HomeMy WebLinkAboutPermit Signage 2006-10-19Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
FIELD
Building/Combination Permit
PERMIT NO: COM2006-01353ISSUED: 1011912006APPLIEDz 1011912006
EXPIRES: 1111312006
VALUE:
SITE ADDRESS: 1135 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703253316900
PROJECT DESCRIPTION:
TYPE OF USE: New
Banner - install 101306 removal date 111306.
Ref:COD2006-00856
Springfield TYPE OF WORK: Banner
Commercial
PhoneNumber: 541-746-3030
License Expiration Date Phone
Owner:
Address:
DOMINO'S PIZZA
1206 HAWTHORNE AVE NE
SALEM OR 97301
Contractor Type
Sign
Contractor
OWNER
)NTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
oh oILot Coverage:
Lot Size:
Ft lst Floor:
Ft 2nd Floor:
\u
se\Basement:
Garage/Carport
Other:
\
Square Footage
or Bid Amount
Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
9 \il ^c$
$ Per Sq Ft
or multiplier
?tas
Description Type of Construction
Page I of2
Value Date Calculated
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Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01353ISSUED: 1011912006
APPLIEDz 1011912006EXPIRES: 1111312006
VALUE:
Amount Paid
Total Value of Project
Date PaidFee Description
+ l0o/o Administrative Fee
+ 57o Technology Fee
Banner Special Permit
Deposit
Total Amount Paid
$14.s0
$2.25
$4s.00
$100.00
t0n9t06
t0/19t06
t0/19t06
t0n9t06
Receipt Number
120060000000000r549
1200600000000001549
1200600000000001549
1200600000000001549
$161.75
Plan Reviews
To Request an inspection call the24 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.
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
nsnections
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 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
t o/-
Owner or Contractors Signature
Paee 2 of 2
Date
qEt
r ees raro r
225Bifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C rf Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT#: 1200600000000001549 Date: 1011912006 3:01:41PM
Job/Journal Number
coM2006-01353
coM2006-01353
coM2006-013s3
coM2006-01353
Description
Banner Special Permit
Deposit
+ 57o Technology Fee
+ l0%o Administrative Fee
Amount Due
45.00
100.00
2.25
14.50
Item Total:$161.75
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
CreditCard DANIEL CATES djb 272741 In Person $161.75
Payment Total:
-$IETF
cReceint I Page I of I 10n9t2006
rFJrE$n.$
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By signature, I state and agree and hereby certif,i 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
frorn the date listed above. If the banner(s) and/or portable sign is not removed within the tirneline
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 at726-3769
by the end of the 30th day to request an inspection to verifu the removal of the banner(s) and/or portable
sign(s). This will begin the process to return the $100.00 deposit if the banner(s) and/or
portable si has
,un /o- / ? -o6
For Office Use
Date of A o-l ,-(>6 Receipt #
Amount Collected /Lr7fIssued By
Job #
Shared Drive (T:)/Building FomslBamer_Portable Sign Pennit CSD 8-06.doc
CITY OF SPRINGFIELD, OREGON
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