HomeMy WebLinkAboutPermit Signage 1981-7-21
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CITY OF SPRINGFIELD
SPRINGFIELD. OREGON 97477
INFOR~TION: 726-3753
CITY OF SPRI~GFIELD
SIGN CONSTRUCTION ~~D ELECTRICAL INSTALLATION
CO~IBINATIO~ APPLICATIOX/PER.....lIT
IXSPECTIOX REQUESTS: 7~6.3709
LOCATIo.~ OF SIG.~(ADDRESS) -t'4" I vI H,lAi?'1 II..J ~.
. LEGAL DESCRIPTION ('JJ 0'-9 3~.:R), I
Ol/SER OF PROPERTY~, . N 1"--l.L1.L
ADDRESS I ~
Oh"SER OF SIGN(IF O1liER TILI.~ PROPERTY Ol'/NER)
ADDRESS
lIJ'/"'~'i ./'.... H 'r" '-:""1.$.")"
NA.'IE OF BUSINESS, FIR'I, ETC.'" ,..."...J 0'_ ,1\.; P-J/."'..~ iL~
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nE~IS) :
TAX LOT
PHONE
ZIP
TYPE OF BUSINESS
PHONE
te:.'~~>'Y1 t .-'
TYPE OF ";'ORK:
L,./ERECT
RELOCATE
ALTER
OI1IER
TYPE OF SIGN:,
WALL ~REEST~~DI~G
ROOF PROJECTISG
MARQUEE READER BOARD
O1liER BILLBOARD
SIG~ CHARACTER (CHECK .l.PPLIC.\BLE
....Ito"IOENTITY
PROJECTING
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INCIDENTAL
/
-,yDOUBLE FACE
NON-IDE~TIl1'
SECO~D.'RY
SINGLE FACE
!IULTI-FACE
VENDORS. CD~TR\CTORS:
SIGN ERECTOR '~.f{)(,n? VJ~~ U...l\K i!-lf-.
ADDRESS I)/n~~ l~j. ! V:i,Y'
CITY LICE~SE Nlr..IBER
SIGN HA.~UFACTURER (IF OTIlER TIIA.~ ERECTOR]
ADDRESS
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PHONE -nr;t;/" '" I )Je1<:/"';
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EXP. DATE
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ELECTRICAL CONTMCTOR
ADDRESS
PHONE
PHONE
LICENSE NID1BER
DnIEXSlO~;S. I~STALL\TIO:" :\.'W COXSTRUCTION INFORHUIO:>!: ~
TOTAL HEIGHT ABOVE GRADE U J '//? 11 . VERTICAL DHIENSION OF SIGN I'!)' ..,-'Ii"' HORIZONTAL WIDTH OF SIGN ~1 :"'0 I.
DnlENSION FRml GRADE TO BOTTD~1 OF SIGN ! t"'i f /J II,.. THIC^,ESS OR DEPTH OF SIGN -9te. It 1"2- It
DOES SIGN PROJECT BEYOND PROPERTY LI~E ~~ YES VNO IF YES, DI~!ENSION BEYOND PROPERTY LINE
NOTE: IF PROJECTION IS :.:oRE TIlA.' 12" OVER PUBLIC PROPERTY TIlE SIGN ERECTOR ~IUST FILE IIlTII THE BUILDING DIVISION COPIES OF . '.'
HIS PUBLIC LIABILITY A.~D PROPERTY DA.'IAGE'INSURANCE POLICIES.
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WILL SIG.~ HAVE ELECTRICAL IIlRING? YES NO IF YES WHICH APPLY? ELECTRICAL SIGN ILLUmNATED
DESC?iBE TYPE OF ~";, F.~IAL5 S, W! IS CO'!S"}';;(CTED O~ fl.....-II ~1;'r1J~ ,'-:'W..fJI/lAit;9 1M? f1A-
r.Hr.dl1tr3-) AW!~/~r.l .
VALUE OF SIGN (J' '/t"I70. Ot:)
SITE INFOR'IATION (LA.~D USE)--EXISTING USE OF BUILDING OR ~~D (OR LAST USE.IF VAC~~T):
(INDIRECTLY LIGHTED)
Ol,,~~
PROVIDE UL NUI-IBER IF APPLICABLE
PROPOSED USE OF BUILDI~G OR lAND: /-::'6. j .':C, , ,<
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EXISTING SIGNS (SlGN CODE):
FIR~. ETC.:
CHECK ONE IF APPLICABLE: ~INDOOR BUSINESS _OUTDOOR ~lERCHA.~DISING
ARE THERE EXISTING SIGNS? ~~NO. IF YES, DESCRIBE ALL.EXISTING SI~NS FOR BUSINESS.
ALL EXISTING SIGNS ON PRE!nSES (SA.'IE TAX" LOT):
.SIGN DISTRICT! /.' :",,/;' " ZONE
INSPECTIONS REQUIRED: t')(SITE/LDCATIO~
I HAVE CAREFULLY E~"'IINED 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 Springfield City Codes 8-2-6(3} and 9-7-20(21. I will request
all required sign insp. ections listed on the approved permit. U:'. '1 .
'11\,.".; _II I ,"", ,,-"I ...Y >"1/. "'.1., ... ....1) ...'1
NAME (PLEASE PRINT) i\ J.nw/l,1.~~~-1;,~__ SIGNATURE fr' ..~/I''''A.~ ..;::' ..DATE.....' ,
FOR OFFICE USE ONl.Y
DISTRICT ~~:.- ~.! TOTAL SQUARE FOOTAGE OF SIGN
_FOOTING OR !!ETHOD OF ATTACH/o!ENT _ELECTRICAL
> ~.~ Ll!
LFiNAL
" ,:i..f :-/ /~_.
OTHER
FEES:
SIGN PERMIT:
CHARGES:
--i C/ ,.-\ /}
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ELECTRICAL PER.'IlT:
CIIARGES:
STATE SURCHARGE:
TOTAL FEE FOR PER~IT:
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PLEASE Io.cAO
1) Se03T3tc Sien AoolicJtion: A separate application is
separate il~n as Jeiincd in the Sign Code.
2)
Electrical: Any permit issued under this application
ing in or on sign strUl:ture. the supply wires for con:
covered on an electrical permit. Electrical connecti,
only by 3 State Licensed Electrical Contractor. Illw
internally and externally) must conform to Sections 9
9-7.13 of the Springfield Sign Ordinance.
Plans Reouired: This. application is to be submitted
sets ot plans dra.n to scale. showing dimensions and
vertising ocssage on sign; 10c3tion of sign on proper
to property lines. structual details of support frami
footings; ~3teri31s of construction for sign and sign
trical equip~ent and lighting; siz~ and location of e
property for the s~e business, all as required to de
with the Springfield Sign Ordinance (Article 7 of the
Code). Also, show the following information on the p
showing property lines and location of signs):
3)
a) Show the loc:1tion of all existing sign(s) as well ....P
b) Show the length of the street frontage taken up t
building.
c} Show the loc:1tion of entrances open to the public (d
4) When required, bec~use of design, size, etc., engineE
c3l,ul~tions cuSt be prepared by a licensed engineer ~
to design standards on file at the Building Division \i~
5) Plans of insufficient cl:1rity or detail will be retul
plic~nt with no permit being issued.
-- 6) -'Signs must meet corner vision clearance requirements
Fig. 9 of the Springfield Comprehensive Zoning Code.
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CITY OF SPRINGFIELD
City Hall
Springfield, O,egan
Department af Public Works
OFFICIAL RECEIPT
\ No. B
("1.)\, C, h ~ 19)<\
Rec'd From \U~\ ~ J')\~-S
Address ~~ . \..0 \\~
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Dole
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56866,
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Received For:
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~OTE: ~o sign may be erected which is less than 12
~ertically from overhead electrical conductors in
volts, or less than 5 feet in any direction from ove:
lines which are energized at less than 750 volts.
8)
If 3 si;n is not installed within 60 days ~fter the
this permit. the pe~it shall be void.
9)
Insoect ions:
t r
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M\\0R.J
Amounl Received
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"'UTHOitl1.!O 5l0N",TUIU
'''UTO'''TU.''.U~~ ~",..T["S . 'u"'''' O. ..,..0.
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a) Site Insoection - to be m:ade before the sign is b--.--. ---.......
the Foo:ln~ [nsDection (if applicable) may be oade at the same
time as the Site Inspection. The Footing Inspection is to be
ma~e after hole(s) is excavated. but prior to the placement of
concrete.
b} Fin~1 r~soection ~ to be made upon completion of all work.
CLERK
DATE
c) Electric31. All electrical signs ~ust be inspected for electri-
cal hook up after the sign is erected and before the sign is
turned on.
CALL FOR THE REQUIRED ISSPECTIO~S ON THE Z4 HOU~ INSPECTION LINE AT
726-3769. i
SPECIAL CO'DITIO~S TO BE SATISFIED BEFORE ERECTION OF SIGN:
ADDITIONAL INFOR'IATION NEEDED BEFORE PERMIT r~Y BE ISSUED:
P~~S REVIEWED BY:
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