HomeMy WebLinkAboutPermit Signage 1981-8-1
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CITY OF SPRINGFIELD
'""~ SPRINGFIELD. OREGON 97477
[~FOR.U..\TIC~: 7:5-';7'53 IXSPECTrO~ F'.EQUESTS: 7:6.3:'6'~
CITY OF SPRr~:GFIElD
SI~ CO~STRUCTla~ ~'O ELECTRICAL I~STAL~\TIO~
:u CO~IBINATIC~1 APPLICATIO:-:/PER.'IIT
LOCATlO~ OF SIG~(AODRESS) A~F __r-"\~' ,-..J _"l,- S, ' ..,.
LEGAL DESCRIPTIO~ ,- 17~n7,..c A /-,.:{, J- OS-jfH'J
O:tSER OF PROPERTY l' ,-:1...7 ",.- fOl,E 1?r-~StYl I?-
ADDRESS
O:.~ER OF
ADDRESS
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TAX LOT .
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PHO~E
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SIG~~(IF OTHER TIIA.' PROPCRTY'O"liERl
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:iA.\lE OF BUS ~ESS. FIR.'I. ETC. \-~ r~-r (.'-., (.. 1 i"l !J<f..-f.....1
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TYP!: Or- ;.O~K:
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ALT:!t
onlER
TYP= Of 5 rG~~: S IG:-l L'iL\R..3.CT::R ((EEe:.: .~P?!.IC.i3l:: rr:.~!Si :
"ALL FREEST'-'DI~G X IDENTITY NO~-lDE~TlTY
2{. ROOF PROJECTI~G PROJECTI~G SEC~SD,~RY
l-IARQUEE READER aO)"RD INCIDE~'TAL ~ SISGL= FACE
OniER 3ILLSOARD OOUaLE FACE MULTI-rACE
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RELOCATE
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SIC:: EREC7C;t
ADDP..ESS
CITY LIC;"SE ST.r.lSER
SIC~ ~u..,\1jF'\cn:RE~ (IF onlE~ ~I.!.-\.'l E~tf~O!U
ADDRESS , ,
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EXP, DATE,
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ELfCTP.ZC.\L cc:;rUCTOR
ADDRESS
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PHO~E
PHONE
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LICE~SE Nlr.-IBER_
DI.\,r:XSIO~:S. I:;ST.~LL..;C:; ,-';0 C::::S;:l.lJGION lNFO!t.\tUU)~: ,,-
TI)T)J !-lE!-::rr .1.~(\v,= c::_~n: u..{? ~RTH:,\l. DnrE~:SIO'! OF Sic;:.: l/: '.l /1' HORI:n:-:TAL wrOTI{ OF SIC~ _i/ l~
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DI:'ESSIO~ FRC>! GiUur. TO BOTTO"_OF s;<;,_ , 10 THICKSESS OR DEPTH OF SIGN .--1 r
DOES SIGI~ PROJSCT 5;YOSO PROPERTLUl<Ei: YES)>: NO ' IF YES, DI:,lESSIOS 3EYOND PROPERTY LI~E
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liOTS: IF PRCJEC':"IO' IS 1,:ORr TIlA.' 12" It'CER PUBLIC PROPERTY TIlE SICS ERECTOR ;,:UST FILE IHTIl THE BUILDV1G DIVISIOS COPIES OF
HIS pua:'IC LIABILITY ""0 PROPERTY DAmGE I~SUAAliCE POLICIES.
WILL SIG.' HAVE ELECTRICAL 'HRI::G?:",,~~ ~O IF YES, ~liICH APPLY? _ELECTRICAL SIGS _ILLIDIlNATED (INOlRECTLY LIGHTEO}
DESC?I!!E TYPE OF ~~\TE!tr.\LS SIG~! IS CO~!S1'!'''.!CTED O~
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PROVIDE UL SlJ."BER IF APPLICA3LE
SITE INFOR.'IATlO~ (LA.'D USE)--EXISn~'G 'lJSE OF
VALUE OF SIGN '\, "Y --I L '
BUILDt::G OR LAND (OR LAST USE IF, VACA.'fT):
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PROPOSED USE OF BUILDI~G OR L~'D:
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EXISTI~G SI~S (S;GN CODE):
FIR.'!, ETC.-;
CHECK ONE IF APPLICABLE: \..ruOOOR BUSINESS _OIITOOOR ~'ERCH~'DISING
ARE THE1lIi- ElISTING SIG:~S? _YES /010 ' IF, YES, DESCRIBE ill EIIsr~NG.. SI~N~J9R ~US,I~E5S,
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ALL EXISTlIIG SIG"S ON PREHISES (S"-'IE TAX LOT):
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I HAVE CAREFULLY E:U.'IJNEO the. completenpplication for per.::lit and do hereby certify that all infor.:l&tion hereon is true and
correct, and I further certify that :111 work perfo~ed shall be done in accordance with the Springfield Sign Ordinance. the
Unifo~ 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 Oreg:on perta.ining to thewoi-lc described herein. I further certify thOlt my Sign Contri1ctors License with the
City of Springfield is in full force and effect as required by Springfield City Codes S-2-6(~1 and 9.7-20(21. I will request
all required sign inspections Ihted on the approved pernit. , 'J, '
. N-A.~E(PLEASE PRI~:T) i1\c('1 fh; ( pi+U<j hf-- SIG~ATURE \'{'" ,.. \~r, ,~, ,q- 1c~~ '"1j' uDATEJ1/;tir'rl
.". ~0Q l1F=rCE USF 0:-J[.Y / ../
SIGN DISTRICT, ZONE DISTRICT-" TOTAL SQUARE FOOTAGE OF SIGI;
lNSPECTIO::S REQUIRED: _SITE/LOCATION _FOOTlSG OR ~1l;Tl[OD OF AIT,~CH.'IENT _ELECTRICAL
x-"FrS,\L
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_OTHER
FEES:
SIGS PER.'IlT:
QiARGES:
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EI..ECTRlCAL PER.'IlT:
CHARGES:
STATE SURCHARGE: '
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TOTAL FEE FOR PER.'IlT:
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1) SeoH1te Sb.ri .\':'lticJtion: ,.\ separ,J.[e J.pplic.:ltion i.s required for each
sepJ.rJ.~e ~~~n ~s ~~tlneU In the Sign Code.
. a) Show the 10C.1t10" of .1.11 existing signes} as well (p-
b) Show t~~ lengt:' of the st:eet frontage taken up t Received For:
buit..ii:'ll.
c) Sho'''' the loco3e10" of' ent:-ances open to the public Jd
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Etec:trtcJ.1 - All electric3.1 signs ClUst be inspectl v..
ColI nOOK up ,Jfter the sign is erected and beiore lne-slgn 15
turned on.
2)
Elec~~icJ.l: Any per~it issued under this J.pplicJ.tion
ing: tn or an 5is" stru~ture. the supply wires for COI
coverea on an electric31 per~it. Electrical ~onnect.
only by 1 StJ.t~ Licensed Electric.:!.I (oOtr:lC:tor. Illl
intern:\lly .Jnd e:c:'ter:u.lly) r.:ust conforo to Sections ~
9.7.lS of the Sp~i~~iielJ Siin Ordin2nce.
3)
P13ns Reouired: This ~pptication is to be submitted
sets or plans dr3~n to sc~le, showing dimensions and
vertisin~ ness3~e on sign: location of sign on propel
to pro~erty line~. str~ctu31 details of support fr~:
footin~s: n3tcrlals of constrJctio~ for sign and sigr
trical equir~ent JnJ lighting; size and location of t
pro?e~:y for the S~~e ~usines5, all as required to dt
~ith t~e Sprir.~:iclJ 5i5" Oriinance (Ar:icle 1 of tht
Code). Also. show t~e follo~ing informati~n on the I
showln~ property lines and location of signs):
4) When requi~ed. ~ecJuse of deSign, si:e, etc., enginee
C3lcula:ions cuSt be prepared by a lic~nsed engineer
to.desl~n st3ndards on file at the Buildinl Division
5) Plans or insufficient clarity or detail will be retur
plicaot with no per~lt being issued.
6) Signs cust ~eet corner vision clearance requirer:l.ents
Fi.. 9 of the Springfield C~=?re~en3ive Zoning Code.
. 7)
SOTE: ~o sign CJy be erected which is less than 12 f
~e~:ic311Y fro~ overhc3d electric31 conductors in
volts, or less t~an 5 feet in any direction f:o= over
Jines which are energi:ed at less than 750 volts.
8) If ~ si;n is not ins:alled within 60 days after the d
this pe~it. the pe~lt shall be void.
..9~ ._.InsR.~,~~
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Sic~ rn~~~ction - to be ~ade before the sii" is p
:~e Foo::~~ I~~~ec:ion (if applicable) oay be mnd
ti~e 3S c~~ Si:e inspection. The Footinz Inspect.
cau~ 3ftcr holc{s) is excavated. but prior to the
Concrete.
b)
c)
Fin31 r~soection . to be made upon completion. of ,
will i.,t"I'u~"wi..-
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CITY OF SPRINGfiELD
City Hall
Springfield. Oregan
Department af Public Warks
OFFICIAL RECEIPT
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(rl Rec'd From\'\\\t-~?'~J~
Address ,~'1.J..)G ~U,_f~
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Amount Received .' '::J.C)U
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AUTMOIIIIZIfO SIGMATUIlIf
1"I.L,a"-'''Il'''.''LL HI."'I....' ."01.... all' ".0'-
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aL[; FOR 'mE REQUIRED I~$?ECTIO~S ON TIlE 24 HDU~ INSPECTIO~ LISE AT
726-3i69. ~
SPECIAL CO~DlTIO'S TO BE SATISFIED BEFORE ERECTION OF SIG~I:
ADDITIO~AL INFO~'~TION NEEDED BEFORE Pml~IT ~~Y BE ISSUED:
Pt....~S REVIE;iED BY:
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