HomeMy WebLinkAboutPermit Building 1981-8-18
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CITY OF SPRINGFIELD
SPRINGFIELD, OREGON 97477
IXSPECTIOS REQUESTS: 7~6.3~69
tNFO~~TION: 726-3iS3
Cln OF SPRI~'GFIElD
SIG:/ CONSTRUCTION A.~O ELECTRIC~L INST~LLATION
CO~IB WATION APPLlC~TIO'/PER'I[T
, LOC~TION OF SIGN(~DDRESS) ~7),,::>"2._ ',~/.z/;//-7 _/~/?-
LEGAL DESCRIPTION 17 - t) i~ - 2.. ~ - 2.,?)
Ol<NER OF PROPERTY /.17 /2.."..." -" ;r-.?-1Q
ADDRESS ? 1'.' "7_ -?_ ~ // ~.~:-"'Al1
O"'NER OF SIGN(IF O'!HER T1iA.~ -PROPERTY OiMER)
~DDRESS
Ji - , /.4
;--)/:I4}:!.....~~/..L'i:Ti' ..
Y ,::?v' r
. TAX
LOT . as?!>-O . "
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BUSINESS-Pfl<"....r~-?"'/'~n
Q}
PHONE
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..%""'-':--4A, ..t!-
..Y4n~?d #..L,....;
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ZIP
PHONE
TYPE OF ;\QRK;
ERECT
RELOC~TE
~ ALTER
O11IER
A1a/vY7/ (~
,
TYPE OF
I;ALL
TYPE OF
NA-'IE OF BUSI'ESS, FIR'I, ETC.
rl-l.L..,\J r~r
t:"'"..n(,=. '"
~ ROOF
flARQUEE
OTIiER
SIGN:
::i.. FREESTA-~DING
PROJECTING
READER BOARD
BILLBOARD
S[GN CI~\RACTER
:i. IDENTITY
PROJECTING
lNClDENT~L
::L DOUBLE FACE
(CHECK APPUCABLE rTE~!S):
NON-[DENTITY
SECOND~RY
SINGLE FACE
MULTI-F~CE
VE~OORS. CO~;rR.\CTORS:
srG}l EREcrOR 14EA-iH Mf'I'Ti-lo. ur;:;l:, r -CAlc,
ADDRESS 1'" S- N .;:.. C 0 L. " N1 '& I A T"'"'l 1_ d .\
CITY LICENSE SIr.-IBER
SIGN flA.~UFoICTURER ([F OTIlER TI['-~ ERECTOR1
ADDRESS 1;1;" kl.';-. (' ()/__ ,)-">>'1 ('-..,)..
ELECTRICAL CONTRACTOR rJ() iJ G
ADDRESS
-=1'" '" .' _A.AJ D
DIQ....
PHONE .!2.~~ -0 JJ n
&77"':!:. (I
UP. DATE
SAMF
/1.,
A nr'/J::.-
h\_lJ/) ,
(Ex\Sn1J6 ')
PHONE :2Y'"? - 0 I I u
PHONE
UCENSE NIr.-IBER ?7< ,/';(!!.
DDIE~SIO~:S. IXSTAlL\T10S :\.\:0 CO:-;STRUCTION INFORH.\TIO~:
TOTAL HE[GHT ABOVE GRADE 1~'
DWESSION FRO:'I GRADr: TO BOTIO~I OF SIGN
DOES SIGN PROJECT BEYO'O PROPERTY LINE YES ~ NO [F YES, D[~IENSION BEYOND PROPERTY LINE
:-;OTE: If PROJECTIO' [S '.:ORE TII"" 12" OVER PUBLIC PROPERTY TIlE S[GN ERECTOR :,IUST FILE I;ITIl TIlE BUILDING DIVISION COPIES OF
HIS PUBLIC LIABILITY A-'O PROPERTY D~~GE INSU~'CE POLICIES.
WILL StGN IlAVE ELECTRICAL l;tR[NG? ~-"o IF YES, WHICH APPLY? _ELECTRICAL SIGN .>:(,ILLIr.-llNATED (INDIRECTLY LIGIITED)
DESC~IBE TYPE OF U_'T~~[ALS SIG~! IS CO~!ST?~CTED Q? ,. /YtE ,-.4/ _ 'I- .t7~F- ><
VERTICAL DlllENSION OF SIGN / C, (
~~ ' THICKSESS OR DEPTH OF S[GN
HORI2QNTAL WlD'!H OF S[GN 4? I
1(.: !(
PROVIDE UL NUflBER IF APPLICABLE ;:; XI'" T 1~?4 VALUE OF SIGN ")oot::>,O..5:'
SITE INFOR'~TION (L""D USE)--EXISTING USE OF BUILOING OR ~~D (OR LAST USE IF VACA.~):
.5 A L- F S ij .~ / .... ~. ....., .. .~' - /~ ....., .~
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PRQPOSEO USE OF BU[LD['G OR LAND:
CHECK ONE IF APPLICABLE: INDOOR BUSINESS Js..OlITOOOR ~IERCHANDISING
ARE '!HERE EXISTING SIGNS? @ -"0 IF YES, DESCRIBE ~,EXISTlNG SIGNS FOR BUS~NESS.
RF: A hEll "'&PA-?' b /'J A/ ' P'/lIJ= S
EXISTING SIGNS (s.G~ CODE):
FIRM, ETC.: ::;;: 1(';0 ....
ALL EXISTING SIGNS ON PRE~I[SES(SA.'IE TAX LOT):
S[GN DISTRICT .
INSPECTIDNS REQUIRED:
I HAVE CAREFULLY E~\IINEO the completed application for permit ~nd 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. [further certify that my Sign Contractors License with the
City of Springfield is in full force and effect as required by Springfield City Codes S-2~6(~1 and 9.7-20(21. I will request
all required sign inspections listed on the approved permit. . ~
NAME (PLEASE PRINTJGEIIJE P4-/Y-!.S,.c,{) SIGNATURE/&.(~ ~~ c, - ":DATE?~/Y.c..'i:/
FOR OFFICE USE ONLY
ZONE DISTRICT TOTAL SQUARE FOOTAGE OF SIGN
_SITE/LOCATION _FOOTING OR METHOD OF AlTACHMENT _ELECTRICAL
, ,
-
, .
.'
,X FI~AL
/-
_OTHER
FEES,
SIGN PERlIlT:
QiARGES :
ELECTR[CAL PER.'IlT:
CIlARGES:
STATE SURCHARGE:
TOTAL FEE FOR PER.'IlT:
'-
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l,
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PLEASE f...E.AD
1) Seo~r3te Sign Aoolic~tion: A separate application is
separate sL~n ~s Jetincd in the Sign Code.
2) Electrical: Any per~it issued under this application
tng to or on sign structure, the supply wires for con
covered on an electrical permit. Electrical connecti
only by :1 State Licensed Electrical Contractor. 111u
intern~11y and externally) must conform to Sections 9
9.7.13 of the Springfield Sign Ordinance.
3) Plans Reouired: This- application is to be submitted
sets Ot plans dra_n to scale. showing dimensions and
vertising ~e5~age on sign; location of sign on proper
to property lines. scructual details of support frami
footings; catcrials of construction for sign and sign
tric:ll equip:uclIt and lighting; size and location of e
property for the same business. all as required to de
with the Springfield Sign Ordinance (Article 7 of the
Code). Also. show the following information on the p
showing property lines and location of signs):
a) Show the location of all existing sign(s) as well
b) Show the length of the street frontage taken up b
building.
c) Show the location of entrances open to the public
4) lihen req:Jired. because of design, si:e. etc., enginee
calculations DUSt be prepared by a licensed engineer sh.
to design standards on file at the Building Division
5) Plans of insufficient clarity or detail will be retuT
plicant with no permit being issued. (
6) Signs DUSt meet corner vision clearance requirements
Fig. 9 of the Springfield Comprehensive Zoning Code,
. 7)
~OTE: ~o sign oay be erected which is less than 12 f
or-Yertically froo overhead electrical conductors in
volts. or less than 5 feet in any direction from over
lines which are energi:ed at less than 750 volts.
8)
If :1 5i;n is not installed liithin 60 days after the d
this pe~it. the pe~it shall be void.
9)
Inscections:
a) Site Inscection - to be made before the sign is p
the Footln~ lnsnection (if applicable) may be road
ti~e as the Site Inspection. The Footing Inspect
made after hole(s) is excavated. but prior to the~
concrete.
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CITY OF SPRINGFIELD
City Hall
Springfield, Oregon
Department of Public Work.
OFFICIAL RECEIPT
No. B 5 7141
Dale ~~ Q\ ~ 1)4- 191=\ I
Rec'd Frcimt\l}lr\~h \\')\.0 ,(
Addres~ _~Tl 'QJ\L q(oCR) 1N:i.mcv
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Received For:
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Amount Received (~ LX:)
rrf,t 00 --l
"'UTHO"'ZIi:D SIGN"'TU"E
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b) Fin~l I~soection - to be made upon completion of all work.
DATE
c) Electric~l - All electrical signs ~st be inspected for electri-
cal hook up 3fter the sign is erected and before the sign is
turned on.
CALL FOR mE REQUiRED INSPECTIONS ON TIlE 24 HOU~ INSPECTION LINE AT
726-3769. "
SPECIAL CONDiTIONS TO BE SATISFIED BEFORE ERECTION OF SIGN:
ADDITIONAL INFO~'~TION NEEDED BEFORE PERMIT ~~Y BE ISSUED:
P~~S REVIEWED BY:
,---.
DATE
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