HomeMy WebLinkAboutPermit Signage 2002-6-5
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I Job# 02-00661-01 I
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COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of2
TRANS#:01-0009399
DATE:JUN 05 2002
AMT RECD:2 $ 1BO.00
CHANGE:
CASHIER:061
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CITY OF SPRINGFIELD, OREGON
Job Number: 02-00661-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
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Location Of Proposed Site: 863 Main St Spr
Assessors Map#: 17033542
Lot: Block: Addition:
Tax Lot #: 06900
Subdivision:
Owner:
Address:
Lithia Toyota
863 Main ST
Phone Number: 541-747-3374
C. IS /Z' .,-0
Ity tate IP: ~'l(Springfield, OR 97477
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New , *' \eo.'S,eQ,O'C> ",13'- \(Va!ue: $0
rl<"Ji. eO '3-,13 ~\)\) ~
~0\e~vo:0'l ~ \v>\e'" i'-~ 9~->\e'" '0
..(\O~ ';;,oQ\e">r\O'" ,,(\~O.\~e ~,,'C>e .
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La~}.h~.'l,i. 9<:>~ ~'3-'l o'O~e" ~"o'C> 'I)\~\ .'I-~I# Of Buildings:
Zoning;Cod.e:~ "13 ce(\ O,e'Y, nfJ''!>'''rz; Occupancy Group:
\' n". (\ \\. ':{Ie !?,,'"
BedroJ)ms..;~\'C>'\\O''1 1\'" \' Heat Source:
Range: ~u~'Oe c,e'C>\e Sq. Footage:
Scope Of Work: Banner
Lithia Toyota Banner Permit
Banner
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
iArea (Sq. r d)
I Main: Accessory:
To request an inspection call the 24 hour recording at 726-3769. All inspections 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
working day. ~Q~~
R . d I t' .r '{~t. \\f'\~
eqUlre nspec Ions . \~\:. \, ~ \';) .-
I Sign r.~ to-\.\. t.'I-? ~';, ?t.~~~ ~Q~
-After all required inspections ~Q1i~~~~~~~Il\~slgn installation is complete.
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Height (feet):
Proposed Units:
# Of Stories:
Current Units:
Census Code: Does not apply
Final Sign
Total:
Sign District:
iSign Di , ~i. ~
I Vertical:
Height (Above Grade):
Sqr. Footage:
Illumination? 0
Comments:
Type of Sign: Face Type:
Horizontal:
Thickness:
From Grade To Bottom:
Sign Material:
.
,
'I
Fee
Banner Permit
Deposit for BannerlBlimpletc
Total Sign
Grand Total
Job# 02-00661-01
Paid On
I
Sign
06/05/2002
06/05/2002
Receipt#
9399
9399
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Page 2 of 2
Value/Quantity
Fee Amount
1
1
$80.00
$100,00
$180.00
$180.00
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
display will be removed within 14 days from the date listed as the date of installation above. If the
display 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 verify the
removal of the banner, This inspection will begin the process to return the $100.00 deposit if the
banner has been removed.
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Signature
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6/S/6Z
Date
2Z5 nrrH STREET. SPRINGfIELD, OR H7477 . PH:(541)72G-:,75:, . FA.X: (541)72G-:,G8H
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~ Construction Contractors Registration # . _linIN IU ~"nlel. _ ,~'''I\G\ExpiTl'.llles
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e Dateoflnstallation~ ~\)DaieleH~_eilfo\:al 1. ~rJ ?-
~ Banner Permit Fee $80.00 Deposit Required $100.00
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CITY OF SPRINGFIELD, OREGON '.
TRANS#:01-0009399
DATE:JUN 05 2002
AMT RECD:2 $ 180.00
CHANGE:
CASHIER:061
City Job Number () '2 -00 bb/ -0 I
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~Banner Location ~((JI(\~
Assessors Map 170 :3"3 ::> 92
"2Sb3> m4tr1
6(; 9-0 ~
Tax Lot
By signature, I state and agree that I have carefu~O eted this application and hereby certify that
. all information herein is true and correct. I further -~I!lfe above described
banner(s) is not larger than 60 square feet, and wi ~Ul:li!Rl :[tITMfhW@t!t'Iisted.
above. If the banner(s) is not removed within the GfAAl/S~' , ~1$1~~~0 deposit.
I also understand that this special permit can be issuea ~O8: en ~fl1 fSRdevelopment
area. I also agree to call the inspection line at 726.3769 by the end oftne 14th day to request an
inspection to verify the removal of the banner(s). This inspection will begin the process to return the
$100.00 deposit if the bannr<YJhas been removed.
Signaturp~" ~ k L> _^ Date ( ~ 1,,)/02-
,/ !
For Office Use
0;3 ( f
Date of Application b ~ S- - 0 L
02 -oCbbl-oI
Amount Collected /-
Receipt #
160~
Job #
Issued By
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Shared Drive (f:)lBuilding FormslBanner Permit CSDl-02.doc