HomeMy WebLinkAboutPermit Signage 2004-10-1
.
. CITY OF SPRIr'<ilj1'l~LD
Building/Combination Permit
PERMIT NO: COM2004-01218
ISSUED: 10/0112004
APPLIED: 09/30/2004
EXPIRES: 09/30/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 886 HARLOW RD
ASSESSOR'S PARCEL NO.: 1703220002206
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner permit issued expired in response to Code Enforcement case #
C0D2004-00338
Residential
Owner: CLOVERDALE LLC
Address: 840 BELTLINE RD STE 202 SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFORMATION I
NOTICJj)J:~I' .ll EXPIRE IF THE WORKLot Size:
THIS P~4h\. tru~t~His PERMIT IS NOTSq Ft Ist Floor:
AUTHOiilY1i1;\ Ii BANDONED FOR Sq Ft 2nd Floor:
COMMlWlil~JS A Sq Ft Basement:
ANt' 1lRl'M'1'I&Pf110D. Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: ~tal:
#S~~1aW~~ andlcapped:
Pav~ :.......at4bytbeQregO!l Qmpact:
% ~&\.~-1l\OS8ru\8Sere-
Notification c:enter. rough oAR fJ52-OO1-
. QAn "...,.nn1.()010th ........._hV
I PUBLIC-tM1iB~Bl\.,",\ i1fn;~ th;~~
call1nl:l u... ~- - 8iwui~
number for the Oregon...q.~~-' .
Center III \.aOnllWiispoutslDrains:
Frontyard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion ,
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pa2e 1 of2
.
. CITY OF SPRtl",ul'lJ!.LD
Building/Combination Permit
PERMIT NO: COM2004-01218
ISSUED: 10/01/2004
APPLIED: 09/30/2004
EXPIRES: 09/30/2004
VALUE:
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fpps Paid I
Fee Description
+ 10% Administrative Fee
Banner Special Permit
Amount Paid
Date Paid
Receipt Number
$8.00
$80.00
10/1104
10/1104
1200400000000001418
1200400000000001418
Total Amount Paid
$88.00
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.
I, Rponirpd In..np"tinw
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
r
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 fu'rther 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.
;:, t-~7/V1 .A- ( '> II ~..4-.J".rt."'"
~ner or Contractors Signature
""---
A(~
Date
Paee 2 of2
225 Fift/1 Street
SpriIigfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-01218
COM2004-0 1218
Payments:
Type of Payment
Check
10/1/2004
.
RECEIPT #:
Description
+ 10% Administrative Fee
Banner Special Pennit
Paid By
STERLING MANAGEMENT
GROUP
~~~AI~C!~III.D',_' _ _..n ;
'Wic' :
-."~ i.
'... "
-" .-. -- . ... "
~ of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200400000000001418
Date: 10/0112004
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1200 In Person
Payment Total:
Page 1 of I
8:51:02AM
Amount Due
8.00
80.00
$88.00
Amount Paid
$88.00
$88.00
225 FIITH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
g:: . COM2{y:Y '- DIZl~ / ~.MIla drtl/ot1tflfJ?>
~ CIty Job Number '-( . c..
..~~ Banner Location 8A& Ho.r-louJ Kd. ":5Ov-;f">ct-kl".lri
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~ Assessors Ma~' "
..~~ Owner
ell Owner of Property (' I 0 V u ri Q Ie. L l.(:. Oft
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Address--8...1.o Re_ \-H~ C\e ~t\;!'n~':'~ atl\\)~ 5C/1- 'h 0 tf-,J'I'I'/
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Contractor \{\ ~3r\ '(oU -"Qn\et. ,,'1 _ . 0' A\.
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Address ::Jt\b/~.ov- Phonp
City. l) ;; "tate 7,ip
Construction Contractors RegistratIOn # "xpirp<
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CITY OF SPRINGFIELD, OREGON
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Tax Lo'
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OZ-"ZOb
Description ~ iuuJ. ~
U
Date of Installation :t Av~ Date of Removal
.11
Banner J>ermitFee$80.~i;j Required Deposit $:HtO:lIO + 10% Administrative Fee
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Date of Application fi 0)'1..
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Job # co"-" = 0<.( -01 zd? Receipt #
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Amount Collected T"> U
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Issued By
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