HomeMy WebLinkAboutPermit Signage 1981-08-25Pt, 3{a^rt6?
CIT:T OF SPH,IA\TGFIEIJD
SPRINGFIELD. OREGON 97 477
INFORYATI0N:726-575J INSPECTIO:,| R.EqUESTS: 716- j:o9
CITY OF l-LD
I
LOCATIOX OF SIGN(AODRESS)
LEGAL DESCRIPTIO:i z-a
OI{)iER OF PROPERTY
ADDRESS
olf,iER 0F SIOi(!F OTHER TlllJ PRoPERTY oliNER)
TAX LOT '
E
ZIP
PHONE
TYPE oF BUsI)iEsS T I
i6N
ADORESS
Y$E OF BUS I:iESS, F I L\. ETC
K:
,l .
ECi: APPLIC.\3LE
/ rneo,'ALTER
crntER
I\IALL
ROOF
II,IARqiJEE
olllER
-Jr FREESTA\DING
_ PR0JECTI,r"6
READER BOARD
BILLBO.\RD
IDENTITY
PROJECTING
INCI DE\"l'AL
DOUBLE FACE
NON. I DENTITY
SECONDARY
SINGLE FACE.
I'IULT I. FACE
A.
R.ELOCATE
grcx qaecion-/|2y 7r d /\r!5 .-Stl*S -::--.,. _ PHoNI-3J.,2.:L?A-?.__ _ - -
nons,ss -.?- 91- {eJAer:*.b.-*-*--
EXP. DATECI,'r': LICSNSE Su:l3ER_._
SLGN }r-\U[;\CTURER (IF OTrtER TILN ER[CI!!]---
AODRESS PHONE
E IICTRI C.{L CO$TR,\CTO R PHONE
ADDRESS LICENSE NurrBER .l--
TOTAL HEIGIIT AEOVE
,6 VERTiC.\L DI}{ENSION OF SICX 2'6 HORI:O:,{TAL WIDTH OF
DIIIENSIOY FRO}I CRADI TO BOTTO}I OF SI6N /q'THICX}iESS OR DEPTH OF SICN / c''
DOES sIC:{ PROJECT EEYO)|D PRoPERTY LINE
-
YES J NO IF YES,DI}IENSION BEYOND PROPERTY LINE
riorE: IF pRoJEcrlo:r Is:.iopi,.I1rA.\ l:,'ovER puBLIc pRopERTy rllE sIGN raecroi i.iusr FILE I{ITtt rHE BUILDI}IG DIVIST0N cOPIEs 0F
HIS PU3LIC LIAAILITY A.\O PROPERTY DAIAGE INSURA.\CE POLICIES.
HrLL sIGri HrvE ELEcTRIcAL uIRING? 2lvus
-NoDESC9.IBE TYPE 0F !'i\TERI.\LS SICII IS C0}ISTP.'JCTED
IF YES WHI r |!e SIGN ILLU}IINATED (INOIRECTLY LIGHTED)
NE {
PROVIDE UL I{I,,I.IBER IF APPLICAB *fl cJ 7 7?458 VALUE OF SIGN 5'rc'
sITEINFo$l^1'IoN(LA.\DlJsE).-ExIsTINGUsEoFBUILDINGoRLAND(9RIASTUsEIFvAcA^\T}i-_---
,
PROPOSED USE OF BUILDI},IG OR L\},iD
CHECK ONE IF APPLICABLE: --I!iDCOR BUSINESS '. OUTDOOR }IERCHA'\DISING
EXISTING SIGts (s:GN CO0E): A8E THERE EXISTINC SIGNS?.r YES
-NO
IF YEs' DESCRIBE ALL E-IIST-II{G .SIGNS..FOR PtjS.l'-\E:S'
FIR.{, ETC.:,
F"
Al.L EXISTIIIC SIGNS ON PREIIISES(SA.\IE TN( LOT):-
r HA,E .AREFULL' ExA\tINEo rhe conpleted application for pemit and do hereby cert'i.fy_that all inforruation hercon'is true and
correct, and I further certify that all ,oil-puiror"ed siratt be Jone in acctrdancE with the springfield sign- ordinance' the
uniforrn Sign code as adopted by the city of"siiiigii..ra and all ittter-orainances of the citr of springfield and the l'aws of
the state of oregon perraining !o the ,rott a"!".i6ed herein. t ruither cert.ify that my sign contractors License Hith thc
ciry of springfield is in fuli force and "ri".i-rt required by springfiera cit| codes b-z-e(.3) and 9-7-20[2]" I rill rcquest
all,.requiiedIigninspectionslistedontheapprovedpernit.
SIGNATURENAME(PLEASE PRI}TT)
,Y
SICN DISTRICT ZONE DISTRICT
INSPECTIONS REQUIRED:SITE/LOCATION JOOTING OR II{ETIIOD OF ATT.{C}T\[ENT
TOT.AL SQUAXE fOOTAGE OF
ELECTRICAL PER\IIT
ELECTRIC.\L
SIGN PER.IIIT
C}L\RGES:CI{ARCES:
STATE SURCHIRCE
b
FEES
TMAL FEE FOR PERTIIT:
dj$aq11
\.
. FI NAL
DATE
OTI{ER
VET"EORS, C0:JR \Ci 3RS:
't
PE.q:.!tT'.'.\L t D.\i I0../
l)Seorrrt: Sien .\c:l ic:ricn A seprraEe appiication is required for each
sepJrf,ce jlgn Js .terrneo in t he Sign Code
2) Electrical: Any pernic issued under this applicacio
ing tn or on sign structure, the supply wires for co
covered on r.n electrical pernit. Electrical connect
onlv by e State Licenscd Electricel Conrraclor. tllinternllly end ertern:lIy) rnusr conforn to Seccions
9-7- lS of the Springfield Slgn Ordinance.
3)Plens Reouired: Th is 3pptication is to be submittedsels ot plans dr:rn to scale,showing dinensions andvcrtising neisage on sig:n; locati.on of sign on prope;to propert), lines, strucrual details of support frarn:footings; nttcrials of construction for sign and sigrtricrl equipeent rnd lighring; size and locarion of (
properi), Eor the sa.re business, all as rcquired to der.ith the Springricl.t Sign Ordinance (Article 7 of theCode). Also, shou rhe following info:naEion on the Fshouing proper!), lines end location of signs)
a) Shov 3i1s locarion o!' 3Il existing sign(s) as well
b) Shos rhe lr'ngth of the scree! frontage taken up bbuildi;rg.
c) Shov the loc:cjon of entrances open.to Ehe public
Rec'd
Received For
4) lthen required,. bec:use oi- design, size, etc., enginee: d.
calculecrons nust be precared by a licensed engineer r
to desr;a scrndards on rile 3t the Building Division (
S) Plans of insufficienc .clarity or detail wilI be returr t"
Pliclnr virh no p€rnrE being issued.
6,) Signs nust mcct corner vision clearance reouileEenrs : ,e-Fig. 9 of the.Springfield Conprehensivo Zoning Code. (.
CITY OF SPRINGFIELD
CirY Holl
Springfield, Oregon
Deportmenl of Public Works
OFFICIAT RECEIPT
ilo. B 57155
Amounl Received
SIGNATU RE
EUGaXE Ot 9raol
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na
Fn
fa
(e
fie
7) liOTE: .r-o sign ney be erecred which is less than 12 feor verricttly fron overherd electrical conductors in evolts, or less rhrn 5 feet in any direction fioo ovethlines vhich arc cnergi:ed aE less than 7SO volts.
8) If r si;n is nog inrr:tleC rithin 60 days after the dathis pcr.ric. rhe per.:tit shall be void.
9) Insoect ions:
a) Site Ins:ection - to be nade before the si
le
the i:oo::.:nsoecllon
t i:re as thc rcc insPec
(if applicable) nay
rion. The Fooring
gn is pl:' be nade
Inspect it
(.
(:
(
narJe eftcr hole(s) is excavated, but prior ro the Iconcret e.
SHCTTON.TUiX3UL! FilnrEiS
OATEb)Finel I:'.soect ion - to be made upon completion of alh-*rr.
c) Electricrl - Arl electrical signs nust be inspected for electri-cal hoox up efrer the sign is erected and before the sign isturned on.
CALL FOR THE REQUIRED INSPECTIONS ON THE 24 HOU4,INSPECTION LINE AT726-3769.
i,]
SPECIAL CONDITIO.\S TO BE SATISFIED EEFORE ERECTION OF SIGN:
ialu
il-
ADDITIO.\AL INFOR\IATION NEEDED BEFORE PER.VIT IIAY BE ISST,IED
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PLTYS REVIEI{ED BY:DA'
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