HomeMy WebLinkAboutPermit Building 1981-08-21INFOR{ATI0N:726-57SJ
CIETT OF SPF,I}TGFIEIJIf
SPRINGFI ELD. OREGON 9A 477
CITY. OF SPRI}JGFIELD
SIC:i CONSTRUCTIOX AND ELECTRICAL TNSTALIITION
COllB INAT I0N APPL ICAT I0.\-/ PE R\IIT
IIiSPECTIO.\ REQUESTS: 7f6- jtog
LoCATIOX 0F SIG]i(Ao0RESS)
LEGAL DESCRIPTIOX /a)
OIh-ER OF PROPERTY W. tr
OIil(ER OF SIGY(IF OTHER TTLL\ PR,OPERTY Oh}iE
6 moil4wK El-v o'€.
5 TAXLoTT /c)
ztP 7 <{7'7
euvl L,CH YEE LCUNCl
PHONE
4G'g^DoRESs 441 I. 9-r 9Petxc,PtelD
.\A\tE OF BUSI.\ESS. FIf\I, ETC.ANC IENT C HIh{A fiPE OF BUSI}iESS EANT
g/l-ee,cr
RILCCATE
ALTER,
OTIIER
IDE}ITITY
PROJECTING
INCIDE}iTAL
DOUBLE FACE
-
NON-IDE:'ITIfi
SECONDARY
r.Z-SfXCle FACE
IIULTI-FACE
VET"DORS CO\TP.\CTCRS:
C€NTE).NrAL BL*/.)7rt7IRIN4r'ELD 6R.
12 3LEfratt
-
MARQUEE
_ OTHER
FREEST,d\DING
PROJECTlNG
READER BOARD
BILLBOARD
SIGN ERECTOR trA.r-CHA^tg Lciur{Cl PHONE 9 IZL_8Y7s
ADqRT ss t2-lL 7y10 t{trw( Euv -
CITY LICE)iSE SI.[,I8ER
SICN }I,\\UFT\CTURER (IF OTIIER TIL{\r4e 4 O a4/'? e h
EXP. DATE
A.DORESS
E IICTR I C.{L COIiTRACTOR
ADDRESS
4
TorAL HEIGHT ABovE GRADE lf'VERTICAL DITENSION OF S I6N _--.-*---_-. HORISONTAL WIDT}I OF SIGN
DIITENSIoN FR0II GRADI To Borlo]r oF SIGN -.--_: ,IHICK:(ESS OR DEPTTI OF SI6N
DOES SICN PRO..IECT BEYO:{D PROPERTY LINE
IiOTE: IF PROJECTIO:{ IS tiOR.E IIr"\ 12" OV
HIS PUELIC LIAEILIfi r\D PROPERTY
ilTLL SICN I{AVE ELECTRICTL IVIRING? YES
DESCP.IBE fiPE OF I':\TER,I.\LS S16}1 IS CO}ISTP.UCTED OS
INSURA\CE POLICIES.
IF YES,}IHICH APPLY? ELECTRIC,TL SIGN
IF YES, DI}fENSION BEYOND PROPERTY LINE
TIIE SIGN ERECTOR ^'.IIJST FILE I{ITI I TI1E BUILDI}IG DIVISION COPIES OF
-ILLU}IINATED
( INDIRECTLY LIGI{TED)
_ YES VNo
'ER PUBLIC PROPERTY
DAI[A.GE
y'No
PRoVIDE UL NUI'IBER IF APPLICABLE +-VALUE OF SIGN g ct c)
SITE INFOR.\IATIoN (LA,\D tSE)--EXISTING USE OF BUILDIryEOR LA.\D (gR IAST USE
{--a)) (./) e rc.-<
PROPOSED USE OF BUILDING OR lu,.jci}: CC
EXISTING SIGIS (Si6N C00E): ARE TI{ERE E.XISTING SIGNS?_YES
CHECK ONE IF APPLICABLE:Y-INDOOR BUSINESS OLTTDOOR IIIERCHA,\DISING
SNo IF YESI DESCRIBE ALL ETISTING SIGNS FoR BUSINESS,
FIR.Y, ETC.
ALL EXISTING SIGNS 0N PRE|,ISES(S,$tE T&{ LOT)
+-..<
I HAVE CAREFULLY EX.$IINED the conpleted application for penuit and do hereby certify that all information hereon is tnre andcorrect, and I further certify that all r.ork perfornred shall be done in accordance with the Springfield Sign Ordinance, theUniforn Sign Code as adopted by the City of Springfield and all other Ordinances of the Cit/ of Springfield and the laws ofthe State of Oregon pertaining to the work described herein. I further certify that rly Sign Contiactors License with theCity of Springfield is in full force and effect as required by Springfield City Codes 8-2-6(J) and 9-1-2OL2l. I rill requestall required sign inspections listed on the approved perrdt.
NAME (PLEASE PRItn)FAT-CHE!i.I ('., LtuNCr sIG)iATuRE =..iF-Z-t<-L-=]--D,lre A.tj-z' g
1
ONL
SIGN DISTRICT ' t,4 ZONE DISTRICT i.- *.;)TOTAL SQUARE .FOOTAGE OF SIGN
-ELECTRICAL
ITISPECTIONS REQUIIiED :SITE,/ LOCATION
-FOOTING
OR }{ETIIOD OF ATTAC$IENT OTHER
.,1
SIGN PERHIT:r'
CIIARGES: :{- C <:
EL.ECTRICAL PER.\IIT
CHARCES
FEES:
TOTAL FEE FOR PERTTIIT:
STATE SURCHARGE: -&-
---t>-
1) SeoareteIiqn .{ocl ic:cion: A separate application is required for each
5ePf,r:rre ilgn JS.lerlneo in t he Sign Code
2) Etectricel: Aay pernic issued under this application will
ing rn or on sign structure, the suppiy wires for co.
covered on 3n electrical pernit. Elecrrical connect
only by e State Licensed Electrical concractor. Itl na
internally and e.xternally) must conform to Secci,ons
9-7-IS of the Springfi,eld Sign Ordinance.
3) Pl:ns Reouired: This applicacion is to be submitted th
sets or pl:rns drarn to scale, s horving dimensions and
vertising nessage on sign; Iocation of sign on prope
to property lines, structual details of supporc fram
foocings; nareri,als of construction for sign and sigl
trical equipnent and lighting; size and location of ,
properiy for the sJ.ne business, all as required to d,
vith rhe Springfield Sign 0rdinance (Arti.cle 7 of thr
Code). AIso, show the following infor:lation on the I
showing property lines and location of signs):
CITY OF SPRINGFIELD
include wir-
!r From
CitY Holl
Springfield, Oregon
Depcrlment of Public Works
OFFICIAT RECEIPT
No. B 57i3il
r9
n
(
a) Shov the locacion of all e-xisting sign(s) as well
b) Shor the length of the stteet frontage taken up t
building.
c) Shos the location of entrances open to the public
a) Site Insoection - to be made before the si gnl s pl
madethe i:ooa tarl Insoect ion (if applicable) nay be
b) Finel Inspection - to be made upon completion of a
Received For
4) l{hen required, because of design, size, etc., enginee
calcul:rions nus! be orepared by a licensed engineer
to desrgn standards on iile at the Building Divi.sion
5) Plans of insufficienc clarity or detail uil1 be retur
plicent si,th no perniE being issued.
6) Signs must meeE corner vision clearance reo.uiremenrs des
Fig. 9 of the Springfield Conprehensive Zoning Code.
7) ,r-OTE: |io sign ney be erected which is less than 12 fr
or vertic.:Ily fron overhead electrical conductors in {
volts, or less th:n 5 feet in any di.rection froo overl
lines rhich are energiued at less than 750 volts.
B) If a si;n is no! instetl.ed Hithin 60 days after the da
this pern!.t, the per.nj.t shall be void.
s)Insoect ions
fss
ibf
Amount Received
(
i
\time as tne Srre lnspecrion. The Footing Inspecti.
oade after hole(s) is ercavated, but prior to the cer.
concreEe. BY .
_(.
AUTHORIZED SIGNATURE
SHELTOT.IUFiAU!L PRIXIERS EU6EXE OF 97'O!
c) Electricrl - AlL electrical signs nust be inspecter ,6t
cal hook up efter the sign is erected and before tlre sigr
E i.AO
lurned on.
CALL FOR THE REqUIRED I}iSPECTIONS ON THE 24
726-3769.
HOUR INSPECTION LINE AT
L
:,
SPECIAL CONDITIO.\S TO BE SATISFIED BEFORE ERECTION OF SI6N:
ADDITIONAL INFOR\IATIOI{ NEEDED BEFORE PER.ViT IIAY BE ISSIJED:
PI..fu\S REVIEI{ED BY:
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