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Home My WebLink AboutPermit Signage 2005-7-29 225 FIrm STREET 0 SI'RINGFlELD, OR 97477 _0 rH:(54l)72G-g75g 0 FAX: (541 )7ZG-gG89 ~j Q) 0, ,,_Ii Banner Location q;)J .~ 'r-I~ :;?> Assessors Map e,) ,..-l~ tr'-' ~l Owner of Property ~J ~ ~ e.) l.,-It ~ ~ ~ , .' ~) ~.J -,) ,~_.I{ el ~ ~l ~I ~l ~1 ~~ ~ U IJ l~ .'~i ,i . -l ~ ~l. ~~ ~j Cl)) g:l ~l ~l ~l- d'd' j !.l ~l . . SPRINGFIELD' . . '. , . ,.1, , ',,I -~. CITY OF SPRINGFIELD, OREGON -_._:'(,:~" ", ' City Job Number ~ Z.OO r - 0 ( 0 'Z... '"I .:z 79 cJ GA./.2: ~/>v .5 r , /70 J"2200 Tax Lot pz3'cc lfes~u'" laW requ U\ilitt ~N1'9N: Of8~: b~ \\'Ie oreg~: set 10(\\'1 I"'./~?ot? v4 ~~esad~P. "hOse(Ule~~Qq5Z.001' 7 ..;~tif\ca\ion ""~. ~010 \\'Iro~gll "', \\'Ie rules 0'1 C')' __ "'~2.()O.. o~eso ... ne Address ~ 7 9'0 G -0/ -e .u-'.-d 1/ \n 01\.1'1"'" _ a'l nn\a\n Ph "tn IA\ell"o /"1\90.'(0\1'" \er It-lo ..... No\iliCa\lu" . _....--:.- / /J \IV ~~he cen . on U\III\)' =- L/ ,City <) 4? ..-" _...1"-/02.//0'/ call fGt-l~ _ .t''''l.'ZIfA'' x '7 T 7 "7 , (/' I\um center Is 1.61.lV';.r~ COil tractor/! Ilstaller OWller Contractor /';-6-:.A/ /77~j" ~r Address .2:?Z ,.;- r;' ,-o~~~-- ~.r Phon~ ,"7 Y /- '7 -s-~ .2 7 S- 2-- Cit:, <) ~ ~/.L-- -r "tate G~ 7.ip :7'7Y':7 7 Construction Contractors Registration # J:;"pires Description . <)//~~L.-- .S;_---'~_ ./?.4,; d. / /s-J ..v 3 ./ Date ofInstallation /1 u~ if- - o.s' DateofRemov~l D70/ c> S- , c,..; Bannl'r Permit Fl'e $80.00 + Required Deposit $100.00 + 10% Administrativl' Fl'e By signature, I state and agree that I have carefully completed this application and hereby certiry that all information herein is true and correct. I further agree and understand that the above,described banner(s) is not larger than 60 square feet, and will be removed within 14 days ITom the date listed above. If the banner(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 14th day to request an inspection to veriry the removal of the banner(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) has been removed. . C ) ~ Q.. ~/ r') ...~P,*..b-- Slb'11ature....! _----" 'f - ~C"~ Datpdl .,:..~~~~ -- - . 'i:.'f..I'I\\t II . II IS \'l\J I For Office ~~i\C\NlII SI-\f'.\.\ 11-\1'2> I''i:.~~\) r()~ j\.lIS 1''i:.,'I-t':' Ij~\)'i:. t>.'6f'.~\)()~ Job # C s P, \I.(O.'Z. i;(" r\R IS Receipt I' , '-()NlW.\:I'lI.J"'~ 1''i:.~IU\J. C. , ' '~IJ \)1'1 / , 8 Amount-<~ollected ,.. Date of Application yz~~ 'b~ Issued By Shared Drive (f:)/Building Forms.lBannc:t Pemlil eSDI.o3.doc . Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01024 ISSUED: 08/10/2005 APPLIED: 07/29/2005 EXPIRES: 09/01/2005 VALUE: SITE ADDRESS: 2790 GA TEW A Y ST ASSESSOR'S PARCEL NO.: 1703220002300 Springfield TYPE OF Banner TYPE OF USE: New PROJECT DESCRlP1;ION: Banner -Install 080205 removal date 090105 . Owner: UMPQUA BANK-CORP : Address: PO BOX 1820 ROSEBURG OR 97470 Contractor Type Sign Contractor OWNER # ofUnils: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Commercial I CONTRACTOR INFORMATION I License Expiration Date Phone ___I ,~,..,"I. n,pnnn law requires yo~.~~, liJtiiLDp"G INF1?RlVfArfo~~tJ;r~ ~~;'i~rth Notification Gemel. I "w_ r -h'OAR 952.001- . in OJ{#rl'~~~!:le!l:001 0 throug he ruleil91. Size: 009(fI~~~~l\fly obtain caples olt I honiq Ft 1st Floor: J;r.p'e ofJteatiter. (Note: the te ep t' 0 Ft 2nd Floor: C?W~a~I'~' Yll;~ Oregon Utility Notlllca I ~ Ft Basement: nuIDOtJ1 "n; 344) -Kangt ,P',T is 1-800-332-2 . Sq Ft Garage/Carport Energy'Patb: Sq Ft Other: Sprinkled nla Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: . ~E \~pt\1'- _ _"...c.. .-v.UIl'\b W. '\h It ~,i1\ IPUBLlC'iMPRO\(EMENTS'i, \~\S\'~NE6 \01'- "ouI'\'-1-' to', - ',,,,,I\\llu !\\.l\" "~.cg @ \9 r;~ Sidewalk Type: C,OM\\\~~:~,,~ ~~\;\199' DownspoutslDrains ,';l..It.'\IlIIl>'" \!I"" I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated I of 2 . . CITY OF SPRINGFIELD Status: Issued 225 Fifth Street, S'pringfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01024 ISSUED: 08/10/2005 APPLIED: 07/29/2005 EXPIRES: 09/0112005 VALUE: Total Value of Project Fl'l'S Protid I Fee Description + 10% Administrative Fee Banner Special Permit Deposit Amount Paid Date Paid $18.00 $80.00 $100.00 8/10/05 8/10/05 8/10/05 Receipt Number 1200500000000001178 1200500000000001178 1200500000000001178 Total Amount $198.00 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. 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 hereln~ and that NO OCCUPANCY wiD he 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 . 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 ofthe property, and the approved set of plans wID remain on the site ata:lti~~~:t~~~~ c? - /~_ c7~- Owner or Contractors Signature Date 2 of 2 i 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~r "JOb/JlMlrnal Number J C,OM2005-0 I 024 COM2005-01024 C0M2005-01024 Payments: Tl1'e of Payment Check 1. . :\ '. . - V I " " i " :(' " '\ '. ;, '. I:, , , , " , !; I :, '(; ~ 'I I . . ~ ; \ 8/1012005 :(. . RECEIPT #: ii~ aity of Springfield Official Receipt .evelopment Services Department Public Works Department 1200500000000001178 Date: 08/10/2005 Description + 10% Administrative Fee Deposit Banner Special Permit Paid By UMPQUA BANK Received By djb I of I item Total: Check Number AuthOrization Balch Number Number How Received 507754 In Person Payment Total: 2:50:20PM AmlMlnt Due 18.00 100.00 80.00 $198.00 Amount Paid $198.00 $198.00