)
7)
8)
e)
Plans of lnsufficient claricy or detail will be returned to the applicant with no permit beinglssued.
lig." must Deet corner vision clearance requirements as described in Figure 9 of the SpringfieldComprehensive Zoning Code.
N9TEr .No.sign.may be erected whlch is less than 12 feet horizontally or vertically from overheadelectrlcal conducEors in excess of 750 vo1ts, or less than 5 feet in any direction'fros overheadelectri.cal lines whLch are energized at less than 750 volts
If a sign is noE installed rrithin 60 days after the date of issue of thls peroit, the perurit shallbe void.. ,
Inspections :
a) Slte Inspection - to be node before(if applicable) may be made at the stion is to be made after hole(s) is
the sign is placed. Usually, the Footing Inspection
ame Eime as the Site Inspection. @-e:icavateci, but prior to the placement of concrete.
b) Final Inspectlon:- to be made upon coryletion of all work.
c) Li,lectrigal - all electrical-signs must be lnspected for electrical hook up after the signIs erecEed and before the sign-is turned on.
CALL rOR THE REQUTRED TNSPECTTONS ON A"HE 24 HoUR INSPECTIoN LINE AT 726-3769
SIGN DISTRICT ZONE DISTRICT (/
TOTAL SQUARE TOOTAGE OF SIGN {/N
REQUIRED INSPECTIONS, .,^..-
-srrE/LocATroN
*'P ioorr*, oR METHoD oF ATTACHI,ENT
I.GLECTRICAL -- FlllAL
SPECIAL CONDITIONS TO BE SATISFIED BETORE ERECTION OF SIGN:
ADDITIONAL INFORMATION NEEDED BEFORE PER}'IIT MAY BE ISSI]ED:
APPROVED BY , -> a V :A -, /-- t .x -.2-.- -DATE
0
ELECTRICAT PERMIT FEE:
.. t"-
..a 4
TOTAI
RECEIPTDA
SIGN PERMIT. FEE:
JOB #
{/-,*
47. STATE SURCIIARGE:
./ -),-
SECTION:l-+-?SPRINGFIELD SIGN ORDINAIICE
+ ..'
@
NOTE:_SIZES PER LOCAL CODES, LEITERS AND LOGO TO
CONFORM IO EXACT LAYOUT A[.JD PROPONiIoT{SAi CIVCr.r.
NOTE: REFER TO SHEET G-7 FOR COLOR
AND LAYOUT SPECIFICATIONS
I
I
:lpiua!"
INDIVIDUAL NEON LETTERS AND LOGO
00 II 0 II
I
oIo STACKED LETTER APPLICATION
(
I
op ffiffi#c, ff-gsrrd 1 P6tr' r,t'' rf
0
II
@
I I l'.I
/
(A) 9'-0"-
!.Iri
g
rn
o 2
SIANDARD SIZES(A)- 3''0" v. 910"(B)-4'-0" x l2'-0"
NOIE: ANY VARIATION FROM THESE
STANDARD SIZES SHALL MEET EXACT
PROPORTIONS AS GIVEN.
q,
TYPICAL APPLICAIION
OF I.D. SIGN ON
STRIP CENTER TACIA
ILLUMINATED SINGLE FACE I.D, SIGN NOIE: REFER TO
SHEEI G.3 FOR
COLOR AND LAYOUI
SPECIIrcATIoNS
r' 't' i
oIs STAI.IDARD SIZ ES AND APPLICATIONS
C
:l
\,
I
(n (..N
(A)9',-0"-(B) 12'.0"
a ft ,f A,/
o
!t
co
o
SIANDARD SIZES(A)-3'-0" r 910"
(B) - 4t9" x l2 t0"
NOTE:ANY VARIATION FROM THESE
STANDARD SIZES SHALL MEET EXACT
PROPORTIONS AS GIVEN.
TYPICAL APPLICATION
oF t.D. Sl6N ON
SIRIP CENIER FAC'A
ILLUMINATED SINGLE FAC E I,D, SIGN NOIE: REFER Io
SHEEI6.3 FOR
COLOR AND LAYOI'r
SPECtFtcAflONS --'
0 ,
I
i aIIr
@
I I
/
oID STANDARD SIZES AND APPLICATIONS
I
)
. .:
:ril:'""'ffi'""''rt""tr:''t
c:ty of springf ield
225 n. 5th street
A
SPFlINGFIEL.E'lN FO RMATION : 't26 -37s3
INSPECTtoNS: 726-C769
SIGN PERMIT APPLICATION
'LOCATIoN OF SrGN (ADDRESS)-# /llorlnu lz_
,1 2, ?.2 re,r ror .r ,l'{1!o e
OIINER OR PROPERTY
ADDRESS
OIJNER OF SIGT.I CIF OTIIER THA}I PROPERTY OWNER)
ADDRESS
NAME OF BUSII.IESS, TIRM, ETC.
IP
TYPE OF BUSIIIESS
. TYPE OPWORK:
6u", Ar.rER
B
RELOCATE
OTH}:R
STP.UCIURAL TYPE OF SrGN:
/rr*, FREE'TAND*'.
ROOP PROJECTING
t,/I'lAROUEE
I'NDER I,IARQIJEE
OTI{ER
furru,E-r/he cf-<S
c.USE AIID CPARACTER OF SIGN:
,/toxwrw
INCIDENTAL
I{L]LTI-FACE
READER BOARD
BILLBOARD
D.
DOUBLE
-$*"r,
FACE
FACE
PiioI'IE
E
(j.l
+4,^
o
. VENDORS, CONTRACTORS
SIGN ERECTOR
. .roDlsss
SICN I.IANUFACTURER CIF OTHER TI{AN ERECTOR)
ADDP.ESS
. EXISTING SIGNS
ARE THERE ANy D(ISTII]G SIG}IS?
G
YES
-{tnfiBE-D.
ALL EXISTING SIGNS
FOR. EUSINESS, ETC.
'IILL SIGN HAVE ELECT'.],CAL SUr*rrO"' @--lIF YES, IiltICB APPLY? 14"",A"I'. "'*_rLLUI{TNATED (rNDrp.F cTffi prcHrro;
ELEcTRTcAL corrrRAcroR l/-ttS tloZ.-z-
LISC. NTJMBER_ PI:CtrE
H
ADDRESS
DII,lEltS IONS, IITSTALLATIOII & CONSTP.UCTIOII
rorAl HErcHr ABovE GRADE /oh'&
VEP.TICAL DI},IENSION OF SIGN/1I
HORIZONIAL WIDTII OF SIGN ,,./
DCES SIGN PROJECT BEYOND
PROPERTY LINE?
-YESIF YES, DII'IENSION BEYOND
PROPERTY LINE
!.IOTE: IF PROJECTIOII IS IIORE THAN 12"6VEE puer.rc pRopEpJy rpx srcN EREcroR
I'ruST TILE WITI{ THE BUILDING DIVISION
COPIES OF HIS/IIER LIABILITY AI,ID PPOP-
ERTY DA}IAGE I}ISUP"ANCE POLICIES.
E
1{,
DI}IENSION FROM GRADE TO
BOTTOM OF SIGN
TIIICKIIESS OR DEPTH 5'6
l. DEscRTBE TrpE oR yATERrArs srcN rs
-o0. VALUE OF SIGN:K
'srTE INFOF]{ATIOT{ (lj,}rD I,SE) -- EXISTING USE
OT BUILDII{G OR LAND (OR IAST USE IT VACAM)
J
PB.OPOSED
oN/t-EtU
Lrfl-t tt,,a.zt*-
OUIDOOR I'ERCHANDIS ING
OR I,AND:
BUSINESS
'I HAVE CAREFULLY EXAIIINED the completed_application.for permic and do hereby certlfy rhatr allinformation ls true and correcc, and I fuither certify tirat all work gerformed shali be done inaccordance with the Springfield Sign Ordinance, che U;iform Sign Code'as adopced by Ehe City ofSoringfield and all other ordinances of the Cicy of Springfield and rhe laws'of ch6 Srace oiCregon oerEainrng Eo E:1e worli ctescribed ic!ern. I lurther cert!.fy thaa rnv gi6n Contractor .r-i-cense with the Ci!l _gI Springfield is in full force and effecc as' reouired by*Springfield Codes8-2-6(3) and 9-7-20(2), - I will requesc all required sign inspecriond-iisrea'on che approvedpermit,
KJ
,TE
NAME (PLEASE PRINT)
SIGNA
LECAL DESCRIPTION ,
CITY LICENSE
OF
PLEASE READ
1)Separace Sign Application: A separate application is required for each separate sign as defined1n Ene Srgn Code.
2) Electrical
Ehe supp-fy w
musE be made
and external
dinance.
3)
-Any p-ermiE issued under this application will include wiring in or on sign sEruccure,ires for connecEion musE be covered on an electrical p-ermit.- Elecrrical connection
-olly by a State Licensed Electrical Contractor. Illurninated signs (boch internallyly) musc conform Eo Sect,ions 9-7-4 (4) & (5) and 9-7-18 of rhe S[ringfield Sign or-'
Plang RequiTe.d: This application is to be submitted wlth two complete seEs of plans showing di-mens'ions and height of sign; advertising message on sign; location of slgn on property erith di-uensions to proPe^rty 1ines, structural details-of support framing, bracing and-footings; materlalsot consErucEion for sign and sign strucEure; eLeclrical equipment and lightingi size and locatlonof existing signg.on pioperty for the same busienss, all is iequired to deteriinq comoliance wirhthe Springfleld Stgn Ordinante (Artlcle 7 of the Spitngfield Ciry Code). Also,.dhow the follow-ing inforurat,ion on the plot plan (plan showing prolert! lines and location of signs):
a) Show the location of all existing slgn(s) as well as proposed slgn(s).
b) Show the. length of the street frontage taken up by the business or building. For wallsigns, show the lengch of the building frontagL.
c) Show the location of entrances open to the public and driveways.
l,lhen-required, because of design,_ size, etc., engineered drawings and calculations rmrst be pre-pared^by.a licensed engineer or shall conforu to design standards on flLe at the Building Divi-sion Office.
:Plans of Lnsufficient clarity or detail will be returned to the applicant with no perrnit beinglssued.
Signs must uteet corner vision clearance requirements as described ln Figure 9 of the SpringfieldComprehensive Zoning Code.
N9TE: .No-sign-nay be erected which is less than 12 feet horizontally or vertically from overheadelectrical conducEors in excess of 750 volts, or less than 5 feet in- any direction- frorr overheadelectrical lines which are energized at less than 750 volts
If a sign is not Lnstalled within 60 days after the date of issue of thls peroit, the permit shal1be void.. ,
4>
5)
6)
7>
8)
e)Inspections :
a)Qite Inspection - to be made before the sign is placed. Usually, the Fooring Inspection(ifapplicabIe)maybemadeatthesametimeastheSiteInspectlon.@.
tion is to be made after hole(s) is e:rcavaEeci, buE prior to the placemenE of conErete.
Final Inspection:- to be made upon eoryletion of aLl work.
Lllectlical - all e-Iectrical,signs strst be lnspected for electrical hook up afterI-recEEd and before the sign-is rurned on. '
b)
c)eign
CALL FOR rHE REQUTRED INSPECTIoNS ON a"HE 24 HOUR INSPECTIoN LrNE AT 726-3769
ELECTRICAL ?ERMIT FEE:
L$.oo
47" STATE SURCHARGET
'$ag.{D
TOTAL:
0
--e-
RECEIPT cDA
CLERK
JOB #
,
SIGN PERMIT FEE: i
SIGN DISTRICT dAl ,
ZONE DISTR'CT i \--FOR OFFICE USE ONLY
TOOTING OR METTIOD OF ATTACHMENT
TorAL SQUARE FoorAGE oF srcN 2t'& + Z a '"! =
REQUIRED INsPEcTIoNs, /7 41
srTE/LOCATTOU
VELECIRICAI.
olllER
SPECIAL CONDITIONS TO BE SATISTIED BEFORE ERECTION OF SIGN:
ADDITIONAL INFORMATION NEEDED BETORE PERMIT MAY BE ISSUED:
7
./ <-/
DAIEAPPROVED BY
SECT.I,ON:RINGFIELD SIGN ORDINANCE
1" FrNAL
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