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HomeMy WebLinkAboutPermit Electrical 1991-10-2 / 225 FIFTU STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1.1~~~~~TI 1,Z1~7~S~~o ~ J~tc'~~ - - l Permits are non-transferable and expire if work is not started within 180.days of issuance or if work is suspended for '180 days. 2. CONTRACTOR INSTALLATION ONLY B. "",,',,' C,"l"""~. SPOQQt, AddressmBI) ~ p ri'i:fn Q- , City 0 YP/1Q. Phone 2A3~72!17 Supervisor ~icense Number ~('B Expiration Date \ () . \. q a 'constr Contr. Number \"1 A SQ -\ Expiration Date. S. S .qQ.-.> , The installation, is being made on property I own which is not ,intended for'sale, lease or rent. Ovners Signature: City Job Number 3. COMPLETE FEE SCHEDULE BELOV A.. New Residential-Single or Multi-Family per dwelling unit. Service Included: ,Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or.Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders 'Installation, Alteration or Relocation 200 amps. or less $ 40.00 201 ,amps to 400 amps $ 55.00 .. 'Over 401 to 600 amps $ 80.00 Over. 600 amps or 1000 volts see "B" above Per Panel $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting, -=z.. Limited Energy/Res Limited Energy/Comm ~~~~,.1'til;"B-- ,. RECEIVED BY: \. ( -l'/)Q _) - . o. " re of Superv' .g Ele~~ - //?~. m~. 1(\ I \ 'Y ! ~~hFe.Q) D. O""b Cleo.'" AddressY () ~ 1 ~_ 61 New, Alteration or Extension . cityRt)Kl ~PhoneloI4-~ 1~-7Et'Yt~~~hc~~~~~~onal - . Circuit or with Service OVNER INSTALLATION . or Feeder Permit SUBTOTAL OP ABOVE ' 5% State Surcharge TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 t&L1. ocJ II)(J cr> { () DU ffi//i .00 t city of springfield 225 n. 5th street' ,ql\> 0"2.. 2\ SPRINGFIELD INFORMATION: 720-3753 . . . " SIGN PERMIT APPLlCAtl.ON INSPEC'T10NS: 726-3769' fVtfJfwJ1i Sc4~ I A. LOCATION OF SIGN (ADDRESs)~17 ~"'-'f1fr LECAL DESCRIPTION \,C\?;ill" ~,. OWNER OR PROPERTY~(,... ((Y~f)rfl1.~~"" ADDRESS ,ari()"AJ:- /1)"",~ I ((fAt..d ~. OIINER OF SIGN (IF OTl~R THAt) PROPERTY OWNER) A( /..-AA}/ ADDRESS Vlt/ t1 .' NAME OF BUSINESS, FlRM.ET~.~ stuteS B. x:OF WORK: I C. STRUCTURAL ~F SIGN:, ' ERECT _ALTER _HALL' FREESTANDING _RELOCATE _ROOF _PROJECTING fptr/(&vfA if ( 6aff PHONE P't~/(/M( '(, p{ TAX LOT-~ O:,l.4CC> '2,~) ~ Yt! I ZIP q 72/7 . PHONE .l't!fJ . TYPE OF .BUSlllE;S -;(gIu'i I ... _OTHER HARClUEE -,' [). USE AND CP~CTER OF SIGN: )s::;IDENTITY . _INGIDENTAL ~OUBLE FACE _SINGLE FACE __'lULTI-FACE _P~ER BOARD _BILLBOARD UNDER I1ARClUEE - - _OTHER E. VENDORS, CONTRACTORS: I' '. ' " SIGN ERECTOR :JtrlJ ->/t..t.. SyftA1tt{ Cnnd. .I.oD~.ESS /6/f( '!Neff ~ -: Ave.. CITY LICENSE NUMBER ff6 flll"7'7 I'1I0N!: bv.l(lhl EXP. .l{0-f - 4dlfz ZII'~2 DATE SIGN I1ANUFACTURER (IF OTIlER TIIAN ERECTOR) ADDRESS Q;!; (,ra~vi/..- M. 51/;'", Cf}r-" Ci&.n.bw dlJI ( P!!ONE ~(tlj Wfo - 56&1 f, DD1ENSIONS, lIlSTALLATION &. CONSTRUCTION Z//_fJlf ~ '- SV~(( ~ / , 7't" ,n -!!Z f' ( TOTAL HEIGHT ABOVE GRADE VERTICAL DIMENSION. OF SIGN HORIZONTAL WIDTlI OF SIGN DIMENSION FROH GRADE TO BOTTOM OF SIGN G. EXISTING SIGNS ~ . ARE TlIERE ANY EXiSTltlG ~IGNM _YES ~NO tnn1BE~ SIZE IN SO,FTG. ALL EXISTING SIGNS I I FOR BUSINESS. ETC. TllICKllESS OR DEPTH /~ H'I-II~L SIGN IlAVE ELECTRI~AL Rmk{ Y/lJ ) IF YES. WIlIC!! APPLY? ELECTR~ ~'~l~' " ILLUMINATED (INDlREC . LIGHTED) " t _.P ELECTRICAL CONTRACTOR lAnK",gl.W\ - btln:^ ~I ADDRESS ht Ct'~...1 , h. Cttw..Io~ (lhJo LISC. NUMBER I PllONE . DOES SIGN PROJECT BEYOND PROPERTY LINE? _YE IF YES. DIMENSION BEYOND PROPERTY LINE NOTE: IF PROJECTIOn IS lIORE TIlAN lZ" OVER PUBLIC PROPERTY TPY. 'SIGN ERECTOR ~ruST FILE WITlI THE BUILDiNG DIVISION COPIES OF HIS/HF.R LIABILITY AND PROP- ERTY D~lAGE INSURANCE POLICIES. I. DESCRIBE TYPE OR Jo'ATERlALS SIGN IS CONST&t~ OF. I, I' j -' . . hl~ e~ 1141/\ c6tbt~~ ~A ~JcUIi\ ({it f. I . J'SITE INFOPJlATIOll (LAND US F.) n EXISTING USE OF BUILDING OR LAND (nR LAST USE IF VACANT) K. VALUE OF SIGN: 2; 'f ~IJ ~ / -ltfNDOOR BUSINESS __OUTDOO~ Jo'ERCHANDISING PROPOSED USE OF BUILDING OR LAND: C? I " (,,-llClr L I 1./M.alA.t ,.,IJ.611 / , , L. I HAVE CAREFULLY EXMIINi::o the completed application for permit and do hereby certify that all information 1s tTue 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 Soringfield and all other Ordinantes of the City of Springfield and the laws of the State of Ore~on peitalnlnK to t~e worl~ described n~~~Ln. I further certify that my ~~zn Co~tractor Li- cense with the City of Springfield is in full force snd effect ss required by Springfield Codes 8-2-6(3) and 9-7-20(Z). I will request all required sign insoections listed on the approved permit. NAME (PLEASE PRINT) SIGNATURE ~(/l~ #J"': J(hJ (J..r. _I.... /' C/ DATE ,~- Z[(-C] I , l " ,~'j"""="~:=~;"--- . ....,.~ .'. ~~:::l~~ :,~ SECTION: -.:: "_,1 ~. ~.::...'.!~ 5J I':h\'i.( ';':'J' . , .., .1, '.J ~' , . .....",... ., \1 .m";~' . --.."., '_.lUl.... . ,..",_..,.. '" . ",l If'-',, ,'~;l"j",\,.i;:<::";::;r.:::;:r,:""~!~,,l~.':i;;:;.'.'~~..:..i T ";',:.,;~ ~..{.......!~:\~,::i:~('~lt':-1';,.".' . P LEA S ERE., A I .~ :~..\<L,.')'i}:~ ':',,;..'''' ~-J~;l')! ':':~,:~,j~;;:''':;\':'':(''- ....;;~~ ~L-~";i :." \.:1~ 7:~,),.:.;~j':,lJI},:":'/;;''',il:.~ii.~J':;f;:::",, V':",~;" 1.,I,'....,_M '''~t;, j~11?\"" .i~ :".~..l"I\t'j.d,.~~I:t .tt(li-:'l :;1.,a.:J,Wt1i;.I.~,~~dr,,~>;,~q ~~~:IlJ":{i~%:~4~f'IJ;it.:"1 t..WLL;,'~t1~ -1' IU.,~~ :.:~~",.t ;. .'., .', . . ii", :'~I~~.' ','\':}l~'~~:::. "/ :.~ <:_:" ~~':i~';';~'i~~"~': ",': 'i~;'''' ~~:f,"':" ',:, :.~~~ .~~ ':(~.1" ~~:i~~!:t.':"\f -;'~!..~,:1 ~:~'iir' ',~;~.' f'!.J:.1~irt, Seoarate SiRn A~olication:' A separate application'b"required for ~ach's~par'ate: si~."..s' defined" , i, ln tne Slgn ~ooe. .,' ' Electrical: Any permit issued under this application will include wiring in or on sign structure, the SUPplY wires for connection must be covered on an electrical permit. Electrical connection must be made only by a State Licensed Electrical Contractor. llluminated signs (both internally and externally) must conform to Section$ 9-7-4 (4) & (5) and 9-7-18 of the Sprlngfleld Sign Or- dinance. ' I 3) Plans ReQuired: This appllcation i. to be submitted with two complete sets of plans showlng di- mens~ons and neight of sign; advertising message on sign; location of sign on property with di- mensions to property lines, structural details of support framing, bracing and footings; materials of construction for sign and lign structure; electrical equipment and lighting; size and location of exlsting signs on property for. the s~me busienss. all as required to determin~ com~liance with the Sprlngfleld Sign Ordinance (Artlcle 7 of the Sprlngfield City .Code). Also,. show the follow- lng lnformatlon on the plot plan (plan showing property lines and locatlon of sl&ns): II', ,',I 1) 2) 4) a) Show the locatlon of all exlstlng sign(s) as well as proposed sign(s). b) Show the length of the street frontage taken up by the business or buil~lng. For wall signs, show the length of the building frontage. c) Show, the location of entrances open to the Pu~lic and dri~eways. When required. because of design, size, etc., engineered drawings and calculations must be pre- pared by a licensed engineer or shall conform to design standards on flle at the Bu~ldlng Divi- sion Offlce. . Plans of insufficient clarity or detail wlll be returned to the applicant with no permit being issued. Signs must meet corner vision clearance requirements as described in Figure 9 of the Springfleld Comprehensive Zoning Code. NOTE: No sign may be erected which is less than 12 feet horizontally or vertically from overhead electrical conductors in excess of 750 volts, or less than 5 feet in any direction from overhead electrical llnes which are energized at less than 750 volts. If a oign is not installed withln 60 days after the date of issue of this permit, the permit shall be vold., , ., 5) 6) 7) 8) 9) Insoections: a) . Site Inooection - to be made before the sign is placed. Usually, the. Footing Insoection (It appllcaOle) may be made at the same time as the Site Inspection. Ihe Footlng Inspec- tion is to be made after hole(s) is excav~teci, but prior to the placement of c~ncrete. Final Insoection :,- to be made upon completion of all work. Electrical _ all electricaL ~lgn~ must be inspected fo~ electrical hook up after the slgn ls erecteo and before the 81gn ls turned on. b) c) . CALL FOR THE REQUIRED INSPECTIONS ON THE 24 ,HOUR INSPECTION LINE AT 726-3769 FOR OFFICE USE ONLY SIGN DISTRICT 0 ~~ DISTRICT (l (1 ) TOTAL SQUARE FOOTACE OF SIGN ~l6 (-('i)"' r!J . REOUlRED INSPECTIONS: . I ~ _SITE/LOCATIOll '~OTING OR METHOD OF ATTACIlMENT ,~EC:RICAL ~NAL JOB II q\{)~ wlo SIGN PERMIT FEE3~ ,SO tib~~.~.~AL PERMIT FEE; ( ..\'oqULQ. t N\LmJ U-: t ,,; .~7. 5TA'I'B L / ' if) 1.0 & il:dQ; 'JS6 TOTAL: o~,sd 51:JReUrU\.uw; ~ DATE.....:.",.s.; ~.<-." /'; RECEIP'(?',::>~ CLERK ~~ .- ~ q ~ SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN: ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED: , . APPROVED UATt,\g,\<~.q \ '..' ~ , ' 'r-... f'?oo.. BY:~ ~ G=\CJC\ )(~) , .! SPRINGFIELD SIGN ORDINANCE ~, city of springfield 225 n. 5th street SPRINGFIELD I N FORMATION: 726-3753 . . INSPEC'T10NS: 726-3769 SIGN PERMIT APPLICATION IN/sf flf':,i't~ A. LOCATION OF SIGN (ADDRESS) , J f/l7 AO",eelr ~atk~ 6a!1- ~ I I , I LECAL DESCRIPTION TAX LOT-l! r/9r,d. 'T&~(Ji-.ttw :tJ{1i!:d #'t 1- WkLl , I OllNER OF SIGN (IF OTHER THAN PROPERTY OWNER) AI fA- NAME OF BUSINESS, FIRM,ETC._f!flM.i,r~S I c. STRUCTURAL TYPE 'OF SIGN:. ~ALL , FREESTANDING ____ROOF PROJECTING OWNER OR PROPERTY ADDRESS fltA i tf ell\ ~fjjJ AI: ADDRESS B. TYPE OF WORK: ~RF.CT ____ALTER RELOCATE ____OTHER ____ MARflUEE ____UNDER liARflUEE ____OTHER I . PHONE [). USE AND CPARACTER OF SIGN: ~DENTITY ____INCIDENTAL DOUBLE FACE 0INGLE FACE ____MULTI-FACE ____READER BOARD ____BILLBOARD E. VENDORS. CONTRACTORS: ' ' SIGN ERECTOR J1it..tl ((41- ~I~( [IJ~- J.DDP.ESS /6 tfr wetf- '7 ,I&P, CITY LICENSE IIU!iBER ('{6 "If' !nzlt7' SIGN liANUFACTURER (IF OTHER THAN ERECTOR) ADDRESS ffr Grr~~iJ M,. F. ' DIMENSIONS, I/ISTALLATION & CONSTRUCTION TOT~L HEIGHT ABOVE GRAOE I [{L~{' VERTICAL DIMENSION OF SIGN b '~fnlt HORIZONTAL WIDnr OF SIGN _7-(1 -IJ.!!. DHIENSION FROM GRADE TO I --'_ 1 (( BonOM OF SIGN .'I ' U TIIICKNESS OR DEPTH ~ DOES SIGN PROJECT BEYOND /, /. ' PROPERTY LINE? ___YES ~NO IF YES. DUIENSION BEYOND PROPERTY LINE ' . NOTE: IF PROJECTIOn IS tlORE THAN 12" OVER PUBLIC PROPERTY!TPY. 'SIGN ERECTOR IruST FILE. WITH THE BUILDiNG DIViSION COPIES OF HIS/HER LIABILITY AND PROP- ERTY D~~GE INSURANCE POLICIES. I. DESCRIBE TYPE OR l-'ATERIALS SIGN IS CONSTRUCTED OF.' - TwIJ-..Jlidp...1- vl""y / ,fIId1./t1ttVtL _I)I/fy- ~f rrdr<l . : K. VALUE OF SIGN: 11. '1 t?J.flJ) ~ I rIlONr.~ R4 - lUJL{), AiII.~JIhP ZIP Pl7lftJl.. EXP. DATE 'i tJiVl (' nv.. (~A', &JJ PRONE (!o14) ltffn: 3M? G. EXISTING SIGNS ARE THERE ANY EXiSTI!1G ~IGNM ___YES ~O !nnlBE~ SIZE IN SO,FTG. ALL EXISTING SIGNS I I FOR r.USINESS~ 4 ~ p'~ H. HI~L SIGN HAVE ELECTRICAL tm&;;? VII} / IF YES, WIlICR APPLY? ELEC~CAl ~ . _ILLUMINATED (INDlRECTtY L~GRTwl I I ELECTRICAL COllTRACTOn II ~~ ADDRESS ' 'vfl LISC. NUMBER PI:ONE J. SITE INFOP1~TIOll (LAND USE) -- EXISTING USE OF BUILDING OR LAND (nR LAST USE IF VACANT) I f'e it1 tf -- '-- tfg(u",f - / ~INDOOR BUSINESS _OUTDOO:l. l'ERCHAllDISING PROPOSED USE OF BUILDING OR LAND, I y JI--rtA I I , v . l L'I HAVE CAREFULLY E~IINED the completed application for permit and do hereby certify that all information 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 Sorin~field, and aU other Ordinances of the City of Springfield and the laws of the State of ~re~on peitainlnA to t~e work described n~~~Ln. I further certify that my 3~zn Co~tractor Li- cense with the City of Springfield is in full force and effect as required by Springfield Codes 8-2-6(3) and 9-7-20(2). I will request all required sign inspections listed on the approved permit. NAME (PLEASE PRINT) SIGNATURE kit!l~ lT~f / /'./~ /}mA- - ;p DATE <;-- z!I-q I u PLEAS E REA' ., , . 1) Separate Si~n A~p1ication: A separate application is required for each separate sign as defined 1n the Sign Caae. Electrical: Any permit issued under this application viII include viring in or on sign structure, the supply wires for connection must be covered on an electrical permit. Electrical connection must be made only by a State Licensed Electrical Contractor. Illuminated signs (both internally and externally) must conform to Sections 9-7-4 (4) & (5) and 9-7-18 of the Springfield Sign Or- dinance. 2) 3) Plans Required: This application is to be submitted with two complete sets of plans shoving di- mensions ana neight of sign; advertising message on sign; location of sign on property with di- mensions to ;property lines, structural details of support framing, bracing and footings; materials of construction for sign and sign structure: electrical equipment and lighting; size and location of existing signs on property for the same busienss, all as required to determin~ com~liance with the Springfield Sign Ordinance (Article 7 of the Springfield City Code). Also,. show the follow- ing information on the plot plan (plan showing property lines and location of signs): a) Show the location of all existing sign(s) as well as proposed sign(s). b) Show the length of the street frontage taken up by the business or building. For vall signs, show the length of the building frontage. c) Show. the location of entrances open to the pu~lic and driveways. When required, because of design, size, etc., engineered drawings and calculations must be pre- pared by a licensed engineer or shall conform to design standards on file at t~e Building Divi- sion Office. Plans of insufficient clarity or detail will be returned to the applicant with no permit being issued. Signs must meet corner vision clearance requirements as described in Figure 9 of the Springfield Comprehensive Zoning Code. NOTE: No sign may be erected which is less than 12 feet horizontally or vertically from overhead electrical conductors in excess of 750 volts, or less than 5 feet in any direction froo overhead electrical lines vhich are energized at less than 750 volts. If a sign is not installed vithin 60 days after the date of issue of this permit, the permit shall be void. ' Inspections: 4) 5) 6) 7) 8) 9) a) Site Ins~ection - to be made before the sign is placed. Usually, the Footin~ InsDection {it applicable) may be made at the same time as the Site Inspection. Ibe Foot1ng lnspec. tion is to be made after hole(s) is excavateci, Dut prior to the placement of concrete. b) Final InsDection.- to be made upon completion of all work. c) ~lectrical - all electrical signs must be inspected for electrical hook up after the sign is erected and before the sign is turned on. CALL FOR THE REQUIRED INSPECTIONS ON THE 24 HOUR INSPECTION LINE AT 726-3769 SIGN DISTRICT tfJVl'U ZONE TOTAL SQUARE FOOTAGE OF SIGN fUR UH'lGJ:;_USJ:; UNLY D",ICT C l' ) . 0'0' JOB II q \l)S~: WlO SIGN PERMIT FE~/2; . ~ REOUIRED INSPECTIONS: ___SITE/LOCATION ~OTING OR METHOD OF ATTACHMENT ~LECTRICAL ~FINAL OTHER E},r;,,:r;n.~\,t.n..&.l r.c;.,\.u~:.L t;.c;..c;.: , ~~...n....~ v.:..,..'luiRG'E: - -"'\ \ QQ 0 r-1Tu, P f'l \J I. ~Q \[ffii 't", ~ 1..". 'Q n \ "0(\ \ - 1\ 0\ l<:>f-r t-t~ TOTAL: 0 ~ ' ( ~ \) \1"*r\ ~ f... V .'( f\.0in~)jp11o..)o,m. S~~-~/ . RECEIP11.:4092.1 CLERK rCJl Lt'Y1 /?;,,,--,- .:: - J - -----,,; SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN: ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED: APPROVED B~ \~ . I DATE (0 \~ q I SPRINGFIELD SIGN ORDINANCE SECTION: ~ city of springfield 225 n. 5th street SPRINGFIELD .. INFO RMATlON: 726.3753 . A. LOCATION OF SIGN (ADDRESS) , /ftl7 ,All'" .e.fr :oar ):;''''-'U( TAX LOT of! PHONE zA:J - '111 ( P'rJtf{~J.IP It iit 7 S~ np/ PHONE (ljfJ , TYPE OF BUSIllESS Ye~i I INSPEC'T10NS: 726.3769 601Jf 6leVtit~ i", , C#py , httff SIGN PERMIT APPLICATION B. TYPE OF WORK: X:-ERECT _ALTER LECAL DESCRIPTION OWNER OR PROPERTY WttyJ'.h CPo/IJ..af,A'v. ' ADDRESS3/)JJ A/, T/JlMflb'iwk r d a ...r/L ~. Ol-lNER OF SIGN (IF OTHER TllAN PROPERTY OWNER) ~ (,Wr;.,y ADDRESS A/I A- ' NAME OF BUSIlIESS, FIRM,riC. ,1J((llIdtf . ~'^~( , C . . STRUCTURAL TYPE 'OF SIGN:, ~\IALL FREESTANDING _ROOF _PROJECTING _RELOCATE _OTltER _MARqUEE _UNDER llARqUEE _OTHER D. USE AND CP.ARACTER OF X'IDENTlri INCIDENTAL DOUBLE FACE 25' SINGLE FACE _MULTI-FACE _READER BOARD _BILLBOARD SIGN: E. VENDORS, CONTRACTORS: " . SIGN ERECTOR ,To"'ef fi~{... ('I(It~,?, ,1.DD~.ESS /67r weJt- ,7!1~. . J:...1A.1t16-.1 . r//(tf C,7v77 SIGN llANUFACTURER (IF OTHER THAN ERECTO~) . S;(j:, "[I)",,, ADDRESS &"SJ (,/"{A...dVcB/,-JM/, ~Ufvu..h/~. O{f PHONE PHONE i 0t -'-IJf1? ZIP q 7'-1Ah CITY LICENSE lTU!1BER EXP. DATE Uu{~)Ltr6 - J 6 O? F. DIMENSIONS, IIISTALLATION & CONSTRUCTION TOT~L HEIGHT ABOVE GRADE 1&-'- 0" VERTICAL DIMENSION OF SIGN ;:;. '- ~ '{ HORIZONTAL WIDTlI OF SIGN ~c- -fJ (( DINENSION FROM GRADE TO I r--I_ I. (/ BOTTOM OF SIGN ~ V TIIICKlIESS OR DEPTH .!()..- DOES SIGN PROJECT BEYOND '# PROPERTY LINE?, YES NO - , IF YES, DUIENSION BEYOND . PROPERTY LINE . . NOTE: IF PROJECTIOn IS !lORE ,TllAN 2" OVER PUBLIC PROPERTY TP.E 'SIGN ERECTOR ~roST FILE'WITH THE BUILDiNG DIVISION COPIES OF HIS/HF.R LIABILITY AND PROP- ERTY D~~GE INSURANCE POLICIES. G. EXISTING SIGNS \ / ARE TlIERE ANY EXiSTIllG ~IGNS? _YES 6,NO Inn1BE~ SIZE IN SO,FTG. ALL EXISTING SIGNS' FOR EUSINESS, ETC. f1--- I. DESCRIBE TYPE OR I'ATERIALS SIGN IS CONSTRUCTED OF. . . ". / ~tJ{Vif.Pn~ Vr.~/ ~.ll- ~v,}/' ~1 #W'l. . H. HI~L SIGN HAVE ELECTRICAL \IIRIlIG?~' IF YES, WHICH APPLY? ELECTRI~' SIGN . _ILLUMINATED (INDlRECTI:Y LIGHTt:D)~~ .bv' ~~~~:~CAL COIlTRACTO~~~_ el LISC.NUMBER /~ ~ 9H J. SITE INFOP11ATIOIl (LAND USE) -- EXISTING USE OF BUILDING OR LAND (nR LAST USE IF VACANT) . K. VALUE OF ;/ ) 'ill SIGN: 2 ( q(f)D ~~ -- f;('a/~/,^+-' V'f:M1"-!__ /' JlLiNDOOR BUSINESS __OUTDOO~ MERCHANDISING' PROPOSED USE OF BUILDING OR LAND, /l I-I _ (c t/',tULL 1 _ t.,.... \ o J L. I HAVE CAREFULLY EXA}IINED the completed application for permit and do hereby certify that all information 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 Soringfield and all other Ordinances of the City of Sprin~field and the laws of the State of Ore~on peitaininK to t~e work described n~L~Ln. I further certify that m~ ~!zn Co~tractor Li- cense with the City of Springfield is in full force and effect as required by Springfield Codes 8-2-6(3) and 9-7-20(2). I will request all required sign inspections listed on the approved permit. NAME (PLEASE PRINT) SIGNATURE 01/,;'" :J~ /.R~- nAlA~ ,d/fr .. DATE ,\'- 2 ~-Vt / DISTR::: O~;;Dli\: )JOB U t () ~ er SI<iNPERMIT FEE:a..~ ,?:/;::;, REOUIRED INSPECTIONS: ~ '--J _SITE/LOCATION .t..QOTING OR METHOD OF ATTACHMENT <'ELE6T1Ul:.\l. PEI\IIlHEE; ~ECTRICAL ~NAL' . . , ~=~~~t~g . ,.,_..,-" t-. <L)lS) ~~) t' ~ ~ ^,C'\'\-~ Qi)a=tT(J0 YTAL:. :0<6 .Si'J ., - 1 PLEAS E REA' . 1) Seoarate Si~n Application: A separate application is required for each separate sign as defined in tne ~lgn ~ode. , Electrical: Any permit issued under this application will include wiring in or on sign structure, tne SUPplY wires for connection must be covered on an electrical permit. Electrical connection must be made only by a State Licensed Electrical Contractor, Illuminated signs (both internally and externally) must conform to Sections 9-7-4 (4) & (5) and 9-7-18 of the Springfield Sign Or- dinance. I 2) 3) Plans ReQ~ired: This application is to be submitted with two complete sets of plans showing di- mensions and height of sign; advertising message on sign; location of sign on property with di- mensions to property lines, structural details of support framing, bracing and footings; materials of construction for sign and sign structure; electrical equipment and lighting; size and location of existing signs on property for the same busienss. all as required to determin~ com~liance with the Springfield Sign Ordinance (Article 7 of the Springfield City Code). Also,. show the follow- ing information on the plot plan (plan showing property lines and location of signs): a) Show the location of all existing sign(s) as well as proposed sign(s). b) Show the length of the street frontage taken up by the business or building. For wall signs, show the length of the building frontage. c) Show the location of entrances open to the public snd driveways. When required, because of design, size, etc., engineered drawings and calculations must be pre- pared by a licensed engineer or shall conform to design standards on file at the Building Divi- sion Office. Plans of insufficient clarity or detail will be returned to the applicant with no permit being issued. 4) 5) 6) Signs must meet corner vision clearance requirements as described in Figure 9 of the Springfield Comprehensive Zoning Code. NOTE: No sign may be erected which is less than 12 feet horizontally or vertically from overhead electrical conductors in excess of 750 volts, or less than 5 feet in any direction froe overhead electrical lines which are energized at less than 750 volts. If a sign is not installed within 60 days after the date of issue of this permit, the permit shall be void. . Inspections: 7) 8) 9) a) Site Ins~ection - to be made before the sign is placed. Usually, the Footing Inspection (it applicable) may be made at the same time as the Site Inspection. The ,footing Inspec- tion is to be made after hole(s) is eACavateci, but prior to the placement of concrete. Final Inspection.- to be made upon completion.of all vork. ~lectrical . all electrical signs must be inspected for electrical hook up after the sign 1s erecteu and before the sign is turned on. b) c) CALL FOR THE REQUIRED INSPECTIONS ON THE 24 HOUR INSPECTION LINE AT 726-3769 ~(~ SIGN DISTRICT 0(\ (L~ 9;()(J) I TOTAL SQUARE FOOTAGE OF SIGN DATE~~ ~:~:9 /. RECEIP-f...."2~ . ;' - CLERK ./.~ ~A - . ) SPECIAL CONDITIONS TO BE SATISFIED BEFORE ERECTION OF SIGN: . ADDITIONAL INFORMATION NEEDED BEFORE PERMIT MAY BE ISSUED: APPROVED .' llATE (0' rg:.q ) SECTION: SPRINGFIELD SIGN ORDINANCE