HomeMy WebLinkAboutPermit Signage 2006-4-20
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225 -FlITH STREET. SPRINGFIELD, OR 97477 . PH:(54 I)72G-3753 . fAX: (54 I)72G-3G89
City Job Number CO~ 'ZOC>b - D c:::> L( b '3
SPRINGFIELD ~~
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Job Location
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_ Tax Lot
Assessors Mar
Owner
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1'-\ I~'" dop\ea u~ ,,,- re set ,UI'"
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in 01'-1'\ 952 blain copies I hone
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UV~~', the centel. \'. -- \)\-\'\'1 NO"""'Cl"-'
calling 0 egon I I
number lor \h~ is ~ _800--332--2344).
lA-NFn\e 0 f) "?4,(1N '\
Owner of Propert:'
Addrp<< \ 4."'20
City~ .p
COIl/rac/orllnstlllLer
Contractor_~ I
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Addres~ \ t)CJO ~\'E
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Construction Contractors License #
Descriptio" cd X 3 ( ~~f'L-
Date oflnstallation 4 -/L{ - CPro Date ofRemov~1 S/tl{ ~ b
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Banner Permit Fee $45.00 + Required Deposit $100.00 + 10'Yo AdnJi\l~!~f!\'fee -
By .signatu~e, I state and agree that I have carefully completed t_hi~ \af~,~~li~~~'l1-'~\lf~ certify that
all mformatlOn herem IS true and correct. I further alIT\Y'l\9-d u~dsrstarrd thaf-tI1ecr!:lQ'Ve :tescnbed
banner(s) and/or portable sign(s) is not larger than\qTh\~'lill[~If~et,~1J.a\~i1~~e-~~;lI~ved within 30 days
from the date listed above. If the banner(s) and/or P!lrtaWt,,~~g'i1\s)n9i'~8ved within the timeline
specified, I will forfeit the $100,00 deposit. I also ul\d,;m~ifu\t~h!s;'S'~~clal permit can be issued
only twice per calendar year per development area. I ~s~~g\:.e.e~g;call the inspection line at 726-3769
by the end of the 30th day to request an inspection to ve!,i~ the removal of the banner(s} and/or portable
sign(s). msp 0 w egl e process to return the $100.00 deposit if the banner(s) and/or
port Ie sign(s) has b emove
'LC9:{
S /
Date of Application 'I /zo ~ b
/.-:>C>
ForOfjice Use-
Job #
Amount Collected
Issued By
, Da'p
4' VJ 'OlD
Receipt #
Ir'~
Shared Drive (T:)lBuilding FonnslBanner_Ponable Sign Pennit eSD 8-OS.doc
.
~ITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-00463
ISSUED: 04/20/2006
APPLIED: OS/20/2006
EXPIRES: 05/14/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3266 GATEWAY ST Springfield TYPE OF WORK: Banner
ASSESSOR'S PARCEL NO.: 1703222002102 \0
',e5 'lOU'\'I'" TYPE OF USE: New
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PROJECT DESCRIPTION: Banner - install 041706 ~moval date 051406,
{'I \\l. O\e~- e\ W' .'
,...,.,p,o.O . .. \,ne _ n.~e S ... (\()\~
01'" - \eu -, \u\~- ~ ';l"- 'O'l
Owner: SPRINGFIELD VLIJ(\~'\ a,ooll ,'(\05e X\ 01' \u\e5
Address: 1420 FIFTH A VE ~'r\E,2200~Sce{'l\e\. \) \'(\\oug 50\ \'(\e X\o{'le
SEATTLE W A 9l'11b)' ~a,\\o{'l "\)"O\)\ '{'I co?le ''{'Ie \e\ell\, C'iJ.\IO{'l
. "'\,, _ ,..I1AJ ......,?,.\ ~....' \. . ,,,\,, \
': 0"'''' r \0'iJ.'! - ,^' ~~-, ",\I\'! ' " ,\
\{'I \)9\).iOU \'(\,1 (3(:)N1:RA'CTORINFORMATION I
() ca,\\1{'I9 \01"'- '5 \_'O\Jv
Contract~r,}\0'Oel ce{'l\e\ \
DENNIS ROY HYDE
Commercial
Contractor Type
Sign
License
92628
Expiration Date
09114/2007
Phone
54 I -465-9059
BUILDING INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage~arport
Sq Ft Otllet'?'
o<;,c'\P....i1ifl(@dl.
... \Y ..-< ,'5
I DEVELOPI\.c". INFORMATION l ~i-\'\~~~\\~~~ <<.'i)'(o.
"c,. S\;\l"- 11 ,\'0\ ~\'i)'i)~ ''REQUIRED PARKING
"'\".... ~\\ ~\'i)~" ~\'.\..
Overlay D~S1') ,C \'~\'\ 'i) '\l\~ \S I" Total:
# Street Tre'i~\R]ld\J'i\\1.~ ~'i) 'i)\\ ~'i)'i). Handicapped:
Paved Drive R!id~\...~~(; l\.'-\ \'~ Compact:
. C I -~...", \"'\r
Y. of Lot ovel:..age: \ 'Q\l v
\'.~'-\
#'of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I PUBLIC IMPRO" c,,,c,,TS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Valne
Date Calculated
Paee 1 on
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-00463
ISSUED: 04/20/2006
APPLIED: OS/20/2006
EXPIRES: 05/14/2006
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
~
$14.50
$45.00
$100.00
4/20/06
4/20/06
4120/06
Receipt Number
1200600000000000503
1200600000000000503
1200600000000000503
Fee Descriptiou
+,100/0 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.
l_13~1li,r..d In.nectionsJ
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 snre <<.\at all required inspections are requested at the proper time, that each address is readable from the
s e, t at'tl!.e per it card I.s ocated at the front of the property, and the approved set of plans will remain on the site at all
imes during ~o t Delion. .
4-20. D~
Owner or Contractors Signature
Date
Paee 2 of2
'/225 Fifth Street
Springfield, Oregon 97477
541-7~6-3759 Phone
.itii~
Cwf Springfield Official Receipt
"opment Services Department
Public Works Department
RECEIPT #:. 1200600000000000503
Date: 04/20/2006
10:24:08AM
Job/Journal Number
COM2006-00463
COM2006-00463
COM2006-00463
Description
+ 10% Administrative Fee
Deposit
Banner Special Permit
Payments:
Type of Payment
Check
Paid By
EQUINE ADDICTION
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
14,50
100,00
45,00
$159.50
Amount Paid
djb
1049
In Person
Payment Total:
$159,50
$159.50
cReceinll
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4/20/2006