HomeMy WebLinkAboutPermit Signage 2006-10-3
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01261
ISSUED: 10/03/2006
APPLIED: 10/03/2006
EXPIRES: 11/02/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 555 W CENTENNIAL B.LY.Haw requiil'P~ili~W TYPE OF WORK: Banner
ASSESSOR'S PARCEL NOA:,'\ l!:.7(}31cmj9~~~ by the Oregon Utlhty
A""o\loW rules adopte e rules are set fortfYPE OF USE: New
PROJECT DESCRIPTh~btif~ltMS(fAa~'uI~~dUgt\~A\I\~:!9SQamoval date] ]0206
'_ f"\t\R 952-OO1-001?th __l....~ ntthe rules b\
Owner: CENTENNI~~Pt()~~aoo~~~t~:- the tele~ho~e
Address: 783] SE STARKOa\\.irnJ:t'M . on UtUlty Notification
PORTLAND ORuP/WIeJ for the.O~~:OO_332-2344).
'.: ! ....tor l~
I CONTRACTOR INFORMATION'
Contractor Type
Sign
Contractor
OWNER
License
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
NOTiCE!' BUILDING INFORMATION I
THIS PERMIT im~ EXPIRE IF THE WORK
AUTHORIZED u~Wi~~i~~cr~MIT IS NOT
COMMENCEDl{J~elQ)'AGMJDONED FOR
ANY 180 DAyW~~roope:
Range Type:
Energy Path:
Sprinkled Building: n/a
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Commercial
Phone Number: 503-25]-4888 ext
Expiration Date Phone
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa2e ] of 2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01261
ISSUED: 10/03/2006
APPLIED: 10/03/2006
EXPIRES: 11/02/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$14.50
$2.25
$45.00
$100.00
10/3/06
10/3/06
10/3/06
10/3/06
2200600000000001380
2200600000000001380
2200600000000001380
2200600000000001380
Total Amount Paid
$161.75
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.
I Reouired Insnections I
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon 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, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each 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
lim'::: '= ~ i"
r I............ - \.:~ -- /0-03- 0:
Owner or Contractors Signature
Date
Pa2e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
0.... of Springfield Official Receipt
L iopment Services Department
Public Works Department
RECEIPT #:
2200600000000001380
Date: 10/03/2006
Job/Journal Number Description
COM2006-0 1261 Banner Special Permit
COM2006-0 1261 Deposit
COM2006-0 1261 + 10% Administrative Fee
COM2006-0 1261 + 5% Technology Fee
Item Total:
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Cash V ALUE VILLAGE djb In Person
Change V ALUE VILLAGE djb In Person
Payment Total:
Job/Journal Number Description
CO M2006-0 1261 Banner Special Permit
CO M2006-0 1261 Deposit
COM2006-0 1261 + 10% Administrative Fee
COM2006-0 1261 + 5% Technology Fee
Item Total:
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Cash V ALUE VILLAGE djb In Person
Change V ALUE VILLAGE djb In Person
Payment Total:
cI~eceLOt I
Page 1 of I
1:IO:24PM
Amount Due
45.00
100.00
14.50
2.25
$161.75
Amount Paid
$170.00
($8.25)
$161.75
Amount Due
45.00
100.00
14.50
2.25
$161.75
Amount Paid
$170.00
($8.25)
$161.75
10/3/2006
~,
o
...-.(
r::./'J)
.'~.
~..
~
., '.....,t'
0,'
"
,:'.;;
f..(:;J .
d.),
Uk,
.,~,
~"
;:::.,
Gl).'.'
r:: .11""'\"
~~-i
~
~~/.
~,v
.,.: -(
~i
~;
~J;
~;
"., ,I.;
~(
~i.
OJ
U;!
Oi
~
'~a.'
~'-'
~
~i
~
~,
bJE);,
.,~:,'
r: "'.......'
\lJf,;....l"
".. . ').,
~d
'j.
"..0;
';~:.'"
~)
k
~..'.
~d'
~,
~,:",,\.,,':.1'
~;
~;
~',,'
~"~
~:;;t'
~..'.'.'.
"-~\
~1
SiF'rr:lltNGIF'Jfu1~JJ..D
225 FIfI'H STREET. SrRINGFIELD, OR 97477 . rI-I:(541)726-:H53 · FAX: (541)726-3689
, City Job NumberC.-OvV\. -z.oo 6 - D ( Z b (
Job Location
5-5 ~ W, C.QJ -f -<::.r/I JI. 001. I fj I uJ.
1/037/43
. Tax Lot
6 S-oO~
Assessors Map
Owner
Owner of Property LQAJe--,^V1 J().(\ ~n;v).;f~ (' ~rI-.f2r LL{.
IV tI
Address 7B ~ I
City ~c5+levJ_
Phone S-03 - ;;l~/--L(W& ~
Zip 9!f/)/,q-
5.9. -:5+a(K-- S+'STz. fO'7,
, State
Dl.
-....--, ~
"" ,,:;j., 11\.,I1\l:Uregun law . 4uli~::. }'Vi.l ("J
t' 'Q"t)~ ful'! ~dop~e~ ~. the qr1f~ Utilitv
. J~~lfl~""iliJfi ~~IJ.l.trr. 'Ilose rules are set ton
III OAR JI~~ -0010 through OAR 95f;ff,o 1
f)~Q:~ F,;;jY 86~h vUlJit;l~ or me rul~s t
. . .9JM'./ng the ~enter. (Note: the teleph .
ConstructIOn Contractors LIcense # nlJmt'larfAr !~g Drager; Ut;/;[y i~udiiCmirf'''
("","t"..C' ~ CO~ -~- ,
- .. v. Iv. V""',)'::::-C::,j44).
Contractor/Installer
Contractor--.D W" AlEVL
Address
City
Description ~CA.(J\V\ JJ!
Date of Installation /D - (j 3 - 6(0
Date of Removal //- OJ. - Or;
Permit l1ff1rfct~.75 including $100.00 Deposit.
By signature, I state and agree thalmfirf'f~<Mfft5lrlft.<rJ~~d...this application and hereby certify that
all infonnation herein is true and cOAija1Ha~rlER illia~sTMfuwaRf{le above described
banner(s) and/or portable sign(s) is 6QJtNj<Mf!Na~ rfI. lJ ~egf,IiMtlWB1~ltemoved within 30 days
from the date listed above. If the b~rfab'W pP i . agfMNB'UJlIla~R1oved within the timeline
specified, I will forfeit the $100.00 deposit. f'a so 'fi 1: ~and that this special permit can be issued
only twice per calendar year per development area. I also agree to call the inspection line at 726-3769
by the end of the 30th day to request an inspection to verify the removal ofthe banner(s) and/or portable'
sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
portable sign(s) .has been remo~ve}- -..
Signatur~ /?~'--i ~ ~ . Date IO-1-0?:-
For Office Use
Date of Application
16 / >~ b
/ r
:o~
Amount Collected
Job # C 6,- 0 I Z- b (
. Receipt #
/61 ~
Issued By
Shared Drive (T:)/Building Fonns/Banner_Portable Sib'll Pemlit CSD 8-06,doc