HomeMy WebLinkAboutPermit Sidewalk 1981-10-15
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CITY OF SPRINGFIELD
SPRINGFIELD. OREGON 97477
ISFO~~TIOS: 7Z6-3753
CITY OF SPRI~GFIELD
SIGS CO~STRUCTIOS AND ELECTRICAL ISSTALL\TIOS
CO~tBINATIO~ .\PPLIC'\TIO~/PER.\lIT
IXSPECTIOS REQUESTS: 7~6.3~ti9
LDCATI~~ OF SIGS{ADDRESS)
LEGAL DESCRIPTIOS I 'ei ,I
Ol'SER OF PROPERTY \\"dt\\!~~:() \~~ \-\ I A TT
ADDRESS L \.., '\ l...J \' t-l\;\\.:, tJ \ P. \...-
O"~ER OF SIG.'{IF OTIIER -TIL\.~ PROPERTY Olm~R) ~cR !'l.1\;\) [ll\l./iY" Pl>.\t \('( Q.
ADDRESS \ 2-D S C ~-\ --tl\ PL<::..l>it.lN{; {If LIl 0(1 (
,....'IE OF BUSI~ESS. FlK.'I, ETC, RNl.,QI\!\\)\!'i' ') NrLi-!r.o..lJll TYPE OF BUSISESS
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TAX LOT "17()3~:;i.ff7:1.';O, "
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PHONE 1 4 " ~3 /, '---1 ..:J '
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(CHECK '\PPLIC.\3LE 1T=~.!Sl:
PHO~E
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TYPE or: :,ORK:
j. ERECT
RELOCATE
ALTER
OTIIER
TYPE OF SIG:-:;
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\'All
FREESTA.~DI~G
PROJECTING
READER BOARD
BILLBOARD
S IG,~ Cf.\R."TER
){ IDESTlli'
ROOF
MARQUEE
CTrnER
PROJECTI~G
INCIDE''TAl
DOUBLE FACE
:x
NON-IDESTITY
SECONDARY
SINGLE FACE
~RJLTI-FACE
VENDORS. CO"P,\CTORS:
SIGN ERECTOR /?'r;& /'.ri7ZI<L",,/L C S70/Z.tT O(.-(.ttl/f;J?,
ADDRESS
CIli' LICE~SE Slr.1BER
SIGS ~lA.'UFACTURE'R (IF OTIIER T1lA.~ ERroCTORl C A<SCA-iOt7 S/h/f AS
ADDRESS .3.~~L~ l.U /<> t' ~7/::.'//-I . (5V c;; .s-A,./e- , 0 If::..
,
ELECTRICAL cm.'TRACTOR
ADDRESS
PHOSE 70(;;, 3 3 G, f
,EXP, DATE
PHONE (0 i)' It:' ~ ~:vb Cf-
PHONE
.LICESSE SlJlolBER
DI:-IE~SIO~:S. I~ST.-\LLHIO~ ..'ISO CO~STRUCTION INFORH;\TIO~:
TOTAL HEIGHT ABOVE GlUOE q Pt.--:t:-/ VERTICAL OnlE~ION OF SIG~ i./- rt:::-e / _ ~ORlZONTAL~W}jlTH OF SIGN 5? ~~
OI:IENSiQN FW., GRAur. TO Born", OF SICS _C;- H.c:::=/. THICKNESS OR DEPTH Or SIGN 3f(c /;f/~ '
DOES SIGS PROJECT BEYO~D PROPERTY LISE _ YES ~ NO IF YES. DI>lENSION BEYOSD PROPERTY LINE
NOTE: IF PROJECTION IS :,:ORE TIIA.' IZ" OVER PUBLIC PROPERTY TIlE SIGS 'ERECTOR ,lUST FILE \<lTI! TIlE BUILDING OIVISIOS COPIES OF'
HIS PUBLIC LIABILITY ....~o PROPERTY O~~GE ISSU~~CE POLICIES.
WIll SIGN HAVE ElECTRICAL \HRI~G? _YES ).:;;;NO IF Y~~, W!j;.CH APPLY? _ELECTRICAL siGS _ILLUm~ATED. (INOlRECTL: LIGHTED)
OESCP,leE TYPE OF ~_\TF.RI"LS SIG~! IS CO~!STPDCTEO O~ .3/(&: ,~aO h.-?lWooC7 - ./J~//.'7Z--zJ CoA7/
PROVIDE UL NU"BER IF APPlICABLE VALUE OF SIG~ if/, ~ ()
SITE :r~L\:~~~ {L~'I:~,-;:,XISTWG USE ~:~LOING OR LAND {Pli ?7!/-.lt~T}:-L:L7/A/'T ~'7V/4S"
PROPOSED USE OF BUILDING OR LIND: C;Z /VO r7'7f7t../.c:;J S'?W/~
CHECK ONE IF A,!';:kICABLE: )S.INDOOR BUSINESS OlITOOOR "ERCHA..~OISING
EXISTING SIQlS (S;G.~ CODE): ARE TIlERE EXISTlSG SHiNS? _YES ~O IF YES, DESCRIBE ~,ElIS1'~NGSI~SS..F~R ,B~SI~E,SS.
FIR.~. ETC.~ '~, ~ '
A1.L EXISTING SIGNS ON PRE~IISES(SA..\IE TAX LOT}: /f/tJ/l/G' ~
I HAVE CAREFULLY E~\IINEu the completed application for permit 3nd 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.]-2Q(21. I will request
all required sign inspections listed on the approved pernit, \) J\ ' (\'
NAME {PLEASE PRINT) KC:R t.\!T 9i\ \t k I':.~ SIGNATURE "i<, ~~ y L\'~'''::DATEI 0::'::\1;:. 'I I
- - ~OR OFFICE USE Q:onv
SIGN DISTRICT!' /~~ -=->NE DISTRICT ,1:.. -'-i4 TOTAL SQUARE fOOTAGE OF SI
INSPECTIOSS R~RED~TION _FOOTING OR flETIIOD OF ATTACH.\lEm- _ElECTRICAL
FEES: SIGS PER.~lT:,d ~ ELECTRICAL PER.\IlT:
CHARGES: ~; 'j'\ b{D CHARGES:
~ $'~~ooS7E:
'" / 'IL ~,+n, ~ ~L(l'
~ ~ ,.-VYl.AVV , ' M~
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T1lTAL FEE FOR PE~\IlT:
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PLEASE hL:?AU
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rER~.!IT ':.\L1D.UIO~
1) Seu3r3te Si~n Ao~lic~tion: A separate application is required for each
separate jlgn JS ~etinea in the Sign Code.
(
Final r~soection . to be made upon complet~On 01t-
Electrical _ All electrical signs must be inspected for electri-
cal hOOK up after the sign is erected and before the sign is
turned on.
2) Electrical: ~y permit issued under this application tT~'
ing 1n or on sign structure, the supply wires for cont
covered on an electrical per~it. Electrical connectic
only by :1 State Licensed Electrical Contractor.. lUlU'
intern:! l1y and extern311y} cust cooforr.!. to Sections 9. (l
9-1-13 of the Springfield Sign Ordinance.
3)
Plans ReQuired: This application is to be submitted,
sets Ot pl~ns dr~.n to scale. showing dimensions and i
vertising ~ess~~e on sign; location of sign on proper
to property lines. structu3l det3i1s of support frami.
footings: D3tcri3ls of constructio~ for sign and sign
tric31 equip~ent 3nd lighting; size and location of e
proper:y for the S~de business. all as required to de
with the SpringfielJ Sign Ordinance (Article 7 ot the
Code). Also, show the following infomation on the p
showing property lines and location of signs): ~.
a) Show the loc3tion of all existing sign(s) as well
b) Show the length of the street frontage taken up t (
building~ .
c) Show the location of entrances open to the public
4) When required, bec3use of design. si;e, etc., engine!
c3lcul3tions ~ust be prepared by a licensed engineer
to desi&n st3nd3rds on file 3t the Building Division
.5) Plans of insufficient clarity or detail will be retu:
plic3nt with no per~it being issued.
6)
Signs must meet corner vision clearance requirements
Fig. 9 of the Springfield Conprehensive Zoning Code.
, 7)
~OTE: ~o sign cay be erected which is less than 12
~ertic31ly fron overhead electrical conductors in
volts, or less th3n S feet in any direction fro~ ove
lines which are energi:ed at less than 7S0 volts.
8)
If 3. si;n is not inst~lled Idthin 60 da.ys after the
this pe~it. the pe~it shall be void.
9)
InSDcc:tions:
0)
Site Insocction . to be made before the sign is
the fOOtln~ (ns~ec:ion (if applicable) may be m~
time as tn~ Site Inspec:tion. The Footing Inspec
mad~ after hole(s} is excavated, but prior to tt
concrete.
b)
c)
CITY'OF SPRINGFIELD
City Hall
Springfield, Oregon
Department of Public Works
OFFICIAL RECEIPT
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!:.\LL FOR TIlE REQUIRED I~SPECTIO~S O~ TIlE 24 HOU~ INSPECTION LINE AT
726-3769, ;'
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SPECIAL CO~DITIO~S TO BE SATISFIED BEFORE ERECTION OF SI"~:
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ADDITlO~AL INFOR.'1ATlO~ NEEDED BEFDRE PERMIT ~lAY BE ISSUED;
P~~S REVIEWED BY;
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CITY OF 5PRH'lGfIFLU
Deer!' 'ment of Pubiic lVorfrl
:!'25, '\ur.!. 5th Street ..,
SpnnUfield, U/'(g01l 97477
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