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HomeMy WebLinkAboutPermit Signage 2001-8-1 \..,' . SP.FIELD "- BANNER PERMIT COMMUNITY SERVICES DIVISION 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726.3753 FAX (541) 726-3689 " 225 Fifth Street Springfield, Oregon 97477 Office: 726-3753 INSPECTION LINE: 726-3769 BaRner Location: (!! /J-(.P-tA.lFty l/J1l/fi / Assessors Map #: /703 3.'" ~~ ,Owner of Property: L/ftu)j 1OVO'T1l -Address: 8€/~) /11 Pd tV '€:-,{, SPt? (Nb F1 uD Sfl-/~FIY-D 0721 ,'Tax Loi I'f t, c, tr't\ ()f 7fJ /(/ Afbh~D, -:::Phonc #: / Contractor/InstaIler: L,'-fit .I fA- 1rJ I{ 0'1)4, 'SL ,"State: D/2, OF ,Zip:' q7 Y 77 '6flL /NbF/EGD Phonc #: 7 '17- 3'3 7 7' o!f2- Zip: q 7 t( 7 '] / City: / Address: {f3(,., ~ f'Yl AliI r ,City:. <;=;P {(//Ifb p-IB../D State: Construction Contractors Registration Numbcr: Expires: ~-:Des.-ription: _ '!3kll7~0 Pr/7/L Pef2 1u-19l'f::t;2- ~25 c:i-;.k;; k~5 , -I!ate of Installation:fiJ - 1- () I ::-:Date of RcmovaI: Au ~f I c.; - () I Banner Pennit Fee $80.00 Dcposit Required $100.00 By signaturc, I statc and agrce 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) is not larger than 60 square feet, and will be removed within 14 days from the date listed above. If the banner(s) 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(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) has been removed. I~~ ,.- Signature U- 8,. I-Of . ,Date OFFICE USE Date of Application: 9:- q(vJ f- 0 I Job#: _,- 0 ( rn - () 0 f"1.If' Receipt #: to ~ ,..3 $ Amount Collected: \ ~ e Gm : ~3IHSti:J Issued By: : 39NtiH:J 00'081 $ G:O:J3~ lWti 100G 10 9nti:31tiO ~1~9000-10:~SNti~1 ,.. . Job# 01-00824-01 . Page 1 of2 116 01 2001/11: 59 AM/$ 100.00 ACCT#:821-00000-215500 I 'PT#: 01-0006313/LITHIA TOYOTA J08#:01-00824-0l I COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00824-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 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 Scope Of Work: Banner Lithia Toyota Banner Permit Date of permit 8-1-2001 for 8-14-01 City/State/Zip: New Springfield. OR 97477 Value: $0 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: 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. Final Sign Required Inspections Siqn I -After all required inspections are conducted and approved and the sign installation is complete, Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Sign District: rSign Di , ~i. ~ .... ----- I Vertical: Horizontal: Height (Above Grade): Sqr. Footage: Illumination? 0 Comments: Type of Sign: Face Type: Thickness: From Grade To Bottom: Sign Material: 1..- . . Page 2 of2 "'-.' Fee Job# 01-00824-01 I Paid On Receipt# Sign 08/01/2001 6313 08/01/2001 6313 1 1 Value/Quantity I Banner Permit Deposit for Banner/Blimp/etc Total Sign Grand Total 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. Signature Date Fee Amount $80,00 $100,00 $180.00 $180.00