HomeMy WebLinkAboutPermit Signage 1981-10-30 (2)'il
I:{FORI'|,\TION : 726- 575 J
CIETT OF SPH,I}TGFIEI-D
sPRINGFI ELD. OREGON 97 477
CITY OF SPRIXCFIELD
SIC:{ CONSTRUCTIO}I AND ELECTRICAL INSTALIITION
CO}I8 INAT I ON APPL ICAT ION/ PE R\IIT
I.r-SPECTI0S REQUESTS : 736- jtog
LOCATT0x 0F SI6x(AoDRESS)
LEGAL DESCRIPTIO:.I
OIT:{ER OF PROPERTY
2'o 3 -J
ADDRESS
TAX LOT T oo
PHONE
afo
OhliER 0F SIG:\I(IF OTHER TtLlu\ PROPTRTY OhNER)
ADDRESS rvl
}IA.\IE OF BUSISESS. FIR\I, ETC TYPE OF BUSI}JESS
ERECT
RELOCATE
ALTER
OlTIER
IDE}iTITY
PROJECTI)iG
INC I DE}iTAL
DOUBLE FACE
._ NON-IDENTITY
SECONDARY
/rrnrr, ,^r,
I'IULTI. FACE
IGN
I.IALL
ROOF
t'!{RQUEE
OTHER.
FREEST,T\DING
PROJECTIN6
READER BOARD
BILLBOARD
!EtiDo
SIGN ERECTOR
ADDRESS
CITY LICE\-SE !itX.l8
sl6ll }IA.\UFACTURER (IF OTilER Til.L\ ERE
ADDRESS
PHoNE 3*Z-t7bn
EXP. DATE
PHONE
Ellfi RI c.{L Co.VTR"\CTOR PHONE
LICENSE NI.'}IBERADDRESS
roTAL HETGHT ABovE G&\DE
' 7 ' VERTTCAL
DIIENSIoN FRolr ctuiD[ To Borrort oF srcr___lo I Ltl
DOES SIGN PRC'ECT BEYOI:D PROPERfi LINE YES 2G
DITENSION OF SIGN r{rDrH oF srcN-jo 1
THICK}iESS OR DEPT'I.I OF SIGN / Z Tf
IF YES, DI}IENSION BEYOND PROPERfi LINE
I\.OTE: IF PROJECTION IS:.|ORE TIT"\ 12'' OVER PUBLIC PROPERTY T1IE SIGN ERECTOR I.iIJST FILE IVITII TIIE BUILDI}IG DIVISION COPIES OFHIS PUBLIC LIABILITY &\D PROPERTY DA}AGE INSUR.ANCE POLICIES.
rllt sIcN ]lAvE ELECTRICAL IVIRING? y'rt
-No
IF yEs, hHICH Apply? Trrr^ru, sr6N , ILLU]ITNATED (rNDrRECrLy LrGI{TED)
DESC.D-IBE TypE cF y-\TERr.{rJ slri}l Is co}rsrp.ucrED og Hea4L + P e *rTL
PROVIDE UL NUIiIEER IF APPLICAELE VALUE OF SIGN
SITE INFOR.\ATION (LA.\D USE)-.EXISTING I'SE OF BUILDING OR LAr\D (OR I.{ST USE IF YACA.\T)..-,
i.
PROPOSED USE OF BUILDING OR LN.\D
CHECK ONE IF LE
EXISTII{G SIdS (SiGN COOE): AXE T}IERE EXISTING SIGNS? YES
: _INDO0R BUSINESS _0LITD00R I\!ERCHA.\DISING
IF YES, DESCRIBE ALL ETISTn;G.srGNS..FoR !llS,l.-\ESs,
APPLICAB
-6FIF.Y,
ALL EXISTING SI6NS ON PRE}IISES (SA}IE TAX LOT) :/r/OlV€
I iiAvE CAIEFULLY EXi.\liNED the completed application for pernit and cio hereby certify that all infor:aaticn hereon is true andcorrect, and I further certify that all. rork performed shall be done in accordance with the Springfield S ign Ordinance, theld and the laws of
License with the
Lzl. I will request
Uniforrn Sign Code as adopced by the City of Springfi.eld and al1 other Ordinances of the Cit), of Springfie
the State of Oregon aining to the work described herein. I further certify that ny Sign Contractors
City of Springfield Pertis i n full force and effect as required by Spr ty Codes 8-2-6 9-7 -20all required s
NA.YE(PLEASE PR
ign ections listed on the approved pernit
I GI{ATURE
SQUAXE .FOOTACE OF SIGN
rElo)3O-dP/
5IGN DISTRICT AN/T. SI/'ZONE DISTRICT TOTAL
INSPECTIONS REQUIRED S I TEl LOCATI ON F0OTING 0R IIETHOD 0F ATIACh\IENT -'ELECTRICAL *-FINAL
FEES
TOTAL FEE FOR PER.UIT C {). c1a
STATE SURCHARGE
d
.49
DA'
:2
OTHER
SIGN PERMIT
CH,TRCES:A +-/ .1,
ELECTRICAL PER.TIIT:
C}IARCES:
PLEASE iETO
1) Seperrte Siqn Aocl ic:rion: A separare applicacion is required for each
separrre jrgn rs.retrrrcci in the sign code.
I2) Electrica[: Any permic issued under this applicatic r,'
ing rn or on sign strucrure, the suppiy wires for cc
covered on an electrical per:nit, Electrical connectonly by r Scate Licenscd Electrical Contractor. Ill .nainternlrlly lnd externall.y) must conforro to Sections
9-7-lS of the Springfield Sign Ordinance.
5) Plsns Reouired: This application is to be submitted ,ch
P E R:.!
",\LID,\TIO)i
CITY OF SPRINGFIELD
CitY Holl
Springlield, Oregon
Deportment o[ Public Workc
OFFICIAT RECEIPT
No. B 57586
l9Dote
seis or plans drcrn to scale, showing dimensions andvertising nessrge on sign; location of sign on propeto property lines, structual details of supporc franfootings; nrterirls of construction for sign and sigrtritrl equipment rnd lighring; size and location of ,
property for the sane business, all as required to druith the Spri.ngfield Sign Ordinance (Article 7 of thrCode). AIso, show the following infornation on the Ishowing properry lines and location of signs):
a) Shov the locarion of all existing sign(s) as well
b) Shov the lengrh of the street frontage taken up t
bui ld ing.
c) Sho,; the locacion of entrances open to the public
4) l{hen required, beceusc of design, size, etc., engineecalcul:rions nusr be prepared by a licensed engineerto desi.tn standards on t'ile at the Building Division
5) Plans of insufficienr clariry or detail will be retur, plicant Hith no pernir being issued.
6) Signs lnust mce! corner vision clearance requirementsFig. 9 of rhe Springfield Conprehensi.ve Zoning Code.
7) N0TE: lio sign nay be erecred which is less than 12 fror vertically fror:r overhead electrical conductors in .volts, or less th3n 5 feet in any direction froo overllines yhich are energiled at less than 7SO yolts.
8) If a si;n is nor instelled rrithin 60 days after the dathis pernit, rhe per::rir shall be void.
9) Insoections
a) Slte Insoection - to be made before
For
Amount Received
AUAHORIZEO SIGNATUiE
3X'L'ON.TUIX'ULL PRINT€RS ' EUGEXE OA '7'OI
d
(he
(,
(..
t"
(
{the sign is pl \d.
e) nay be made
otj.ng Inspecti
prior to the (
upon conoletion of ah *r.^.
BYthe Fooirnr: Inspecrion (if applicabl
tirne as the Sl.te Inspecrion. The Fo
oade after hole(s) is excavated, but
conctet e.
----7e
b) Fin:l Insoection - to be ruade
c) Electrical - All electrical si.gns rnust be inspected for electri-cal hook up after the,sign is erected and bctbte the sign is
turned on,
CALL FOR THE REQUIRED I.\"SPECTI0NS 0N THE 24
726-37 69.
HOUS INSPECTION LINE AT
SPECIAL CONDITIO.YS TO BE SATISFIED BEFORE ERECTION OF SIGN
UAIE
ADDITIONAL INFOR\IATION NEEDED BEFORE PERMIT I,IAY BE ISSI.JED:F u, L i)/ ^-j .i
E(c{-A)CZ-P ,D i ry'€.7\-)S z o-7tt -9
f4CINft) e € yiLOA,"Q
/lL '. /'9 r' ,
At*
,f>b*H
PI.ATYS REVIEhED BY:DArE .,' /* 4 - .a /
(
(
(.
('