HomeMy WebLinkAboutPermit Signage 1989-11-7
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1 N FORMATION: 726.3753
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" .' 1.II1~",,"'ij II ,1111 .
city of springfield
225 n. 5th street
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SPRINGFIELD ... ,
INSPECTIONS: 726.3769
SIGN PERMIT APPLICATION
LECAL DESCRIPTION
OWNER OR PROPERTY
ADDRESS all?/1
OlmER OF SIGN (IF
ADDRESS~-:~ /1
NAME OF BUSINESS,
/9.d4
/ ~-' 5" I~ " TAX LOT'!.' /tf}I')./"I. !I?;J- 30i"J-1t:1O
~//hlA.III ,4:70,0 // /.// PHONE~=?/...:Jf.3-4///
.#. ... ~.rnA hA'~' .i-/-l:r. Dj) /6./M.lt/IL dJ.ftIP '77'....2/"'>'
OTHER THAN PROPERTY OWNER) /../~ ///,,9.n-7 .L?;;' .oe ~
7A ." 11 /i R4 itA' r9 [f"'N, ~, IJ1 PHONI:
FIRM, ETC. "J/~t1r<"/d'nfS 9#r?'5V,BUSIl:ESS
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A. LOCATION OF SIGN (ADDRESS)
JI4,.f '::.~~
B. TYPE OF WORK:
~CT _ALTER
_RELOCATE
_OTHER
C;. STRUCTURAL TYPE 'OF SIGN:
.01ALL FREESTANDING
_ROOF PROJECTING
_MAR~UEE
UNDER 11AROUEE
- .
, D. USE AND CP.ARACTER OF SICN:
~ENTITY
INCIDENTAL
DOUBLE FACE
~INGLE FACE
OTHER
*"'"
MULTI-FACE
_READER BOARD .
BILLBOARD .
E. VENDORS, CONTRACTORS: -r- '
SIGN ERECTOR -l.I~/tI~~
Ldes/
./.DD!tESS
I), 7f7
S;c-t/ s::s/c=./J0'7."7 ruONI:~V ~-~CJ4?
-7'# 40 e ~4'I"'L/e. /1')~ ZIP 77~_7
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CITY LICENSE NUMBER
EXP. DATE
SIGN 11ANUFACTURER (IF OTHER THAN ERECTOR)
ADDRESS
=--~ /?'7,=
PEONE
F.
DU1ENSIONS, IlISTALLATION & CONSTRUCTION
TOTAL HEIGHT ABOVE GRADE
VERTICAL DIMENSION OF SIGN
HORIZONTAL WIDTH OF SIGN
DINENSION FROM GRADE TO
BonOM OF SIGN
TIIICKNESS OR DEPTH
/3'
;:)'L."
..LP j 'h I'
--1./.;%11
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G. EXISTING SIr.NS
ARE THERE ANY EXISTHlG ~IGI1S? _YES y110
r1UHBE~ SIZE IN SO.FTG.
ALL EXISTING SIGNS
FOR BUSINESS, I:TC.
DOES SIGN PROJECT BEYOND
PROPERTY LINE?___YES ~
IF YES, DIMENSION BEYOND
PROPI:RTY LINE
NOTE: IF PROJECTIOlI IS llORE THAN 12"
OVER PUBLIC PROPERTY TEE SIGN ERECTOR
truST FILE WITH THE BUILDING DIVISION
COPIES OF HIS/HER LIABILITY AND PROP-
ERTY DA}1AGE INSURANCE POLICIES.
H. HI~L SIGN HAVE ELECTRIC~tJaJNG? tI....-: c;
IF YES, WHICE APPLY?~ LECTRICAL/~
ILLU!'lINATED (INDIRECTLY LIGETED) , ~.
ELECTRICAL COllTP.ACTOn 87' /Jl/./ /t/e-f
ADDRES2..
LISC. NUMBER PI:ON1:
'I
J'SITE INFOPl1ATIOll (LAND U~F.) u EXISTING USE
OF BUILDING OR LAND ((]R LAST USE IF VACANT)
~...&'./. />~-4/
I. DESCRIBE TYPE OR I'ATERIALS SIGN IS ,
CONSTR,UCTED )'F P' ';d J
~4/'/...~A'_ ~~-<,A-&,
.......u'J'~ ..:~,/-: /____~.
K. VALUE OF SIGN: :t/5.:7 -7 1"~
LINDOOR BUSINESS ()UTDOO~ PERCHANDISING
PROPO~D ~~E OF BUILDING OR LAND,
~L;?__~ ~__~
L'I HAVE CAREFULLY E~IINED the completed application for permit and do hereby certify that all
information is true and correct, and I further certify that all work performed shall be done in
accordance with the Springfield Sign Ordinance. the Uniform Sign Code as adopted by the City of
SDrin~field and all other Ordinances of the Cir:y of Sprinl;field and the laws of the State of
~regon pertaining to t~e work dcscribetl n~L~~n. I further certify that MV S~r.~ Co~tractor ~i-
cense with the City of Springfield is in full force and effect as. reauircd by SprinRfield Codes
8-2-6(3) and 9-7-20(2). I will request all required sign inspections listed on the approved
permit.
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NAME (PLEASE PRINT) A A 7/ e VA R'P'L..'
'=- / /./ b/ A-I
SIGNATURE A ~~_ ~~....d-,)~
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DATEJ~ -/~ -,f7y
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PLEASE
1)
Seoarate Si~n Application: A separate application is required for each separate sign as defined
1n the Sign Code.
Electrical: Any permit issued under this application will include wiring in or on sign structure,
the supply wires for connection must be covered on an electrical permit. Electrical connection
must be made only by a State Licensed Electrical Contractor. Illuminated signs (both intern311y
and externally) must conform to Sections 9-7-4 (4) & (5) and 9-7-18 of the Springfield Sign Or-
dinance.
2)
3)'
Plans ReQuired: This application is to be submitted with t~o complete sets of plans showing di-
mensions and height of sign; advertising message on sign: location of sign on property with di-
mensions to property lines, structural details of support framing, bracing and footings; materials
of construction for sign and sign structure; electrical equipment and lighting: size and location
of existing signs on property for the same bust~nss, all as required to determin~ com~liance with
the Springfield Sign Ordinance (Article 7 of the Springfield Cicy Code). Also,. show the follow-
ing information on the plot plan (plan showing property lines and location of signs):
a) Show the location of all existing sign(s) as well as proposed sign(s).
b) Sh~w the length of the street frontage taken up by the business or building. For wall
signs, show the length of the building frontage.
c) Show the location of entrances open to the public and driveways.
When required, because of design, size, etc., engineered drawings and calculations must be pre-
pared by a licensed engineer or shall conform to design standards on file at the Building Divi-
sion Office.
Plans of insufficient clarity or detail will be returned to the applicant with no permdt being
issued.
Signs must meet corner vision clearance requirements as described in Figure 9 of the Springfield
Comprehensive Zoning Code.
NOTE: No sign may be erected which is less than 12 feet horizontally or vertically from overhead
electrical conductors in excess of 750 volts, or less than 5 feet in any direction from overhead
electrical lines which are energized at less than 750 volts.
If a sign is not installed within 60 days after the date of issue of this permit, the permit' shall
be void. ,
Inspections:
4)
5)
6)
7)
8)
9)
a)
Site Insoection - to be made before the sign is placed. Usually, the- Footing Inspection
(it applicable) may be made at the same time as the Site Inspection. Ibe rooting Inspec-
tion is to be made after hole(s) is excavateci, out prior to the placement of concrete.
Final Insoection - to be mad~ upon completion of all work.
Electrical - all electrical signs must be inspected for electrical hook up after the sign
is erected and before the sign is turned on.
b)
c)
CALL FOR THE REQUIRED INSPECTIONS ON THE 24 HOUR INSPECTION LINE AT 726-3769
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FOR OFFIC~ U5E ONLY
SIGN DISTRICT f~ ZONE DISTRICT I'~ /
TOTAL SQUARE FOOTAGE OF SIGN 1: S("
REOUIRED INSPECTIONS: ~
SITE/LOCATION ~ FOOTING
,.ALEC;RICAL -FINAL
JOB IJ
91//3'-1
SIGN PERMIT FEE:
r2Jd I 5?:J
ORQ1ETHOD OF ATTACHMENry
ELECTRICAL PERMIT FEE:
/n<J3
; ~ STATE SURCIlARGE:
,15
'rJ
TOTAL /JrJ,~ c:
DATE , I ~RECEIPT /St7-.C]"}
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CLERK ~~
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OTHER
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SPECIAL COND~TIONS TO BE SATISFIED BEFORE ERECTION OF SIGN:
ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED:
APPROVED BY:
Hu,~~
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1JATE
SPRINGFIELD SIGN ORDINANCE
SECTION:
Cm1BINmONU~p~mmM~~ERMlT ---. ;~~~~~~;lON LINE
I EIIERGY SOURCES: Sq. Ftg. I'lain
eo 'SPftN-!Z<f'(G:U:l Heat (-i,~ ~q. Ftg. Access.
~egal Description /7.o~ -:4~-::>~_ /::;~~':./:;;;b I Hater Heater /hez..< Sqile~tgAd~th~~ter P.ep.
4 Ran!1e -Fence Demo Change/Use
ilZNA>JT' f'"lA.. =,.".,; 2-5'20 'TIIS<;,A= ~~L U>Y1~t7o, (AI, ValUE of Hork: Other- -
Owner I-HLLM&.J 7114e:12:(~ 14'?,s'U j BU~~ ~Info: Descr be Hork( i.e.. Build Single
Address '1.00 IJ. -r~\A.A~ \,>, =- Phone Zo'S-<l-I\ Familv nesidence I~ith Attached GaraQe'
1'002'U>J0P dL "11 'Z.ll I NEW
I INSPECTION LINE
726-3769
Job Address
Construction lender
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( "i 4- 4- /M2.J.1'3tA
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{ohane
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no. I
Mf;\N
Phone
0;.::, \..'(
Address ~
DESIG" ItAM lnamel
Primary DL."PtL.sm...:>/V"voJZ..
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Structural
Electrical
/1echan; ca 1
CONTRACTORS
laooress' Illes. nu./
AIu.I.t1,"7\;"l~~ 'PibJ.SH.f'A.
\eAlIl f~:' I
I!rsSDc-,
(name)
{address1
(lies.
'fT""1
tw..I~
no.) (pxoires\
(ohane no. )
General ~ ~\~ 1 ~~';<'.lV-r,~
Plumbino ~
'?,'l1. 'I. >;
(.0-\1.'10
4f,S'SISo
440~","'"
P~UllBING
~14-<> ~N1AL- "f;.JJI..~ 0SIL'l'(<\D1
1".:::> ,~14.LO GJ1..~ ere.. err? 4-4v
ELECTRICAL ~~-r~
~.7.'2.;:u,
74(.,-[(.2.1
Electrical
C- i S fi2..LeZ.-ne-c<-
#M..J~ ~ 1'/l.<.u!_
~1echanical
MECHANICAL
FFF r.lIARGF NO ~
Residence of
_F" rHAJ!GL..l!!l.""
n~
''"
NO.
&> Each single fixture
Relocated building
(new fix. additional)
S.F. Residence
II bath\
Duplex (I bath) each
Additional bath
~Ia ter serv; ce
,
Sewer
Storm Sewer
7.'S"o Y5<><:
furnace/burner to
SQ. FT. BTU's
New circuits alts.
or extensions
Floor furnace
and vent
SERVICES
Recessed ,wall
SOilCP hpatpr anrl vp~t
, \
Temporary Construction
Change in existing
res.i ~~f1ce
Imultifamily, con.n. or
Industrial
Appliance vent
C;PDarate
Stationary evap.
cooler
~ Vent fan with 'Z-
/ sinole duct -A- -... ~.,.~
Vent system apart from
heat;nQ or A.C.
Mechanical exhaust
hood and duct
,
, .
Of
amps.
CO~~./IND. FEEDERS
Install/alter/relocate
dic;trib. fppdprc;.
Wood stove/heater
Of
cE. :Y~7) >>bC"~ ~ h.c>e'
amps.
r!! r:..t=2.7&c;.p.c. ~ ~ ~~ F
:Z;~..cc.. c?B~~~~
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ISSIJANCF OF PFfHUT
TOTAL CHARGES
WIIEP.E STATE L\I~ REQUIRES
shall not be valH until the
'(,'5-:' esd:> TOTAL CHARGES
that tile Electrical work be done by an
label has been signed by an Electrical
TOTAL CHARGES ,(~ -a
Electrical Contractor. the electrical portion of this permit
Supcrvisor and rcturned to the Guilding Division
I !lAVE CAREFUllY EXAtHNEO the completed app 1 i ca t i on for permit. and do hereby cert ify tha tall i nforma t i on hereon is true
and correct, and I further certify that any and all work oerformed shall be done in accordance with the Ordinances of the City
of Springfield and the laws of the State of OreC]on pertaining to the work described herein, and that un OCCUPAIKY will be made
of any structure without the permission of the Building Division. I further tHy that my reqistration with the Builder's
Board is in full force and effect as required by ORS 701.055. that if exem e basis for exemption is noted hereon, and that
only subcontractors and employees who are in compliance with OP.S 7nl.O " 1 be use n this project.
OATE._
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IWIE(please print) s-rw ~
Zone L?
Fi re Zone
Flood Plain
BUILDING PERfIIT
Charges anG
Surcharges
PLUt1BING PERMIT
Charges and
Surc~arges
ELECTR I CAL PERI:IT
Charges and
Surcharges
11ECIIANICA~ PERMIT
'Charges and
Surcharges
SIGIlATUR
FOr. OFFICE USE OIILY J
Type/Const.__<~~its Sf!. Ftg. f1ain x Value
Bedrooms Occy load Sq. Ft9. Access x Value
Stories I Occ.y GrQupR-?_Sq. Ftg. Other/7"~?"/~~lue_~,~.
~'4-'Or.O q-l~ TOTAL VALUATION
~.,..., t>C> Plan Ck. Conm/lndf" -///:)) Systems Development ~/7 _t::>
___~~...____~/Rldo~prFpp(~ f"(J.O/, Charqe(!.5~) ::>TV.
/ .?T:> Plan Ck. Res ~--
I . 30%/Bl dQ Per Fee
____~.s:c>;::> Fence
-::?_ "'2::r Demo
Sidewalk
A/C Paving
~~__I_0:_~_ Curb Cut
~/:)
Total Comb. Permit
--;;:-9"/- -e>
TOTAL
B ;5'c;. .-C>
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COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
I. Appl icant to furnish
A. Job Address
B. legal Description
1. example- Tax lot 100. lane County Map Reference
II 03 43
2. example- Lot I. Block 3, 2nd Addition to
Sprlngtield Estates
C. Name. etc. of owner and construction lender
D. Energy Sources
1. example- heat/electrical ceil inq/or forced air Qas
2. examole- waterheater/electrical/or solar
E. Square footage or valuation. etc. -
I. example- 1250 sq. foot house, 500 sq. foot garage
2. example. if new project. check new - if addition,
check add, etc.
F. Building permit information:
1. exam~le. construct single family house with an
a ttached garage
2. example - remodel existing garage into family room
3. examyle - convert single family residence into
restaurant (change of use)
G. Value of work as defined in Section 303 (a) of the
Structural Specialty Code
H. DESIGN TEAfI AND CONTRACTORS
To avoid design or construction delays. Building
Division Staff must be able to contact appropriate
persons regarding design information or joh site
corrections. etc.
II. Abbreviated Plumbing. Mechanical. & Electrical Schedules
A. Except where blank spaces occur in the description
portion of the Mechanical and Electrical Schedules,
the applicant need fill-in only the No. Boxes adjacent
to the appropriate item(s) to be installed
B. Full Plumbing. Mechanical, and Electrical Schedules
are available at the Building Division
1. To conserve space on the permit form the schedules
have been abbreviated
2. If the item(s) to be installed are not covered on
the abbreviated schedules you should consult the
full schedules
C. BUILDING DIVISION STAFF WI~~ FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES
D. As noted on the CAP, the label must be delivered to the
electrical contractor for signature by his electrical
supervi sor. The genera 1 contractor i s ~ authori zed
to sign the electrical label.
III. Applicant to sign and date
Whenever possible. the initial application will he used as
a worksheet only. Where possible. Building Division Staff
will prepare a type written copy and return it to the
applicant at the time the actual permit is issued for his
signature.
IV. Fees and Charges
Plan check fees are due and payable at the time of the
application, and no plans will be processed until these
fees are paid. All other fees and charges are due and
payable when the permit is issued.
'If /5111
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V. FOR OFFICE USE ONLY
Pennit Clerk
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PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
Permit applicant exempt\from registration with the Builder:s. Board because:
Additional Project Infonnation:
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PLANS REVIEWED BY:
LrY7?I"V&;:;;Z~~Signaturd~-......-? date /C?-y~~g
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name