HomeMy WebLinkAboutPermit Signage 1996-5-13
SIGN.PERMIT APPLICATION
.
spnlNGFlELD .
JOB NIJMIlEll-'::'" J~\-wlQ:tD__
_"pection Line: 726.3769
Ollice: 726.3759
,
225'fillh Street
SPtingfield, OR
97477
SITE ADDRESS:
ASSESSORS MAP:
5094 f~in Street
I'll 1 P;.I., :1.r:'I
TAX lOT: ( 1..r....c:...rY )
OWNER:
Ed Wilson
PHONE: message 746-0169
ADDRESS:
% 5094 Main St
CITY: Springfield
STATE: OR
ZIP:
97477
BUSINESS NAME, FIRM ETC.:
Driftwood Supper Club
~
P'
DESCRIPTION OF PROPOSED SIGN(S}: (please check and complete all appropriate informationl
-1s.... Wall
4 Single Face
Square Footage:
Freestanding
_ Projecting
Roof
Marquee
Double Face
Billboard
Othe.
-~-~.-
6.25
Total Heighl above Grade:
/0/6"/
Vertical Dimension of sign or enclosure:
301 "
'1; Hor/,"~iZOl1lal Width of sign or enclosure:
Eleclrical Installatiol X Yes No VALUE
(If yes additional eledtr crmit is requiredl OF SIGN:
301,;"
Dimension from Grade
to bottom of Sign Enclosure:
r
j-~..$'o
Material Sign is constructed of:
aluminium & plastic
List ALL existing signagc and attach 8 photograph of each sign:
(a) Type pole
Sq. Ftg.
3'x 12'
d b d 3'x 6'
Ib) Type rea er oar Sq. FIg.
(c) Type
Sq. Ftg.
Id) Type
Sq. Ftg.
CONTRACTOR/lNST AllER:
RAY-O~LITE SIGNS, INC
PHONE: 6R8-2500
ADDRESS:
101 N. Seneca
CITY:
Eugene
STATE: OR
ZIP:
97402
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
950220
71490
EXPIRES:
CITY BUSINESS LICENSE NUMBER:
EXPIRES:
2-1-97
6-30-96
Sign Permit Fce:
~o~i(l~
('G
4\)~,
OFFICE USE
land Use: =:5ffi) Ouad Area: ~r.\\ lC-
Code Section: ,C\ -l\~ \4 l\ \ .n-~
Approved By: \JJ,\l) J '_ ~~(J.{L/ OA TE: 5. I () . 4(/l
Sign District:
Zoning:
REOUIRED INSPECTIONS:
Site
to be made prior
to sign placement
Footing
prior to placement
of concrete
V Attachment
after fasteners arc
installed/prior to cover
/
V Electrical
prior to energizing
electrical installation
/Fill(ll
completion of sign
installation
Addilional'Comments and/or Conditions:
By signature. I state and agree, that I have carefully examined the completed (lpplication and do hereby certify th(lt all inlormntion herein
is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of
Springfield, and the laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors and
employees who are in compliance with ORS 701.055 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, th:lt
the permit card is located at the fron~Of t pr perty, and the approved set of plans Will remain on the site at all times during the installation
of the SignIS~' ~
.' ..1- :7 - 96'
Signature r.d.L..tH Date . --.:-..~~
I -- (/ . .
8~ .1[)
Receipt Number: r.!{ ~ S \~
Validation:
Amount Received:
Date Paid: ~:\ \~ ~.l.\.VJ
Received BY:~( ~
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