HomeMy WebLinkAboutPermit Signage 1981-7-22
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CITY OF SPRINGFIELD
SPRINGFIELD. OREGON 97477
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ISFO~~TIOS: 126-3751
CIn OF SPRe:CFIElD
SIG~ CO~STRUCTIO~ ~'D ELECTRICAL I~STAlLATIO'
CmlB[NATIO~ APPLICATIO~/PER.\IIT
IXSPECTro~ P~QUESTS: 7~6-3~69
LOCATIO' OF SIG~(ADDRESS)3sa~ J\J.j:lJAI 'S,T.
lEGAL DESCRIPTIOS /7-02' - 3/-.J J
Ol'~ER OF PROPERTY
ADDRESS
O":':ER OF SIG~(IF crruER THA' PROPERTY O"~ER)
ADDRESS
SA.'IE OF BUSIXESS. Fl~". ETC. DAAlf> AUrOMllTl ve..
TAX lOT' Zoeo
PHO'E
ZIP
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/2
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PHO~E
nPE OF BUSISESS jqvro ':::JAJ..e....
TY?= OF :'QRK: TYPE OF srG::: SIG~ CHARACTER
V ERECT ALTER 'VAll FREESTA.~DlNC 0DE~TITY
RELOCATE OTIIER - ROOF k::' PROJECTI~G PROJECTI~C
MARQUEE READER BOARD INCIDE~iAL
OTIiER BIllBOARD DOUBLE FACE
((HEe;.: ..l.P?L!C.\OlE ITE~IS):
NOX-IDESTITY
SECO:\OARY
SIXGlE FACE
MULTI-FACE
VE~OORS. CO~."R.\Ci::1RS:
SIG~ ERECTCR...:I.lW. L 0 So Ie. AI ~ ~^'
ADDP1'.SS..J.~OO i-lW'( "19 ItI02rH c.olJ.1i(Q.G G!Qys
CITY LICEXSE Xlr."BER
SIGS ~1A.'UFACT1JRE~ (IF OTIIER m"'~ ERECTOR)
ADDRESS
ELECTRICAL CO:ITRACTOR
ADDRESS
PHO,E Qt/.:J. -9/71.,.
9'1~"'~
EXP. DATE
PHOXE
PHONE
LICESSE N~lBER
DD!t:\SIG~;S. I:\ST.;'LLHia~ :\';0 CC::ST:l.UCTlON" INFOR.'tUIQ.'1:
TOTAL HEIGHT ABOVE GIUDE I ~ I VERTICAL DnlE~ISIO' OF SIC' .3 I HORI:O'TAL WlDTIl OF SIG~I G. 1.
DI:lE'SIO' FRO~I GRA~r. TO BOTTO>! OF SI" J t') I TIlI,^XESS OR DEPTIi OF 'SI" , () II
OOES SIG:/ PROJECT BE'DXD PROPERTY LINE YES lS. NO IF YES. DI~lESSIO' BEYOND PROPERTY LINE
~on;: IF PROJECTIO.' IS :,:ORE TILl.' 12" OVER PUBLIC PROPERn TIlE SIG' ERECTOR ,.;UST FILE lVlTIl TIlE BUILDI:IC DIYISIO' COPIES OF
HIS PUBLIC LIABILITY ~'10 PROPERTY O~~~GE I~SU~~CE POLICIES.
WILL SI" HAVE ELECTRICAL IIIRI'G? Jc:!fes -YO IF YES. ~llICH APPLY? ELECTRICAL SI" ~LUm'ATED (WDlRECTLY LIGHTED)
DESCRIBE TYPE OF ~.\TF.~L\LS SIr.;~! IS CQ~!S1"P"JCTED OF
PROVIDE UL ~1J"BER IF APPLICABLE
SITE ISFO~'lATIO' (LA.'D USE) --EXIST1~G USE OF BUILDING OR LAND (OR
VALUE OF SI" l/-Sn'E9
LAST USE,~F YAC~~T):
PROPOSED USE OF BUILDI~G OR [.,",,0: AUTn ~~L.S c;.
CHECK ONE IF APPLICABLE: ___INDOOR BUSINESS
ARE THERE EXISTISG SIG'S? YES -YO IF,YES, DESCRIBE ALL
~OUTOOOR ~lERCH~~DISING
EXISTl~G,SI~S~..F~R ~US.I~~S.
EXISTI~G SI~S (S;G' CODE):
FI~~. ETC;:
ALL EXISTINC SIC'S 0' PRE~IISES (SA.'IE TAX LOT):
SIGN DISTRICT Sf RIP I!-...... ZO'E
INSPECTIOSS REQUIRED: ~SITE/LOCATIO'
I HAVE CAREFULLY E~IINEO 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. 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
~11 required sign insrections listed on the approved permit. ..J r\ . .. ...: .
N'AME(PLEASE PWiT) ~(C)l,->4-i/J) ((\S/]Ou,t..V SICNATURE I ~",n~'::DATE7'':;;)') PI
fOR OFFICE USE O~LY
DISTRICT a. - If TOTAL SQUARE fOOTAGE OF SI"
vFOOTISG OR ~IETIIOD OF ATIACH.'lEN-r 0LECTRICAL
I'A
0f'AL
V'OTIiER .
FEES:
SIGN PERHIT:
OlARCES:
L"" !JQ ,
Q.
ELECTRICAL PE~'IlT:
CllARCES:
STATE SURCHARGE:
\O~
4CJ
TOTAL FEE FOR PE~'IlT:
\~'\D
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PLE.\SE :..c..\O
1) SeO~~1te Si~n A~'lic1ti~n: A separate ~pplic1tion is
sep3c1tc )l~n ~s J~tlnCQ in the Sign Code.
2) Electrical: Any per~it issued under this application
ing 1" or on sign structure. the supply wires for conn
covered on 1n electrical per~it. Electrical connectio
only by :1 State Licensed Electrical Contractor. Il1~T
intern311y Jnd exter~ally} must conform to Sections 9~
9-7.13 of the Springfield Sign Ordinance.
3) Pl:1ns ReQuired:" This :lpplic3tion is to be submitted"
sets Ot plans dr3~n to scale, showing dimensions and t
vertising ness3~e on sign; location of sign on properl
to property line~. structual details of support framil
footings: natcrials of construction for sign and sign
trical equip~ent and lighting; site and location of e:
pro?er:y for the S1~e business, all as required to de'
with the Sprin~ii~IJ Sign Ordinance (Article 7 of the
Code). Also. show t~e following information on the p
showing property lines and loc~tion of signs):
"a) Show the location of all existing sign(s} as well
b) Show th~ length of the street frontage taken up b
buil.:JinlI.
c:). Show the locnion of entrances open to the publi,
4) h'hen required. because of design, size. etc.. engincf
c:alc~l~tions oUSt be prepared by a licensed engineer
to desi.n stand~rds on file at the Building Division
S) Phns or insufficient chri:y or detail will be retu: ~. t.
plicant with no per~it being issued.
6)
Signs must meet corner vision clearance requirements
Fi.. 9 of the Springfield Cooprehen~ive Zoning Code. (
SOTE: ~o sign oay be erected which is less than 12
or-Yertically fro~ overhead electrical conductors in
volts, or less than S feet in any direction from ove
lines which are energi:ed at less than 7S0 volts.
" 7)
D)
IE :1 5i;" is not inst.J.lled :oithin 60 da.ys after the
this pCr.:lit, the per.:'lit .shall be void.
9)
Insoect ions:
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CITY Of SPRINGFIELD
City Hall
Springfield, Oregon
Department of Public Work.
OFFICIAL RECEIPT
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Datel. ~C>'~ 19R\
ght Rec'd ko ~ I\-0n ~\(~<.,
~ir Address \ SCD <WLL() C\9\ ~ ~. QS
56945(
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Received For:
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~UTllt~tU::D StGNATU"E
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Amount Received
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3) Sit~ In~~ection - to be made before the sign is ~:~
the Foo::n~ I~~oection (if applicable) ~ay be m:
ti~e 35 th~ Site Inspection. The Footing Inspe~
maJe after hOle(s} is excavated, but prior to the placeme~t or
concrete.
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b) Final r~soection - to be made upon completion of all work.
DATE
c) Electrical - All electric3l signs must be inspected for electri-
cal hOOK up after the sign is erected and before the sign is
turned on.
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CAll FOR THE REQUIRED I~SPECnO~S ON TIlE 24 HOUlf, INSPECTlO~ lINE AT
726-3769.
SPECIAL CO'DITIO'S TO BE SATISFIED BEFORE ~~CTIO~ OF SIGN:
ADDITIO~Al INFOR.'lATtON NEEDED DEFORE PERMIT MAY BE ISSUED:
PLANS REVIEliED BY:
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DATE
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