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
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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
"
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~~:::l~~ :,~ SECTION:
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. ",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
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DATE
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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' .
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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
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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
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SECTION:
SPRINGFIELD SIGN ORDINANCE