HomeMy WebLinkAboutPermit Signage 1999-3-15
SPRINGFIELD
JOE' '/IBER
/-
C\ c OS'l()
SIGN PERMIT APPLlCA TIOh.
Inspection Line: 726-3769
225 Fifth Street
Springfield, OR 97477
SITE ADDRESS: <g''1 <6 . Be (+-I i "~ flOtiJ.
ASSESSORS MAP: \' I D')~ ~ II
OWNER: ~1I"'a" -Oel/e Ip,t'J'?'ltl\-r C()r,PtJ r4 t-J'b^
ADDRESS: 3'1 0; IT~ Jt:I" \I; e w L4 "e
I
CITY: C::;P~/"A./'/( ld. STATE: Ofl
, I'
BUSINESS NAME, FIRM ETC.: ()J~+-ell ~ fA II'/r, 4 5P~J/1/ce-'
/
PHONE: 7-'1 '-~LJ'14
ZIP: qr'1r~
DESCRIPTION OF PROPOSED SIGN(S): (please check and complete all appropriate information)
X Wall
Freestanding
Projecting
Roof
Marquee
Single Face
Double Face
Billboard
Other
Square Footage: \ lo Aft...k-.
U
Vertical Dimension of sign or enclosure: ::1''''~ /I
Total Height above Grade:
\ O.P.r
(?,_ I "J.-b II
Horizontal Width of sign or enclosure: 11 7iT
Dimension from Grade I
to bottom of Sign Enclosure: 'i ft - )
Electrical Installation: Yes No VALUE
(If yes additional electrical permit is required) OF SIGN:
~J?tJo" a
Material Sign is constructed of: /7- /u h?/h Ad h?
List ALL existing signage and attach a photograph of each sign: (5.e.L~ ~c~) -f ~Jooo.I- ~/Jfl--.
(a) Type
Sq. Ftg.
(b) Type
Sq, Ftg.
(c) Type
Sq. Ftg,
(d) Type
Sq. Ftg.
CONTRACTOR/INSTALLER:)/J,.P.Lf,'" &.tJ$,. <;/6)1) ~
, AT
ADDRESS: ::J..Q\+!rJlfIftetf(.,$.8nrJ. ~~ou to
. ....JQJI.Q.~ rules adopt~d by the Oregon Utility
CITY: /; tA...~:~n G~f'!.Bf. Thgs.';.' r\.,loC! ~rp ~t;lliorth
CONSTRUCTI&N~~~~-ePd@t~~~~~9~e9.~Q~hRNtr~~~~,:
0090. You may 'dotam COpl~ ~h -e I
CITY BUSINESS L1~\{jee ~!3r. (Note: the tel~~ho~e
L 'I ll' ""liiP'" IJ.lI:'. 111",..(. ..h"F\
IIUIII vi VI ._ _'\_~_." _..d"J
Center is 1-800-332-2344).
:1J'tc... ,
PHONE: ? 'i 2-J":j-tC,
STATf~:
T'!...lI~ OI:~~A/T (',EXPIRES:.
-. ...1 ",HALL tAP/HE IF T
N,P"HOR/ZED U~. HE WORK
"'~I~ I"'rl:)~W" .- .., - -
OFFICE USE "',:, ;\~ENCED OR IS ABANDONED' ~~~ "V I
.!\~\l.j10!""",," '""'-1" R
. " . '-"/ULJ.
Quad Area: I ~ N vJ
ZIP:
q "'=rct. () :2-.
Zoning:
Sign Permit Fee: .:$ 4b.
Ce.
Code Section:
c;~oo
~ . )..'5 to (1... ')
<k(.t.A...,JZ-- \.u .~
{)
DATE:
3-l~~'1 9
Sign District: T.: S
t.ol"V'\
Land Use:
, Approved By:
REQUIRED INSPECTIONS:
Site
to be m'ade prior
to sign placement
Footing
prior to placement
of concrete
~ttachment
after fasteners are
installed/prior to cover
/ Electrical
prior to energizing
electrical installation
/Final
completion of sign
installation
Additional Comments and/or Conditions: f:1.p~; ~ 'Pi.-V~-t- V"Lt ..u.'o..J- p(';or- b !l.\~e..h--..c.A-L 'IY\e;,hdlo-t;Dl'\
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein
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 of
Springfield, and the Laws of the State of Oregon pertaining to the work described herein. I further certify that only contractors and
employees who are in compliance with ORS 701.055 will be used on this project,
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that
the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during the installation
of the sign(s),
~gnature ~ ~
~
('
~ate '5 -- / :; ~ 7(
Validation:
Amount Received: Jf; If-tJ.
Receipt Number: ~ (yn ((
Date Paid:
3 - )~ ~ cr 9
Ci(t J)
,Received By: