HomeMy WebLinkAboutPermit Signage 1981-4-8
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ISFO~~TIOS: 726-3753
IXSPECTIOS
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REQUESTS: 7~6.~7b9
CITY OF SPRINGFIELD
SPRINGFIELD. OREGON 97477
Cln OF SPRt~:GFIELD
SI~ COSSTRUCTIOS ~'D ELECTRICAL ISSTALLATIOS
Cm'BlSAnOS .lPPLICAnOS/PE~\IIT
LOCAno., OF StGS(AOORESS) '-' ~ )-0 ,....1 2:: ""r- <.. T I-^
LEGAL DESCRIPT!DS I fr,Q :7,20/ TAX LOT .2?YY ) IJ"'-
Ol1SER OF PROPERTY 'J..I Y"71 h f1. TVS PHOSE /'f I ./~"":L0 0
AODRESS~/~"2, 0, P'.;~ b,o"&"! ~.;....., f"..le /'-'~", ZIP e"'i"7~ /7 '('1
OliXER OF SIC-S(IF OlliER llU.' PROPERTY OI;1'lER) (? <': , ~~ .,.L-..:::rY' ~ ':2:>..L.. 0':'
ADDRlSS '?L.' 5 7 U/ ( ~ T\-o.... t=i II t:' ..... ~ '-'"'^-' (,,-,--...- q) l' <J ? PHO'," _f.t.l:i_::..1 '). 4 ~ l...j
S~\IE OF BUStSESS. Fl~\I. ETC. .5~In("F"/_I1{l \/"'"'-~ 'v..)(,J/ TYPE OF BUSI~IESS_{2,;" f. _-j
TYPE OF ~iO;l;K:
~x.. ERECT
RELOCATE
ALTER
OTIIER'
TYPE OF SIGN:
.:;S. IIALL
~ ROOF
MARQUEE
QT1j E R
5 [G~l CHARACTER (CHECK ,.\PPUC\aLE [TE~!Sl:
FREEST~SDISG
PROJECTISG
READER BOARD
BILLBOARD
X IDENTITY
PRDJECrISG
INC I DES 'TAL
DOUBLE FACE
NOS-IDENTITY
SECCSD,\RY
..1f SISGLE FACE
MULn-FACE
VENOORS~ CO~:rR"CiORS:
SIC-;; EREcrOR~ 7'"~ ~ :.-1-~~ .~
ADDRESS / '"I /..").. C;r:? '-' .?- I '-"~-
CIn LICESSE Str.'IBER,-r
SIGN ~Ll.SUFACTURE~ (IF OmER TIlA.' ERECTOR) L.",u,--r1 "-' (h,,<, c!,.",4..,.-k....
ADDRESS / ''''1': ').. &' '-' r~/v-'-
ELECTRIC\L"CONT!l).CTOR p...?-y1 <;~. t....~\ (? ~r A.., Co,
ADDRESS !:t:";- t..u. /~_. -i-a._ ;-'I"J I c.. y~-,____ r'if
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D(;\IENSIO~:S. I:,;ST....LL-HtcN .\'~D cC:Si'?ucho~ INFOR.H~TIO:-l:
c.:..o 1.., ..,-:;--d:..,,f'/ -,~ c, :1-, /'
e.:--"J-~ ~/"";
PHOSE
'~ 'I':>' -0,,/ C '7 II
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EXP, DATE___
PHOSE
PHONE
"7</-I-/I,\C
LICENSE NUNBER
TOTAL HEIGHT ABOVE GAADE /4 VERTICAL DHIENSIOS OF SIGN :2 '-~ ' HORI:O~TAL WIDTH OF SIG~I '?;
DI~IESSIDS FRO~' G!l).Dr. TO BOTTOll OF SIGS THICKSESS OR DEPTH OF SIGN
DOES SIG~ PROJECT BEYOSD ~ROPERTY LINE YES -A NO IF YES, DtHENSIOS BEYOND PROPERTY LtNE
j;()TE: IF PROJECTIOS IS ~,:ORE 11I0\0s \2" OVER PUBLIC PROPERTY TIlE SIGN ERECTOR ~:UST FILE IIITIl THE BUILDING DIVISION COPIES OF
HIS PUBLIC LIAaILITY o\oSD ~ROPERTY DAll~GE INSURo\oSCE POLICIES.
WILL SIGN H.\VE ELECTRIcAL IIIRING? IyES _NO IF YES, WHIOl AP~LY? K.,ELECT1lIC\L SIGN ILLUmNATED (INDIRECTLY L1GflTEO)
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OESCP.leE TYPE OF U_\TF.RL\LS SIG~ IS CO~!ST?'!CTF.O o!' '1"1-< +-z;> c!_:;'/' ,L........., t- . P/..,~:f.J'L .f..".,-_..LJ
~C&7 1'"'1 /..1, T / ).. - t.. .0,-/ W (
PROVIDE UL ,..'tJl.ISER IF APPLICABLE
SITE INFO~\~TIOS (~'D USE)-.EXISTING USE OF BUILDING OR ~'D
--f7 : '
VALUE OF SIGN I <-Y
(OR LAST USE..IF VACA~ITl:
dO
PROPOSED USE OF BUILDISG OR LAND:
" L ( 1--=
CHECK ONE IF APPLICABLE: '-C-INDCOR BUSINESS _OUTDOOR MERCH~'DISING
ARE THERE EXISTING SIGNS? _YES $..NO IF YES, DESCRIBE ~,E.'lIS:r!NG..SI~N~..F~R ~US!~E,SS.
<7'"'1" ) H-' {'C t,
EXISTING SIGNS (SIGN CODE):
FI~'4. ETC.:
ALL EXISTING SIGSS OS PRE~ItSES(So\o\lE TAX LOTl:/6otL--=-
I HAVE CAREFULLY E~~INEO the completed application for permit and do hereby certify that all information hereon. is true and
correct. and I further certify that all ~rk performed shall be done in accordance with the Springfield Sig~ Ordinanco. 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 ~o 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 PWrr) L 0' <.',' ,.....-7........,. ~ C) hi' e. SIGSATURE c-h-.<'..<.A~__ C?~ '::DATE'I-l/{.;/~/
, ,
FOR OFFICE USE ONLY
SIGN DISTRICT ZOSE OISTRICT TOTAL SQUARE FOOTAGE OF SIGN
INSPECTIONS REQUIRED: _SITEILOCATlON _FOOTING OR 'IEnIOD OF ATTACH.\lE..fr ,KELECT1lICAL
f.() .~. /rxJ"
~FI~AL __OTHER
FEES:
StGN PE~'IIT.J
QlARGES: ~ /4- 0 tJ
ELECTR IC\!:rPE~\lIT:
CHARGES: i'" / tJ, d (J
STATE SURCHARGE: . 10
TOTAL FEE FOR PE~\IIT:
$ .;J.4- ~O
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PLE.-\SE ;'C.\U
1) SeD~rJte Si~n ~~'li~J[i~n: A separate application i,
sepante :ill;n as .JC[lncU in the Sign Code. .
2) Elect~ic31: Any per~it issued under. this ~pplicJtio
ing 10 or on sign stTu~ture. the supply wires for co
COvered on 30 electrical permit. Electrical connect
only by 3 St3te licensed Electric:!.l Contractor. III
lntern311y .:lnd externJl1y) must conform to Sections
9-7-13 or the Sprin~ticld Sign Ordinance.~
3) PIJns Reauired: This application is to be submitted
sets Ot plans dr3~n to scale, showing dimensions and
vertising ~ess3~e on sign; location of sign on prape:
to property tines. scruccual details of support Eram.
{ootinIS; DatcrLals of constructio~ for sign and Sigl
~;ricJl equip~ent JnJ lighting; size and 10c3tion of t
proper:y for the S.:1.~e bus iness. all as required to d.
with the Sprinsri~IJ Siio Ordigance (Article 7 of th.
Code). Also. show the following inforn3tion on the I
showini property lines 3nd location oi signs):
'a) Show the 10c3tion of 311 existing sign(s) as well
b) Show th~ length or the street frontage taken up b
building. ,
c) Show the loc3tion of entrances open to the public
4) "'hen required. becJ.use Ot design, she, etc.. enginee
c~lc~13tions oust be prcp3red by a licensed :ngineer
to desi.;\ st3nc.uds on file .J.t the Building Division 1
5) PI.1ns of insufficic=nt ehriey' or detail will be retur~
plie~nt wit~ no ?er~lt being issued.
6) Signs oust meet corner vision clearance requirements ("_
fi.. 9 of the Springfield Co~prehen~ive Zoning Code.
. 7) ~: }:o sign 03Y be erected Which is less than 12 f(
or vertieJ.Ily froo overhc3d electrical conductors in ( ~;:
volts: or less th.:!n 5 feet in any direction frota over~, \_'
lines which 3re energized at less than 750 volts.
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I F'~~mT r.\UD..\Tru~j
reQuired for each
CITY OF SPRINGFIELD
City, Hall
Springfield. Oregon
Deportment of Public Works
OFFICIAL RECEIPT
, N~ B 56314(
e. Dote 4 - nIl:>}
,m Rec'd From Ln,l).h Of)(...Q.-(')bl tL
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Address 14t.Q...'1_ CVI~; c; 9~ '_
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Received For:
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0) If:J. 5i.;n is not inst.Jllcd \lithin 60 days after the da ;JL ~ /t --;:;r-O / V-
this per.:lit. the pe~it sh311 be void. \.. . Amount Received L-, ., L.-/f'--o
9) tnsoect ions:
3) Site lnsoection - to be made before the sign is pl.
the FOO..l~~ Insoection (if applicable) DaY be made
ti~e .:!s tne Site Inspection. The Footing Inspectic
m~de ~ftcr holc=(s) is excavated, but prior to the]
concrece.
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'"&~TON.TU.".UlL ".''''1[.. . &UGIU,I[. 010 ".01
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b) Fin.:!1 l:-.soeet ion to be made upon completion of at;- worx.
'" DATE
c) ElectTic31 - All electrical signs QUst be inspected for electri-
c31 hoo~ up 3Eter the sign is erected and before the sign i~
turned on..
Co\LL FOR lllE REQUIRED ISSPECTIOSS ON TIlE 24 HOUR INSPECTIOS LINE AT
726-3769. !r
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SPECIAL COSDITIOSS TO BE SATISFI
<-tLL-cd~ ~
BEFORE ERfCTIo.~ OF SIGN: /.J
:S, '-<.P ~cv-
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ADDITIOSAL WFDR.'tATIDS NEEDED BEFORE PER"'IT MAY BE ISSUED:
P~~S REVIEWED BY:
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DATE
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