HomeMy WebLinkAboutPermit Signage 2006-5-30
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.CITY OF I)rKlI~'-'Nt'.LD'
Building/Combination Permit
PERMIT NO: COM2006-00648
ISSUED: 05/30/2006
APPLIED: 05/30/2006
EXPIRES: 11/30/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 530 Harlow Rd
ASSESSOR'S PARCEL NO.: 1703220002606
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner - ref:COD2006-00555. Issued expired
Commercial
Owner: LES SCHWAB TIRE CENTERS OF PORTLAND
Address: PO BOX 667
PRINEVILLE OR 97754
Phone Number: 541-744-7616 101
, .....,
I CONTRACTOR INFORMATIONI',
Contractor Type
Sign
Contractor; I,', d~1 r,i I ~. .
OWNER C:'.' , ", J ",] "
j dn /p.., f"'or ~~
., License . ~'1 Expiration Date
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Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constru'ction Type
Secondary Construction Type:
# of Bedrooms:
1 'urn;, I' BUILDING INFORMA TION'lm~ -,
vt::IIU:~r IS 1-800-3 """J I~U(l1lcation
# of Stories: 32'2344}.
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building: n/a
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist:
N # Street Trees Rqd:
OT/CfP.aved Drive Rqd:
THIS PEfo/o~of),ot Coverage~E
AUTHORIZED UN'hLL tJ,,.., IF THE WORK
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, Al\1,PUBLlCOlMPROVEMENT.S'I=D FOR
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, Sidewalk Type:
Downspouts/Drains:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
. CITY VI' ~rK11~~l'u..LD
Building/Combination Permit
PERMIT NO: COM2006-00648
ISSUED: 05/30/2006
APPLIED: 05/30/2006
EXPIRES: 11/30/2006
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
Fees P~id I
Fee Description
+ 100/0 Administrative Fee
Banner Special Permit
Amount Paid
Date Paid
$4,50
$45,00
5/30/06
5/30/06
Receipt Number
2200600000000000679
2200600000000000679
Total Amonnt Paid
$49.50
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.
I Rellllired ~
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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,
1 further certify that only contraciors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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.
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Owner or Contractors~nature
Date
Paee 2 of2
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CITY OF SPRINGFIELD, OREGON
225 FIITH STRElI . SPRINGFIELD, OR 97477 . PH:(541)7ZG-3753 . FAX: (541)72G-%89
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e>) City Job Number
::~; Job Location 530 /.j./'HJOl;,~ .,..~J.
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., .~ Assessors Mar J 70 J z 7..-0(:;::{q.'!,~~u ;}~~'ul,(),~~ "'n Tax Lot 0 2 6 0 b
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Contractor/Installer
Contractn- ov.Jl1Ietl n,^_
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THIS '
Addre~< ~,,- PER~A'_ Phon"
COM tlURIZED' U0HALL EXPI
City .Il ,,, - MENf't-~ NDr:J<~tateRE II: -,." Zip
., 180 DAV uR IS AEt'S PERM;"C: WORK
Construction Contractors License # PERIDfl I1NDOf1f1:r-o ~ IS Nfl.,. Expirp<
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o'escription "'RAN'Nt-1l ~ ' +-
Date ofInstallation 0 70b
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Date of Removal ~s;>h4
Banner Permit Fee $45.00 + Required Dep0sit-$t6u.uu T ,'-u% Administrative Fee '7 J e,
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) andlor 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 30th day to request an inspection to verify the removal of the banner(s) andlor 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,
Signature..~ ~...
Dat"
s-h-c>fib,
, /
Date of Application
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For Office Use
Tob# Cf.-oOb'-l f
Receipt #
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Issued By
Amount Collected
Shared Drive (T:)IBuiJding FonnslBanner_Portable Sign Pennit CSD g.oS.doc
225 Fifth Street .
Spripgfield, Oregon 97477
541--726-3759 Phone
.i:~
<aof Springfield Official Receipt
_Iopment Services Department
Public Works Department
RECEIPT #:
2200600000000000679
Date: 05/30/2006
2:34:28PM
Job/Journal Number
COM2006-00648
COM2006-00648
Description
+ 10% Administrative Fee
Banner Special Penn;t
Paid By
MICHAEL HILSENDAGER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
4.50
45,00
$49,50
Payments:
Type of Payment
Check
Amount Paid
djb
1251
In Person
Payment Total:
$49,50
$49,50
cReceintl
Page I of I
5/3012006