HomeMy WebLinkAboutPermit Signage 1981-03-12CIE:T OF SPF,I\TGFIEIJ]:)
INFOR'"ATI0N : 7 26 - 37 53
sPRINGFIELD. OREGON 97 477
CITY OF SPRI},IGFIELD
S 16:{ CONSTRUCTIO:,I A.\D ELECTR I CAL I}ISTALI,ATION
C0$lB INATION APPL ICATI0T-/ PE R\tIT
I){SPECTIO)i REQUESTS: 7:6-J:o9
LoCATI0N OF SIGS(TDDRESS)
LEGAL DESCRIPTIOS
OIYNER OF
ADDRESS
PROPERTY €PHONE '7,3/
zlP
PHONE --o /30
o
-
6
ortiER 0F SIC{(IF OTHER TH.IL\ pROpERTy Ot{lvE R)
ADDRESS
}IA.UE OF BUSI\85S, FIRU, ETC
ERECT
TYPE OF BUSIIIESS tt<
2- nslocrre
ALTER
crnlER
<- IDE}iTITY
-
PROJECTING
INCIDENTIL
DOUBLE FACE
-
NON-IDE)ITITY
_ SECCNDARY
I---SIIiGLE FACE
-
}IULTI-FACE
DORS c0\-T
SIGN ERECTOR
A.DDRESS
PHONE z7? -zt /3 n
J,P f,,t,, p
TAX LOT *
S ICX
_ I{ALL
l<'RooF
-
MRQUEE
OTHER
FREESTA.\DING
PROJECTING
READER BOARD
BILLBOARD
CITY LICENSE .\I,AI8ER EXP. DATE
sIGN IIA\UFACTURER (IF OT.ltER Tttlr\
ADDRESS PHONE
EI.EfiRIC.{L
ADDRESS
PHONE
LICENSE NTIIi'BER
TOTAL HEIGHT ABOVE G&TDE /E'/
DI.IIENSIOI{ FRO}I GR,IDI TO BOrrOIt OF SI6N
DOES SIGN PROJECT BEYOJ{O PROPERTY LINE YES
.\OTE: IF PROJECTIOT- IS l
HIS PUALIC LIABIL
rILL SIGN H^VE ELECTRICA L IVIRI.\6?4r'
ITRTIC.C,L DI}IENSION OF SI GN },HORIZOXTAL l{IDTH OF SIGN ,3'
THICKNESS OR DEPTH oF srcN /6
NO IF YES, DI:'IENSION BEYOND PROPERTY LINE
i.ioRE TtlA.\ 12" OVER PUBLIC PROPERTY TTIE sI6N ERECTOR tiusr FILE rvlTlt rHE BUILDI.YC DIVISITYtr\D PROPERTY DA}AGE INSURANCE POLICIES.
tltzcn
ION COPIES OF
RECTLY LI6HTED)NO IF YES , IIIHICH/.o I
APPLY?
C&vt
ICIL SIGN ILLU}IINATED IND I
DESCP.IBE TY OF l'Ir\TERt.\LS SIGII IS COIISTP.UCTED OF
PROVIDE UL M,,}IBER IF APPLICABLE
SITE INFOR\IATION
(
VALUE OF SIGN /.XP c0
,1
l't e^ I rJlzslF
(.LA,YD USE)--EXISTING trSE 0F BUILDING OR LAND (gR LAST USE IF VACit\T):Itt'r" GKi. < i
PROPOSED USE OF BUILDING OR L\}iD {
ITJDOOR BUSINESS OUTDOOR IIERCHA.\D I S I NG
EXISTING sl6\ls (sicN c0DE): ARE TflERE E:(IsrrNG srcNs? yES r-No IF yEs DESCRIBE ALL EXISTING SI gNS..Fgl $ls.{._\Ess,FIRV, ETC.:
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I HAVE CAREFULLY EXA.f'|INED the cor[pl et application r pe:mit and do hereby certify rhat all inforraation hereon is true andcolrect, and I further certi fy that all uork perfonned shall be done in accordance with the Springfi.eld Sign Ordinance, theUniform Sign Code as adop ted by the City of Springfield and all other Ordinances of the Cit y of Springfietd and the laws ofthe State of Oregon pertaining to the work described herein. I further cert ifv that Ey Sign Contractors License rith theCity of Springfield is in full force and e.ffect as required by Springfield City Codes 8-2-6(.3) and 9-7-2OC2). I rill requestalI required sign i.nspecrions listed on the pernit.approved
dJ.A Rr,iINAME(PLEASE PRIIIT)
SICN
INSPECTIONS
t'
SIGNATURE i DNTE 3:/l'tr:t
DISTRICT TOTAL SQUARE .F0OTA6E 0F SICN (
SITE/ION
-FOOTING
OR }IET}IOD OF ATTACIT\fENT {ELECTRICAL }IIXEI OTHER
OFFICE USE
)
FEES SICN PER}IIT:
C}IARGES:
y' 5-0,ELECTRICAL PE R.rtI,6 .c1CTIARGES
TOTAL FEE FOR PE&\IITT
I
I
I:
i
i#L
It 6; <e
STATE SURCHARGE
h(]Rx:TYPE OF SIGN:
.10
l) Seoerete Si I icer ion A. separate applicetion is required for eachche Sign Code.
ast
Rec'd F
.iT I O:J
No. B silEEB
I
sePsrrte sLgn Js neoI
2)F!gclrigal: Any pernit issued under this application will include wir-rng rn or on sign strucrure, che suppty wires for connection must becovered on J,n electrical permit. ei!"i.i""1 connecli^. *.-- L- _-r-
:li), by.e srace Licenscd Lrecrricri c"iii".internslly
"na "*."ii"rry) must conform." I!l;r"ll 6_, CITY9-7-tS of rhe Springfield Sign Ordinance.- \
lI-:ns_Rerouired: This application is to be submitrersets or plen5 draun to scale, showing dimensions an,vertising ,:ressrge on sign; location if-rign on prop(
::^!::!:.,), Iines, srructuat detaits of support franroorr.n3s; nercrrals_of construction foi sign and sictric:l equipnenc and lighting; ;i;; ;;; i;;r;;; ;i.properry for rhe sane busineii, aff as-rlquirud to avith- rhe Springfietd sign orainan"" iirii.r" 7 of thCode). Also. shov trre iorro"ing'irfJr*..i"n on theshowing properry lines and ro""iio"-Ji'lign.1,
a) Shon the locarion of all eristing sign(s) as rreLb) ihg:.:tru length of the streer flontage taken up Ibu i.l d ing .
c) Shon the locarion of entrances open to the publii
I{hen required, beceuse of design, size, etc., engine(calcul,3rions nust be prepared Uy-" ficensud engineerto desr3n standards on;iru.t ih" i;iiJi;s Division
Plans of insufficienr clarity or detail will be retur
Signs raust ,!leec corner vision clearance reauireruentsFig. e of the springfield cr,"p;;;;;;;l ilning coau.
NOTE: r)-o sign nay be erected which is less than 12 f,or-verric:lly fron overhead "t""t.i."i !Jia.r"to., in ,votts, or lcss th:n 5 feet in ."t-;i;;";;n froo overllines vhich are energired at less th;;-i;;'volrs.
If.e si;n is noc inst:.Lled rithin 60 days after the dathis pcr.rir. rhc per:.:rir shall. be void. '- -
3)
OF SPRINGFIETD
Cily Holl
Springfield, Oregon
Deportmenl of Public Works
OFFICIAT RECEIPT
ei
S
Received For
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6)
7)
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5[\aY.r\
B)
e)Insoect ion
a)itc In ion - 36 5sthenstiontine as lce
_made before the sign is pl i,1rt applicab}e) may be made !t'eccion. The Footing Inspectitexcavated, but prior to the I
Amount Received
ua<Je efter hole(s)
conc!et e.
is
b) Fin:t [;soect ion -to be nade upon completion of al
c)
BY
sIGNATU RE
EUGEBE Ot eTaOl
Elec.tricel - All electrical signs nust be inspected /tcal hook up efter the sign is irected anJ iufore ti, \.ioturned on.\
crLL FOR ]flE REQUIR.ED rlispEcTIONS ON THE 24
726-3769.
|-
H0u4 TNSPECTION LINE AT
R}I I !,\L
SPECIAL CONDITIOXS TO BE SA
Kur st q bf ,TISFIED EEFORE ERECTION OF SIG}J:il0f fr LtdL,l €D //L) rulS DtSTP'{e,T
ADDITIONAL INFO&\I\TION NEEDED BEFORE PERMIT }IAY BE ISSIJED:
-/? g/PLfuYS REVIEIVED BY:
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