HomeMy WebLinkAboutPermit Signage 1999-3-26
JOBeBERCffim35 ,,,
~ .~. Inspection Line: 726.37f4 k,()('{\
~ ~JI Office: 726-3759 ~~ .
SITE ADDRESS: \ :::,"2;, \ ~o.\.f'\ 'S\- 1~ C.u i ~\):. \ ",€\d~ ~ 'f\v.3"(l ~ vr,~+\ .A
ASSESSORS MAP: 1<)n~~1 O~<\ . TAXLOT:-.1--it~){ I , - ./
-... .
OWNER: -:S-C~(l Woc.:cl y.\C'Y\ . PHONE: 3-f d - ~5C) I
ADDRESS: L.\ \ \ -:c. <8~ S\'vt>..-+ '
CITY: ~'U.(~ e...xIe _
SIGN PERMIT APPLlCA Time
225 Fifth Street
Springfield. OR 97477
SPRINGFIELD
STATE:
OV-,
ZIP:
CJ'l'-1 () I
BUSINESS NAME, FIRM EOC.:
A\.dCl C'Tc.+ t-
-::I: Y\ C' _ ,
Freestanding
_ Projecting
Roof
_ Marquee
~~
, _.
",;.,
DESCRIPTION OF PROPOSED SIGNIS):
~
_~II
_ Single Face
(please cneck and complete all appropriate information)
Double Face
Billboard
X Other GLt0\r)ln[~ - ""r-)(--I\r'\ e.\("l ~l')()
//21" (: ,
Total Height above Grade: ?
Square Footage: . I B ,oS P tOfA.j A'{Z..Ef'r.
. 4".
Vertical Dimension of sign or enclosure:" 'I ~_ ~
Horizontal Width of sign or enclosure:
lSIIo"
.-
I
10 .
~ \~'''~
Electrical Installation~,k..v~~ _ No VALUE ~ . .Q9-
(If yes additional electrical permit' is required) OF SIGN:, l2jX)
QMIT SHALL EXPIRE 1FT V n"
_ ._;:.'::~ -;1 v.~ PEFck"AIT Ie: ~I()T
Dimension from Grade
to botton) oi Sign Enclosure:
Material Sign is constructed of:
......._: ._.... .-"'n
J/"\I.HJVI"'-.... I ....'.
isting signage and attach a photograph of each sign:
f\i'ot Ii' ,1::,-\1 ~t.RiO.\.
us\-c;.rc\inj SQ. Ftg. 3;;).lSl.
SQ. Ftg..
Ib) Type SQ. Ftg.
Id) Type Sq. Ftg..
......
CONTRACTOR/lNSTALLER: ~."\_bR ,"t.\rj/l~Bl~\0IVlJ
ADDRESS: \ "d...1 0 C)~ \r F Ir. I=\cvv-\
PHONE: !::fBF)- 5'5'-11.1)
CITY BUSINESS LICENSE NUMBER:
Q\...9DIQd
STATE: ()~ ZIP: 9 ~ L!C);:J..
\ \ \ :US1.o EXPIRES:;l. - .'2 - 01
EXPIRES: lo ~ .?O - 9 ~
CITY: E\ ,("" .P..ffl~_
..j
CONSTRUCTION CONTRACTORS REGISTRATION NUMBER:
Sign PCimit Fcc:
~.-J
.L\OPU
OFFICE USE ._ '\
t\~N\OY~ l~ Land Use: t)OuO _ Quad Area: d1 VU LU
Code SectioDi ..~ ~ ~. ~1~ (l ')
Approved By: \1I.JL \....~.~~ DATE:
I. 'lSocp
Sign District:
Zoning:
,
i
REQUIRED INSPECTIONS:
. _ _ . enon laW requires youto ___
Site FootingTTEN \ ION.Or AllaSO'llra'Dregon UtllllV Electrical
to be made prior prior to placeWl~Jw rul<ilftePfasWRers arYules are :Plrohltorenergizing
to Sign placement of concrete NotificatiolinstalIEid?pA~Vb88X't)AR seJ\!J'lifCBI Installallon
in OAR 952-001-001? . ollherulesbY
Additional Comments and/or Conditions:CUC:. "....." n"I~V obtain ~~~~~I'=' ,d':.....;:~':~o
calling the center. ( Utility NotificatIon
_ ,:.. _ _J:~ nreaon
..--. center.is l-IlUU-""~.~_.' ...
By signature. 1 state and agree, that I have carefully examined the completed application and do hereby certify that all information hereir
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 0
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors an
employees who are in compliance with ORS 701.055 will be used on this project.
v'
Final
cpmpletion of sign
Installation
l1urther agree to ensure that all required inspections are requested at the proper time, that project address. is readable from the street, th;
the permit card is located at the front of the property, and the approved set 01 plans will remain on the site at all times during the installatio
of the signls). .
SiQnature C' ""l:). '- O()/V"\ ~o.0~,? Date
Validation: Amount Received:::k.!f() . () (") Date Paid: .s / JJI I q Cf ---
Receipt Number: --6.~ <. L(/ f.n Received By: ~.. (l/L;t/\