HomeMy WebLinkAboutPermit Signage 2006-6-26
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I ZZ5 FIrrH STREET. SrRINGFIELD, OR 974 77 . rH:(541)726-3753 . fAX: (541)726-3689
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SPlRUNGFllELD ' .~ '_.
(J ~ CITY OF SPRINGFIELD, OREGON
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Construction Contractors License #
Expirp<
Description c.o",,^,Pt.t~ / CO ~ ZCo~-OO 6vo
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Banner Permit Fee $45.00 + Required Deposit $100.00 + 10% Adm}Q~~o.~~~ <;;
By signature, I state and agree that I have carefully completed thi\~~i t~~~~~ertify that
all information herein is true and correct I further agree and un4.~'\~ ~~~M~scribed
banner(s) and/or portable sign(s) is not larger than 60 square feel~~ ~ K,~ithin 30 days
from the date listed above, If the banner(s) and/or portable sign is ~(~ ~ithin the timeline
specified, I will forfeit the $100,00 deposit I also understand that tI\ThlMe&~ permit can be issued
only twice per calendar year per development area, I also agree to can~e inspection line at 726-3769
by the end ofthe 30th day to request an inspection to verify the removal ofthe banner(s) and/or portable
sign(s), ThiS~' ection will begin the process to return the $100,00 deposit if the banner(s) and/or
portable sign( as been rem~.
Signaturp' uJL \ - Jt\'Q) Datp h - / J; , rJ 6
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Date of Installation
biz 6;06
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For Office Use
Job# cb -oo7~f
Receipt #
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Amount Collected
Shared Drive (T:)/Building Fonus/Banner_Portable Sign Pennit CSD 8-05.doc
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00788
ISSUED: 06/26/2006
APPLIED: 06/26/2006
EXPIRES: 06/23/2006
VALUE:
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,
SITE ADDRESS: 770 S A St
ASSESSOR'S PARCEL NO.: 1703354208600
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner and portable sign - issned expired for code enforcement compliance.
C0D2006-00640
Commercial
Owner: I' COCO PROPERTIES LLC
Address: 1597 PROSPECT DR
EUGENE OR 97403
Phone Nnmber: 541-726-0283
Contractor Type
Sign
Contractor
OWNER
I CONTRACTOR INFORMATION I
eq~'res you to
r ~- ~..IT'ON: Oregon law r . ,Jcen'''lity Expiration Date
~,. ' the Or yOTrOn
, . m^l ru\e~ adopted bY.,_~ "" ~pt fDrth
~ic, ~il,oBuii:D-iNG,INF:'ORMA'J1l0N\r"",-001-
in OA" ~~- -..:" blain copies Dt tH6 rules by
0090, YOU#~frs.E:f!es: Note: the telephone
calling IHeiglit of\:;t~ncturelitY Notification
. ,.. thO (,\~800IlUll
number T-ype of Heat: 0-332-2344).
(Willer fy~e~\J
Range Type:
Euergy Path:
Sprinkled Building:
Phone
# of Units:
Primary Occnpancy Group:
S~condary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Street Improvemeuts:
Storm Sewer Available:
Special Instruction:
-
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot CWOWEE: XPIRI: If 1\-11: WORK
-rUle: PF~\i S\-I~L~ ~\ '\" olOQMli IS NOl
I PUBLIC IMPROV~E~f~o u~~~S 'ABANOONto fOR
CUNII^iIIO' v p~~ Type:
ANY 160 O{\l ~
Downspouts/Drains: .
frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paeel of 2
.
.L11 ~ OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00788
ISSUED: 06/26/2006
APPLIED: 06/26/2006
EXPIRES: 06/23/2006
VALUE:
Status Finaled
I
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,
Total Value of Project
F....~~
Fee Description
+'10% Administrative Fee
Banuer Special Permit
Amouut Paid
Date Paid
Receipt Number
$4.50
$45.00
6/26/06
6/26/06
1200600000000000961
1200600000000000961
Total Amount Paid
$49.50
I Plan Reviews I
,
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
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By siguature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
iuformation hereon is true and correct. and 1 further certify that any and all work performed shall be doue in accordance with
the Ordinances of the City of Springfield and the Laws. of the State of Oregon pertaining to the work described herein, and
th~t NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors aJld employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that al~r(qu1red inspections are requested at the proper time, that each address is readable from the
st~eet, that the permi~rd{7l6&~d at the front of the property, and the approved set of plans will remain on the site at all
tiriIes during constructiD{ ,0/',(
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Ofner 6ntractors Signature Date {' (
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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CAof Springfield Official Receipt
~Iopment Services Department
Public Works Department
RECEIPT #:
1200600000000000961
Date: 06/26/2006
11:02:37 AM
Job/Journal Number
COM2006-00788
COM2006-00788
Description
+ 10% Administrative Fee
Banner Special Permit
Payments:
Type of Payment
Check
Paid By
F COCO RESTAURANTS LLC
Item Total:
{;heck Number Authorization
Received By Batch Number Number How Received
Amount Due
4,50
45.00
$49,50
Amount Paid
djb
1017
In Person
Payment Total:
$49.50
$49,50
cReceintl
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6/26/2006