HomeMy WebLinkAboutPermit Signage 2006-4-20
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225 FIfTH STREET. SPRINGFIELD, OR 97477 . PH:(54 J)72G-375~' . FAX: (541)72G-3G89
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City Job Number COWfz-006-00 L(b 7
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170"52220
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Constniction Contractors License #
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Expirp~
Descriptior / fi,R"u.u{~
Date of Installation t/ f f( /~OU c:, Date of Remove I
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Banner Permit Fee $45,00 + Required Deposit $100,00 + 10% Administrative Fee
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 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 30111 day to request an inspection to verify the removal of the banner(s) and/or portable
sign(s). This inspection wi\1 begin the process to return the $100.00 deposit if the banner(s) and/or
portable sign(s) has removed.
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Date of Application V~c:>~G.
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Amount Collected
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Shared Drive (T:)lBuildins FonnslBanner ]orubJe Sign Permit CSO S.oS.doc
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.CITY OF ~rKll~v1'lELD .
Building/Combination Permit
PERMIT NO: COM2006-00469
ISSUED: 04/20/2006
APPLIED: 04/20/2006
EXPIRES: 05/18/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3194 GATEWAY LP
ASSESSOR'S PARCEL NO.: 1703222002501
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner - install 041806 removal date 051806,
Commercial
Owner: MICHAEL'S LEATHER & OAK
Address: 3190 GATEWA Y LOOP
SPRINGFIELD OR 97477
Contractor Type
Sign
Contractor
OWNER
I CONTRACTOR INFORMATION I
L' __le: \f'IEr.J\'-.~ t' D
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'Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy 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
,\0
Overlay Dist: " ,;rotal:.!
. eS'" ,,,,,,\'''-l
# Street Trees Rqd: ,,~,I ,HanlIicapped:
, Ie'" '00' , \\)'
Paved Drive Rqd: \'O-~ Ole ~C)mp'tl'J:"
% of Lot Coverage: Ole'0O'Co '0'\ \,\\e ~e'" 'O-\,9J<:)/; 'O'l
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Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00469
ISSUED: 04/20/2006
APPLIED: 04/20/2006
EXPIRES: 05/18/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F..e. tiWU
$14,50
$45,00
$100,00
4/20/06
4/20/06
4/20/06
Receipt Number
1200600000000000524
1200600000000000524
1200600000000000524
Fee Description
+ 10% Administrative Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Total Amount Paid
$159,50
I Plan Reviews ,
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,
~ouir..d ~
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 aDd 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 witbout permission of the Community Services Division, Building Safety,
1 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~struction.
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Owner or Contractors Signature
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Date /
Paee 2 of 2
225 Fifth Street
, ~
Sprmgfic!d, Or.egon 97477
541-726-~7'!19 Phone
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C&of Springfield Official Receipt
_Iopment Services Department
Public Works Department
RECEIPT #:
1200600000000000524
Date: 04/20/2006
Job/Journal Number Description
COM2006-00469 + 10% Administrative Fee
COM2006-00469 Deposit
COM2006.00469 Banner Special Permit
Item Total:
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Check STERLING FURNITURE djb 32258 In Person
Cash STERLING FURNITURE djb In Person
Change STERLING FURNITURE djb In Person
Payment Total:
Job/Journal Number Description
COM2006-00469 + 10% Administrative Fee
COM2006-00469 Deposit
COM2006-00469 Banner Special Permit
Item Total:
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Check STERLING FURNITURE djb 32258 In Person
Cash STERLING FURNITURE djb In Person
Change STERLING FURNITURE djb In Person
Payment Tntal:
Job/Journal Number Description
COM2006-00469 + 10% Administrative Fee
COM2006-00469 Deposit
COM2006-00469 Banner Special Permit
Item Total:
Payments: <":heck Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Check STERLING FURNITURE djb 32258 In Person
Cash STERLING FURNITURE djb In Person
Change STERLING FURNITURE djb In Person
Payment Total:
cReceintl
Page I of I
2:39:53PM
Amount Due
14.50
100,00
45,00
$159,5U
Amount Paid
$145,00
$20,00
($5,50)
$159,5U
Amount Due
14,50
100.00
45.00
$159,5U
Amount Paid
$145.00
$20,00
($5,50)
$159,5U
Amount Due
14,50
100.00
45.00
$159,5U
Amount Paid
$145,00
$20,00
($5,50)
$159,5U
4/20/2006