HomeMy WebLinkAboutPermit Signage 1981-11-30 (2)
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II~FO~~TIO~: 726-3753
CITY OF SPRINGFIELD
SPRINGFIELD. OREGON 97477
1~5PECTI0~ REQUESTS: 726-3~69
CITY OF SPRI~GFIELD
SIG~ CO~STRUCTIO~ ~'O ELECTRIC'L I~ST'LLATIO~
COMBINATIO~ APPLIC'TIO~/PER.'IIT
,,' LOCATIO~ OF SIG~('DDRESS) j-7 JfJ AA/.J;p C../u,..../
LEGAL DESCRIPTIO~ 17 0 L .3 3 .., 1
"/ OIj~ER OF' PROPERTY /14" h; / () j { A.
ADDRESS
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II" OI,':jER OF SIG~(IF OlllER TIL\.' PROPERTY OI'"NER)...LlltL/;~LLL/u
ADDRESS
TAX LOT #
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(CHECK ,PPLIC'BLE ITEMS):
/9cJf
PHO~E
ZIP
PHONE
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j NAJ.IE OF BUSI~ESS. FIR.\I, ETC.
~~OF "ORK:
TYPE OF BUSINESS
_.__XTYPE OF SIGN:
-X ERECT
RELOCATE
ALTER
OTI1ER
WALL
RDOF
MARQUEE
OTIIER
FREESTANDING
PROJECTING
;I. READER BOARD
BILLBOARD
/' !,loN CllARAcrER
IDENTITY
PROJECTING
INCIDENTAL
~ DOUBLE FACE
~ NON-IDENTITY
SECONDARY
SINGLE FACE
MULTI-F,CF.
VENDORS. CONT~\crOR": I"
)( SIGN ERF.;;'~~ /i?/);l;;;~L-.j(~,' I-.~/~""
~ ADDRESS..L S:J I ,,,,, ,., ", ..t I.
/' CITY LICENSE Nlr.>IBER
(" SIGN ~IANUFACTURE~ (IF OlliER TlIP_' ERECTOR) /\1,.0
,)( ADDRESS
('".0
~NE h 8 ~ -..2. ")I:f.' fY
EXP. DATE
ELECTRICAL CONTRACTOR
ADDRESS
~~ /I't
,
PHONE
PHONE
LICENSE NlJ!.lBER
DINENSIONS. INSTALLATION ll.l'l'D CO:-;'STRUCTION INFORMATIQ:-.l':
/l'TOTAL HEIGHT ABOVE GRADE / S-;::.,t VERTICAL DHIENSION OF SIGN') A ['j HORIZO~TAL WIDTH OF SIGN 3 Y, it/.
?t DHIENSION FROM GRADE TO BOTTO>! OF SIGN 7/.J THICKNESS OR DEPTH OF SIGN ;'
)< DOES SIG~ PROJECT BEYO~D PROPERTY LI~E ~ YES .:L NO IF YES, DIMENSION BEYOND PROPERTY LINE
~OTE: IF PROJECTIO~ IS I.IORE lllA~ 12" OVER PUBLIC PROPERTY THE SIGN ERECTOR MUST FILE WITH TIlE BUILDING DIVISION COPIES OF
HIS PUBLIC LIABILITY ~'D PROPERTY D~IAGE I~SURANCE POLICIES.
WILL SIGN HAVE ELECTRICAL IHRI~G? _YES \/No IF YES, WHICH APPLY? ELECTRICAL SIGN ILLUMINATED (INDIRECTLY LIGHTED)
DESCRIBE TYPE OF ~!\TF.~IALS SIG.. IS CO'!ST?!JCTF.D 0, '.P.o::: ~.5 71 r.:
PROVIDE UL NUMBER IF APPLICABLE VALUE OF SIGN X
SITE INFO~IATION (WC'D USE)--EXISTING USE OF BUILDING OR Lfu'D (OR LAST USE IF VACANT):
~~~F>tZr /A/.
._.". ,O~
4lk0'.
_=/rf/ ^- c:; fiS
PROPOSED USE OF BUILDING OR LAND:
; FIRM, ETC.:
EXISTING SIGNS (SiGN CODE): ARE THERE EXISTING SI~~S?
/ r~'5T7'MJD.
CHECK ONE IF APPLICABLE: --INDOOR BUSINESS -'6UTDOOR,~ffiRCH~'DISING
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VYES NO IF YES, DESCRIBE ALL ,EXISTINGSIGNS, FOR BUSINESS,
..:T. I). -/ hVCO:>Er\J71f!l/~<:'
ALL EXISTING SIGNS ON PREMISES(SA/>IE TAX LOT):
I HAVE CAREFULLY EXAMINED the completed application for permit and do hereby certify that all information hereon 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 Springfield and all other Ordinances of the City of Springfield and the laws of
the State of Oregon pertaining to the work described herein. I further certify that my Sign Contractors License with the
City of Springfield is in full force and effect as required by SPTU'n d]i Codes 8-2-6(~1 and 9-,7-20(2). I will request
: all required sign infections listed on the app:o:ed permit. /) t1l_ () \ l/f ..
NA/>lE(PLEASE PRIN'f) \ rlk '" ,fl, C A L.. I' U SIGNATUR _. 1 H b\!.~).v~P'DATE , J-) () -gl
- ' FOR OFFICE USE ONLY if
SIGN DISTRICT .:t'tVT...:n~ ft<:>7t"ZONE DISTRICT C. -0./ TOTAL SQUARE FOOTAGE OF SIGN .-27 i77
INSPECTIONS REQUIRED': 'SIr€/LOCATION _FOOTING OR ~1ETHOD OF ATTACHMENT _ELECTRICAL XFINAL _OTHER
FEES:
SIGN PE~llT: ~
CHARGES: 'i/?fJ-. () {J
ELECTRICAL PE~lIT:
CHARGES:
STATE SURCHARGE:
....0-
-()
TOT'L FEE FOR PE~llT: $5':. 1!J(h
.
PLEASE l<EAD
1) Separate Si~n Apylication: A separate application is required for each
separate sign 3S defined in the Sign Code.
2) Electrical: Any permit issued under this. application will include wir-
ing 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. Iiluminatcd signs (both
internally and externally) must conform to Sections 9-7-4 (4)&(5) and
9.7-18 of the Springfield Sign Ordinance.
3) Plans Required: This application is to be submitted with two complete
sets of plans drawn to scale. showing dimensions and height of sign; ad-
vertising message on sign; location of sign on property with dimensions
to property lines, structual details of support framing, bracing and
. footings; materials of construction for sign and sign structure; elec-
trical equipment and lighting; size and 'location of existing signs on
property for the same business, all as required to determi~e compliance
with the Springfield Sign Ordinance (Article 7 of the Springfield City
Code). Also, show the following information on the plot plan (plan
showing property lines and location of signs):
a) Show t~e location of all existing sign(s) as well as proposed'sign(s).
b) Show the length of the street frontage taken up by the business or
building.
c) Show the location of entrances open to the public and driveways;
4)
When required, because of .design, size, etc., engineered drawings and
calculations must be prepared by a licensed engineer or shall conform
to design standards on file at the Building Division Office.
S)
Plans of insufficient clarity or 'detail will be returned to the ap.
plicant with rio permit being issued.
6)
Signs must meet corner vision clearance requirements as described in
Fig. 9 of the Springfield Comprehensive Zoning Code.
7)
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.
8)
If a si;o is not installed within 60 days after the date of issue. of
this permit, the permit shall be void.
9)
Inspections:
a) Site Inspection. to be made before the sign is placed. Usually,
the Footin~ Insoection (if applicable) may be made at the same
time as the Site Inspection. The Footing Inspection is to. be
made after hole(s) is excavated, but prior to the placement of
concrete.
b) Final I~spection . to be made upon completion of. all work.
~
c) Electrical - All electrical signs QUst be inspected for electri-
cal hook up after the sign is erected and before the sign is
turned on.
CALL FOR TIlE REQUIRED INSPECTIONS ON TIlE 24 HOUR INSPECTION LINE AT
. 726-3769.
SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN:
ADDITIONAL INFORftATION NEEDED BEFORE PERMIT MAY BE ISSUED:
PLANS REVIEliED BY:
....... ~
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I PER~IIT V,\LlDATIO:-':
CLERK
DATE
,1ATE
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!ISFOR.\L\TION: 726-3753
CITY OF SPRINGFIELD
SPRINGFIELD. OREGON 97477
IXSPECTIO~ REQUESTS: 7~6-3~69
CITY OF 5PRISGFIELD
SIGS COSSTRUCTIOS ~~D ELECTRICAL ISSTALLATIOS'
CmIBINATIO:1 '\PpLIC'\TIO~/PEIt\lIT
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PHOSE
ZIP
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[CHECK APPLICABLE ITE,IS):
~ NON-IDE~ITY
SECDSDARY
SINGLE FACE
MULTI-FACE
/9() /
.. LOCATIOS OF SIG:qADDRESS) j'-7.?(1 ,1./1;"
LEGAL DESCRIPTIOS 17 0 ;'... :::,;z, -' /
7- O"S'ER OF PROPERTY .IN" /,; / (}:i ( ,1.
ADDRESS _ _
)<' OI,)lER OF SIGS(IF OlllER THA.~ PROPERT(,Oh'SER)
ADDRESS
NA.'IE OF BUSISESS, FIR.'I. ETG.
I
XrYFE OF "ORK:
,./'" ,..'.,/
TAX LOT .
"
PHONE
TYPE OF BU51~ESS
"'","
ROOF
MARQUEE
OTHER
'j.
FREESTA.~DING
PROJECTING
READER BOARD
BILLBOARD
,I'. SIG~ CHARACTER
IDE~ITY
PROJECTING
INCIDENTAL
DOUBLE FACE
,)(
.;i. ERECT
RELOC,\TE
ALTER
O"i1IER
)(TYPE OF SIGN:
\;ALL
VESDORS. COSTR.\CTORS:
)( SIGN E~F,CTORf;~~",,0?i;_~(~. /
A ADDRESSL 5:..1 I ;1':L': )7 ,UN f i";
/' CITY LICESSE SU:.'BER (,'
0( SIGN 'L\NUFACTURE~ (IF OlllER TIIA.~ ERECTOR) ~ ,',,:/.1
)<. ADDRESS
ELECTRICAL CONTRACTOR _.' /,-,
ADDRESS
/"'\'
.{""J'fU ~"
c'"
PHONE "~ a ~ -"Z ",/.L,/ 'i7
EXP. DATE
PHONE
PHONE
tICE~SE NUHBER
onlEX5IOXS. I:-iST,;LL.Uro:-.: "\,;'-;D CO:\STRUCTION INFORNATIO:-.l:
)'I'TOTAL HEIGHT ABOVE GRADE / s-..rj VERTiCAL DUIENSION OF SIGN 7/' f+ HORIZONTAL WIDTH OF SIGN 3/' J',L
?< DHlENSION FRO\I GRADE TO BOTIO\! OF SIGN 7 ,1/ THICKNESS OR DEPnI OF SIGN ' ',;
)< DOES SIGS PROJECT BEYOSD PROPERTY LINE ...:.' YES .:{ NO IF YES. DI\!ENSION BEYOND PROPERTY LINE
SOTE: IF PROJECTIDS IS '.IORE lllA.S 12" OVER PUBLIC PROPERTY 11IE SIGN ERECTOR MUST FILE lHTII TilE BUILDI\IG DIVISION COPIES OF
HIS PUBLIC LIABILITY ~~D PROPERTY DA>L~GE INSURANCE POLICIES.
WILL SIGN HAVE ELECTRICAL lHRING? _YES vNO IF YES, WHICH APPLY? _ELECTRICAL SIGN ILLU\lINATED (INDIRECTLY LIGHTED)
DESCRII!E TYPE OF ~~"TF.~IAl.S SIG~ IS CO~!STP.IJCTF.D OF "A::'.~) 571 r.
PROVIDE UL NU~IBER IF APPLICABl.E VALUE OF SIGN .>~: 4l U
SITE INFOR.\L\TION (L~~D USE)--EXISTING USE OF BUILDING OR Lfu~D (OR LAST USE IF VACA.~T):
"~,~.A-" 4".~'-- /fi:'.JI ~:ry:J_/^.
~ <F:l
'-".......
C.
14 <-
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PROPOSED USE OF BUILDING OR LAND:
CHECK ONE IF APPLICABLE: _INDOOR BUSINE~S ~OlITIlOOR ~IERCH~~DISING
EXISTING SIGNS (SlGN CODE): ARE TIlERE EXISTING SIGNS? vYES NO IF YES, DESCRIBE ~ EXISTING SIGNSFOR BUSINESS,
FIR.~, ETC.: / re..EE~:r.z:rA-',O. .::r, I) , -, / ..?/c 1 /.::>~)/.!\, ~_'"
ALL EXISTING SIGNS ON PREMISES (SANE TAX LOT):
I HAVE CAREFULl.Y EX~~INED the completed application for permit and do hereby certify that all information hereon is true and
correct, and I further certify that all work performed shall be done in accordanc~ with the Springfield Sign Ordinance. the
Uniform Sign Code as adopted by the City of Springfield and all other Ordinances of the City of Springfield and the laws of
the State of Oregon pertaining to the work described herein. I further certify that my Sign Contractors License with the
City of Springfield is in full force and effect as required by sprU'n . d]it Codes 8.2-6C.31 and 9-7-20(2}. I will request
all required sign inrections .listed on the app:o.ved permit. /) AalJ \ >f.~ ""
NMIE(PLEASE PRINT) _rJll", A. C A L I II SIGNATUR ,,1 H ( 'Or W ~ 'DATE I J-J o-g
FOR OFFICE USE O~I.Y Y
SIGN DISTRICT .T.<JT., ? f:r-o'i'r'-ZONE DISTRICT <: -~ TOTAL SQUARE FOOTAGE OF SIGN ..271.]7
INSPECTIONS REQUIRE;): '~SITE/LOCATION _FOOTING OR "ETIlOD OF ATIACH\lEN,. _ELECTRICAL X,.FINAL OTHER
FEES:
SIGX PERJIlT: .
CHARGES: .<J'e.,':( tJ C
ELECTRICAL PER.'lIT:
CHARGES:
STATE SURCHARGE:
'..-tr"
-()
TOTAL FEE FOR PER.'lIT: ,$4". rJ:.e.,
.
PLEASE io...t:AO
I)
Seoar~te Si~n ~DDli~3tion: A sep~rate application is r.
separate :.>ign as defined in" the Sign Code.
2)
Electrical: Any permit issued under this application ~
ing in or on sign stru~ture. the supply wires for conne
covered on an electrical permit. Electrical connection
on1r by a State Licensed Electrical Contr:1ctor. Iilumi
internnlly and externally) must conform to Sections 9-i
9~7~lS of the Springfield Sign Ordinance.
3)
Plans Reauired: This application is to be submitted wi
sets ot plans dra~n to scale. showing dimensions and hE
vertising message on sign; location of sign on propert)
to property lines, structual details of support framin~
. footings; lI13terials of constructiot! for sign and sign!
trical equipment and lighting; size and location of ex:
property for the same business, all as required to detl
with the Springfield Sign Ordinance (Article 1 of the ~
Code). Also, show the following information on the plf
showing property lines and location of signs):
a) Show t~e location of all existing sign(s) as well ;
b) Show th~ length of the street frontage taken up by
building.
c) Show the location of entrances open to the public
4) When required. because of design, size, etc., engineer
calculations must be prepared by a licensed engineer 0
to design standards on file at the Building Division 0
S)
Plans of insufficient clarity or "detail will be return
plicant with no permit being issued.
6) Signs must meet corner vision clearance requirements a
Fig. 9 of the Springfield Comprehensive Zoning Code.
7)
NOTE: ~o sign may be erected which is less than.12 fe
or-vertically from overhead electrical conductors in e
volts, or less than 5 feet in any direction from overh
lines which are energi:ed at less than 750 volts.
3)
If a si.n is not
this permit, the
installed within 60 days after the da
permit shall be vo~d.
9)
Inspections:
a) Site Inspection - to be made before the sign is pl
the Footin~ InsDection (if applicable) may be mad, ,(,
time as the Site Inspection. The Footing Inspect; ti~
made after hole(s) is excavated, but prior to the~:
concrete. .
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I PER~.IIT \''\LlD,\TlU~; .
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CITY OF SPRINGFIELD
City Hall
Springfield. Oregan
Department of Public Works
OFFICIAL RECEIPT
(on
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Date \\0), ~D9?:.fO, B. 57687,
Rec'd Fro'xOOON.t\\ ~Qm.o
Address ~~\ ~Q~()
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Received For:
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Received tJ. uO
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AUT"fOIltIU:O $IGNATUlltl[
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b) Final I~spection - to be made upon completion of all work.
.
DATE
c) Electrical - All electrical signs Qust be inspected for electri-
cal hook up after the sign is erected and before the sign is
turned on.
CALL FOR TIlE REQUIRED ISSPECTIDNS OS 1liE 24 HOUR INSPECTIOS LINE AT
726-3769. .
SPECIAL COSDITIONS TO BE SATISFIED. BEFORE ERECTION OF SIGN:
ADDITIOSAL INFO~\~TION NEEDED BEFORE PERMIT ~~Y BE ISSUED:
P~~S REVIEWED BY:
QATE
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