HomeMy WebLinkAboutPermit Signage 1981-3-19
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NotIFIED
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CITY OF SPRINGFIELD
SPRINGFIELD. OREGON 97477
I~FOR~TIO~: 726-3753
CITI OF 5PRI~GFIELD
51G~ CO~STRUCTIO~ AND ELECTRICAL I~STALL\TlO~
CO'IBlNATlO~ APPllCATIO~/PER'llT
I~PECTIO~ REQUESTS: 7~6-3769
LOCATI~~ OF SIG~(ADORESS)
, LEGAL DESCRIPTlO~
Ol<SER OF PROPERTY
ADDRESS
'Y7tJ~ ?1.1'"., _'_ ~/-
/(1, /7'/
': 7'-'-'A~r 0/,,-,_.
~/7/Y ~ YJf'-..
4f--
TAX LOT ~
PHO~E " ""
ZIP \.~
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PHO'E . 11 ,-
TIPE OF BUSI,iESS ~c;I;u_L,r!:Ln I'
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OI."'ER OF SIG~( IF O'lHER THA.~ PROPERTY OIl'NER)
ADDRESS
~'\"IE OF BUSI~ESS, FIR", ETC,
TYPE OF :IORK:
;;s: ERECT
RELOCATE
X ALTER
OTIIER
TYPE OF SIGN: S IG~ CtvlR.'CTER
11ALL X FREESTANDI~G IDENTITY
.:... ROOF PROJECTING PROJECTING
MARQUEE READER BOARD INCrOE:-"'TAL
O'lHER BILLBOARD DOUBLE FACE
(CHECK APPUC....BlE ITE:-IS):
NON-I DE~TlTY
SECONDARY
2{ SI~GLE FACE
IIUlTl-FACE
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IAIi aJ 17n V7il; ~rMI ~ ~/1f
SIGN ERECTOR
ADDRESS
CITY LICE~SE ~tr.-lBER
SIGN 'LINUFAcTuRE'n (tF OTIlER m-\.~ ERECTOR) A A 7;;-
, <? AI '
ADDRESS /U.~;/ ' j . __'..
ELECTRICAL CO~'TRAcroR >(
ADDRESS
VE~OORS. CO~;rR.\CT:)RS:
7//__ T.:... ,AA--"" A. _"":A
, , ;7
2t:' 'I' Jt,,//__~~
Y "I"
PHONE JY'Z- J?L 9'
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EXP, DATE
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PHO~E
PHONE
, LICENSE Ntr.-IBER
OJ :-IEXS [o::s. I :"STALL\ if C:; A'~O C8:"STRUCTION INFOR.'tU IO~:
TOTAL HEIGHT ABOVE GAADE /6' /-t- VERTICAL DI>IENSION OF SIGN J~" HORI:ONTAL WIDTIl OF SIG" ~ '-- dO<'
DlHE~SIO~ FRO>I GRAur. TO BOTIO>I OF SIG~ /? (-,;1, .( '1HCK~ESS OR DEPTIf OF SIGN ? f'
DOES SIGN PROJECT BEYO~D PROPERTY LINE YES >< NO IF YES, DI>lENSION BEYOND PROPERTI LINE
~OTE: IF PROJECTIO~ IS :,IORE TII'\" 12" OVER PUBLIC PROPERTY TIlE SIGN ERECTOR "lUST FILE IUTU THE BUILDI'IG DIVISIO~ COPIES OF"
HIS PUBLIC LIABILITY '\'~D PROPERTY D"',^GE I~SURA~CE POLICIES. / ,.).,~
WtLL SIG~ HAVE ELECTRICAL I<IRI~G? XYES -YO IF YES: WHICH APPLY? ;\ ElECTRl~L..SIGN K,ILLU>lINATED (INDIRECTLY LIGHTED)
DESC~IEE TYPE OF ~_\TE~L'LS SIG~ IS CO~!STD!JCTED O~ ". 7?z.,.zZ/ -.{." ~AL_Z;;",-
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PROVIDE UL NlJ"BER IF APPLICABLE
SITE INFOR'~TIO~ (L,\.~D USE)--EXISTING USE OF BUILDING OR ~~D
VALUE OF SIG~ =;-" "" _ ~; <Y
(OR LAST USE,IF VAC~~T):
PROPOSED USE OF BUILDING OR lAhD:
EXISTI'G SIGNS (SiGN CODE):
FIR~. ETC.: _.-'t~_~-^,~
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OlECK ONE IF APPLICAaLE: _I~DOOR BUSINESS _OlITDOOR IIEROl,\.'DISING
ARElTIfERE EXISTI~G SIG~S? LYES _NO IF YES, DESCRIaE ~,EIIST~NG,SI~NSJ~R BUS~~ESS.
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ALL EXISTING SIGNS ON PRE>IlSES (S'\"lE TAX LOT),
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I HAVE CAREFULLY E~IINED the completed application for permit ~nd do hereby certify that all information hereon is true and
correct. and r 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(~1 and 9-1-20(21. I will request
all required sign inspections listed on the approved permit.
NAME (PLEASE PRINT)
Bof3
,ToNe",;'
SIGNATURE ,1],..(
FOR OFFICE USE ONLY /'/,
DISTRICT (':~ 11' nt.. TOTAL SQUARE FOOTAGE OF SIG~
_FOOTING OR METHOD OF ATIAQl,'lEN-r LLElECTRICAL
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:DATEJ,i,7 /Y/
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SIGN DISTRICT /..-I -7~ 20NE
INSPECTIONS REQUIRED:.. _SITE/LOCATION
/(0,8,iT;
~FI~AL
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OTIfER
FEES:
SIG~ PERJUT:
OlARGES :
~~rJO
ELECTRICAL PER.'IIT:
CHARGES: ,It 10,00
STATE SURCHARGE: <f. 0
TOTAL FEE FOR PER~IT,
1/5. t/o
(0
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PLEASE !-I.cAD
1) Se03rate Si~n Apolication: A separate application is
separate sl~n as Jeiinca in the Sign Code.
2)
Electrical: Any per~it issued under" this application w.
iog 10 or on sign structure, the supply wires for connel
covered on an electrical permit. Electrical connection
only by 3. State Licensed Electric31 Contractor. Illwnit
internally and externally} must conform to Sections 9-7.
9-7-13 of the Springricld Sign Ordinance.
J)
Plan! Reauired: This' application is to be submitted wit
sets Ot plans drawn to scale, showing dimensions and hei
vcrtising nessage on sign; location of sign on property
to property lines. structual details of support fr~ing.
footings: natcriaIs of constructio~ for sign a~d sign st
tric~l equip~ent ~nJ lighting; si:e and location of exi~
property for the same business, all as required to deteI
with the Springii~IJ Sign Ordinance (Article 7 of the S~
Code). Also. show the following information on the plot
showing property lines and location of signs}:
~a) Show the location of ~ll existing sign(s) as well as
b) Show the length of the street frontage taken up by t
bui lding.
c) Show the loc~tion of entrances open to the public an
4) When required. bec~use of design. size, etc.. engineered
c~lcul~tions ~uSt be prepared by a licensed engineer or
to desiin st3nd~rds on file 3t the Building Division Off
5) Pl~ns of insufficient clarity or detail will be returned
plic~nt witn no per~it being issued.
6)
Signs must meet corner vision clearance requirements as .
Fii. 9 of the Springfield Comprehensive Zoning Code.
,7)
~OTE: ~o sign Day be erected which is less than 12 feet
~ertic~11y from overhead electrical conductors in exc
volts, or less th~n 5 feet in any direction from overhea,
lines which are energi:ed at less than 750 volts. .
8)
If .1. si;1"I is not insulled l-dthin 60 days after the date
this pe~it. the pe~it shall be void.
9)
Inscections:
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I f'ER"iT
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CITY OF
,
SPRINGFIELD
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City Hall
Springfield. Oregan
Department of Public Work.
OFFICIAL RECEIPT
.. No. B 5613 4 (
Date\ \:\\t\\,~3 19t\\
Reed Fr~m~ \:~ ~(')~
Add~. dM '~~~CJn
Received For:
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Amount Received
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AUT"inSIIlIZIED SIGNATUIIlI: (
.H':UO"'TU",".ULL ~",I"T':". . [UO':"[, 0" .,.0, ~..".. ..
a)
Site Inscection - to be made before the sign is placl
the Foo:.r.~ (~sDection (if applicable) may be made a1
ti~e as th~ Site Inspection. The Footing Inspection
m~J~ after hol~(s) is excavated, but prior to the pl~
concrete.
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all work.
b)
Fin~l I~soection - to be made upon completion of
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DATE
c) ElectTic~l - All electrical signs QUst be inspected for electri-
cal hoo~ up ~fter the sign is erected and before the sign is
turned on.
CALL FOR THE REQUIRED I~SPECTIO~S ON THE 24 HOU~ INSPECTIO~ LINE AT
726-3769. ;'
,
SPECIAL CO~DITID~S TO BE SATISFIED BEFORE ERECTIO~OF SIGN:
ADDITIO~AL INFO~\~TIDN NEEDED BEFORE PERMIT MAY BE ISSUED:
P~'S REVIEWED BY:
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DATE
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NStIF.1Ef} .......
MAR 2 3 1981
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CITY OF SPRINGFIELD
SPRINGFIELD. OREGON 97477
INFO~~TION: 726-3753
I~"SPECTros REQUESTS: 716.3,7'69
CITY OF SPRI~GFIELD
SIGN CONSTRUCTION AND ELECTRICAL INSTALLATION
, CO~IBlNATION APPLICATIO~/PE~\llT
LDCATIo.~ OF SICS(ADDRESSl '/7/J 57 ?;>2.._. _ Q',/-
LEGAL DESCRIPTION
OI'NER OF PROPERTY /f-A'n_", tjfl." J,_
ADDRESS t/ 7/7";'-- Yn'~, 4..1--
OIiXER OF SIGN(IF O'rnER TIU.~ PROPERTY OII'SER)
ADDRESS
N.I.\IE OF BUSI~ESS. FI~\I, ETC.
TAX LOT "
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(CHECK APPUC,\BLE ITE~ISl:
NDN-IDETIITY
SECO~D,\RY
2{ SINGLE FACE
MULTI-FACE
PHONE
ZIP
TYPE OF BUSINESS
PHONE
vpsla..ura.n r
TYPE or: h'ORK:
):( E'RECT
RELOCATE
x' ALTER
OllIER
TYPE OF SIGN:
WALL )(
..:r.... ROOF
MARQUEE
DnlER
FREEST .I.~DlNG
PROJECTING
READER BOARD
BILLBOARD
SIGN ClulRACTER
IDENTITY
PROJECTING
INCIDENTAL
DOUBLE FACE
-&I ~. -ftiJ Y7'1b fJIJiP '7/f' .
VENDORS, CO',RACTORS:
SICS ERECTOR /?1'~. 7:..:_ ,A",_.,~_"':'"
ADDRESS,!2 (J t/ f ;(/ :~, ,-
CITY LICENSE NUlIBER Y (
SIGN ~lA.~UFACTURER (IF onlER TIlA.~ ERECTOR) .A ~7';-
, <? AI'
ADDRESS /LA. ,-J j
,/
ELECTRICAL CONTRACTORX
ADDRESS
PHONE Jfr'2.- J?~ 9
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AA__~~
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EXP, DATE
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PHONE
PHONE
LICENSE Nlr.-lBER
OL\tEX5IO~;S. r:-;STALu.nox :\.'oW CC:'>STRucrrON INFORH\TIQ:-l:
TOTAL HEIGHT ABOVE GRADE /t' Or- VERTICAL DHlENSlON OF SIGN J~'u HORIWNTAL WIDTIl OF SIGN 6 "- ,$'('
DIIlENSION FRml GRADE TO BOTTO~t OF SIGN /?f_:<. 'f TIlICKNESS OR DEPTIl OF SIGN ? U
DOES SIGN PROJECT BEYOND PROPERTY LINE _ YES .3 NO IF YES. DHlENSION BEYOND PROPERTY LINE
NOTE: IF PROJECTION IS :,'ORE TIt.l.' 12" OVER PUBLIC PROPERTY TIlE SIGN ERECTOR' :,lUST FILE l'lTIl THE BUILDING DIVISION COPIES OF'
HIS PuaLIC LIABILITY .I.~D PROPERTY DMIAGE INSURANCE POLICIES, A ,)-,,~
WtLL SIGN HAVE ELECTRICAL "IRING? XYES --"0 IF YES, WHICH APPLY? ELECTRICAL S,IGN K,.ILLlr.-llNATED (INDIRECTLY LIGlfTED)
DESC!Uee TYPE OF ~_\TF.!H:\LS SIG~! IS CO~!ST!J.IJCTF.D O~ "':;;:?z'.&:/ -..L 21?sl~... 7:d_
I
PROVtDE UL NUMBER IF APPLICABLE
SITE INFO~\~TION (L.I.~D USE)--EXISTING USE OF BUILDING OR UC"D
r
VALUE OF SIGN 5""'" c:' ~ v CY
(OR LAST USE,IF VAC.I.~T):
PROPOSED USE OF BUILDING OR LAND:
EXISTING SIGNS (SIGN CD~E):.
FWI, ETC.: 'l""~
. ~I ' ""-'if-
CHECK ONE IF APPLICABLE: _INDOOR BUSINESS _OlrrDOOR MERCHA,~DISING
ARE TIlERE EXISTING SIGNS? KYES -YO IF YES, DESCRIBE ALL EXISTING SIGNS FOR BUSINESS.
oJ.-:s,,- ...4......:-,. .-,L /?'-1./.~A.../ /l-<.~...~ ".0?Z ..... ...
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ALL EXISTING SIGNS ON PREmSES(SA,\IE TAX LOT):
I HAVE CAREFULLY E~IINED the completed application for permit ond 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. tbe
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(~1 and 9.]-20(21. I will request
all required sign inspections listed on the approved permit.
NAME (PLEASE PRINT)
Bo/3
,TOll/ e "
SIGNATURE
,1]rt _.~?~
//
DATE "J/Y?/?/
.
f
/f.::J, f3 Jlj
rFINAL i _OTIlER
FOR OFFICE USE ONLY
SIGN DISTRICT }-( -2- ZONE DISTRICT ri'J m /H,n TOTAL SQUARE FOOTAGE OF SIGN
INSPECTIONS REQUIRED: _SlTE/LOCATION _FOOTING OR METHOD OF ATTAQi.\lEN-r XELECTRlCAL
FEES:
SIGN PERMIT:
CHARGES:
P5",dO
ELECTRICAL PERmT:
CHARGES: }t 10.00
STATE SURCHARGE: <10
TOTAL FEE FOR PERNlT:
t!/~40
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PLEASE ,;;,'0
1) SeDarate Sign Aoolic3tion: A separate application is required for each
separate slgn ~s deiined in the Sign Code.
2) Electrical: Any per~it 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
oniy by a State licensed Electrical Contractor. Illuminated signs (both
intern~lly and externally) must conform to Sections 9-7-4 (4)&(5) and
9-7-13 of the Springfield Sign Ordinance.
3) Plans Reauired: This application is to be submitted with two complete
sets Ot 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 constructio~ for sign and sign structure; elec-
trical equip~ent and lighting; size and location of existing signs on
proper:y for the same business, all as required to determine compliance
with the Springfi~ld Sign Ordinance (Article 7 of the Springfield City
Code). Also, show the f~l~owing 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) 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) lihen required. bec.:1use of design, size, etc., engineered drawings and
calcul~tions ~ust 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 witn no per~it being issued.
6) Signs must meet corner vision clearance requirements as "described in
Fig. 9 of the Springfield Comprehensive Zoning Code.
, 7)
~OTE: ~o sign cay be erected which is less than 12 feet hori:ontally
or-vertic~IIY froo overhead electrical conductors in e~cess of 150
volts, or less than 5 feet in any direction from overhead electrical
lines which are energized at less than 750 volts. '
BJ
If 3 5i;n is not inst31led within 60 days after the date of issue of
this pe~it. the pe~it shall be void.
9J
Insoections:
a)
Site Insoection - to be made before the sign is placed. Usually,
the FOO:ln~ Insoection (if applicable) may be made at the same
time as the Site Inspection. The Footing Inspection is to be
maoe after hole(s) is excavated, but prior to the placement of
concrete.
b)
Fin31 r~soection 4 to be made upon completion of all work.
c) Electric31 - All electrical signs sost be inspected for electri-
cal hook up after the sign is erected and before the sign is
turned on.
CALL FOR TIiE REQUIREO I~SPECTIO~S ON THE 24 HOU~ INSPECTIO~ LINE AT
726-3769, "
~
SPECIAL CO~DITIO~S TO BE SATISFIED BEFORE ERECTION OF SIGN:
AoDITIO~AL INFOR'~TIO~ NEEDED BEFORE PERMIT ~~Y BE ISSUED:
PLANS REVIEliED BY:
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CLERK
DATE
DATE
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