HomeMy WebLinkAboutPermit Signage 2005-8-10
""./.NG"_ ~
~ ' ~ " !
oWIL'-~~ ~ I
<_._-~- ;
~
,-.,..-"'" ~.. "-~
Status
Issued
CITY OF SPRINGFIELD~
Building/Combination Permit
PERMIT NO: COM2005-01077
ISSUED: 08/10/2005
APPLIED: 08/09/2005
EXPIRES: 09/09/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1507 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703253316200
Springfield TYPE OF WORK: Blimp, Portable Sign, Etc.
TYPE OF USE: New
PROJECT DESCRIPTION: Portable signs for Mookies - install 081005 removal date 090905
Commercial
Owner: PACIFIC CASCADE FCU INC
Address: 1075 OAK ST
EUGENE OR 97401
Phone Number: 541-343-6238
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
I BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
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
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved ~ti&vte&g\tes you to
^:rTENT\QN: QllaClM ~8tth8't9t@fgCn Uti\ity
1"\ do':-pt;'tedd bY set iorth
iollow ru\es ~_4-M 'Those ru\es are" t'u'\n1.
NotitlCa\,u~'nQ:::,. _.~L..-~' J{.\ ~3
, R 9~~ro lWl"'KU'Y.'~~es by
In OA, DlGl.\l1 v~.- one
0090, You may 0 (Note: the te\e~ . Sidewalk Type:
. the eenter. .' Notitlcatlon
callIng the Oregon Utility) Downspoutsillrains:
number tOf . 800-332-2344 ;
Center IS ~-
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation DescriPtion'
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
_~$JiGF;.'DiiiI.. T..'.........!...:.
WIr.~~ .
Ai'
.- .._-~---~-_... :
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01077
ISSUED: 08110/2005
APPLIED: 08/09/2005
EXPIRES: 09/09/2005
VALUE:
275 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
Blimp + Special Permit
Deposit
Amount Paid
Date Paid
$14.50
$45.00
$100.00
8/10/05
8/10/05
8/10/05
Receipt Number
2200500000000001071
2200500000000001071
2200500000000001071
Total Amount Paid
$159.50
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.
L Reouired Insoections 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
times during construction.
o~U~ac~~~~
I ~I ~~~.I .
B.-IO -0 S
Date
Pae;e 2 of 2
;225 Fifth Street
!'Springfield, Oregon 97477
1541-726-3759 Phone
<,'
Job/Journal Number
COM2005-0 1077
COM2005-0 1077
COM2005-0 1 077
Payments:
Trpe of Payment
Check
( ~
"
< ,
')
t
...
.,
'1
~,
~ :
,
"
.
;,
,.
t :f
~,.~
,
8/1 0/2005
RECEIPT #:
Description.
+ 10% Adminlstrative Fee
Deposit
Blimp + Special Permit
Paid By
JO MOOKIES
iity of Springfield Official Receipt
~evelopment Services Department
Public Works Department
2200500000000001071
Date: 08/10/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 2027 In Person
Payment Total:
Page 1 of 1
8:50:37AM
Amount Due
14.50
100.00
45.00
$159.50
Amount Paid
$159.50
$159.50
..
225 FIFTH STREET
SPRINGFIELD, OR 97477
. - . 0 77 (541) 726-3753
COWl z.o 0 S - C> l ' '40U\O FAX (541) 726-3689
~U\te$ \)\~.ci.springfield.or.us
BANNER, PORTABLE SIGN PERMIT On 'a~ t6 Ote~On e\ \o~~
COMMUNITY SERVICES DI~~O~~ 6 '0'1 \ne ~e$ ate s 5?lJO'\<>
f:>.\\~~\\es a6o~\eiose tU n o~~ 9 u\6$ '0'1
~\o\l'l tU Cen\et8 ft\!..~W:r~ne t {\e
. \0 . a\\On ..om ~~@RIoIWe~ 9
~o\~\C P. 95'2.-00~ n'Q\a.\n ,,\e'. \ne \,,\\\\ca~
\n uP" '{ou n\e>:l ~~et. ~~\)\\\\\'1 '" 44\.
(' ~ V"'Q~~~'Q~ Ote~~~'Z?(' ~
c.",\\\, \0\ t, .., ,\:()VJ
. Det L\$ 1-
nU~ Cen\eTax Lot 1 t:> zoo
225 Fifth Street
Springfield, Oregon 97477
Phone #:
u V'-. ,C) '^'
:1C(J -bZ 12
Zip: cy~",O L
City:
f' \!\
~ I.J \(1\
\
ContractorlInstaller:
\.Q..~\\
Address: \ So /
City: S ~~
{ Q~~-------'-^~\\
K\ ,-Ie \
State: Q ~
Phone #:
'-l \.-\ ,-\ \...\ \ ~ &
Zip: Ct '[ ~\ j')
Construction Contractors License Number:
Expires:
Description: ~(!) .r--\. <:... ~ \..L-. S \. ~ ~
Date of Installation: 0 if 10 0 S-' Date of Removal: () 70 , 0 J-
Banner/Portable Sign Permit Fee $45.00
Deposit Required $100.00
By signature, I state and agree that I have carefully completed this application and hereby certify that all
information herein is true and correct. I further agree and understand that the above described banner (s) and/or
portable sign(s) is not larger than 60 square feet, and will be removed within 30 days from the date listed above: If .
. the banner(s) and/or portable sign(s) is not removed within the timeline specified, I will forfeit the $100.00 deposit.
I also understand 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
of the 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 removed.
n.
U~ .~ '\-\~J~ X~4-0S
Signature 0 - Date
Issued By:
rg/r/or
,
ha
OFFICE USE
Date of Application:
Job #:L S" - 0 f 077 Receipt #:
Amount Collected:
l~ '5 )b