HomeMy WebLinkAboutPermit Signage 2006-07-17Status Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00886ISSUED: 0711712006APPLIEDz 0711712006EXPIRES: 0111712007
VALUE:
SITE ADDRESS: 1350 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703253310000
Owner:
Address:
HICKAM RICHARD A & E DIANE
972 MCKENZIE
SPRINGFIELD
Notitic
in OAR
Contractor Type
Sign
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
ON: Oregon law req uires You to
adoPted bY the Orego n UtilitY
orth
Commercial
PROJECT DESCRIPTION: Portable sign - reference COD2006-00679
center,
t-he tel
the Oregon U tilitY Nc Expiration Date PhoneLicense
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
ilOTICE:
THIS PEtlt'llT S
COMMENCE
r {or
$ Per Sq Ft
or multiplier
nla
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Availabfe:
Special Instruction:
Notes:
Square Footage
or Bid AmountDescription Type of Construction
Pase I of2
Value Date Calculated
rules
Paved Drive Rqd:
t)ffilffiuftlltEe${8diK
Ti_ris PE8.Ml't' ts [r0TNDER
Valuation Description
Status Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00886ISSUED: 0711712006APPLIEDz 0711712006EXPIRES: 0111712007
VALUE:
Fee Description
+ l0o/o Administrative Fee
Banner Special Permit
Total Amount Paid
Amount Paid
$4.50
$4s.00
$49.50
Total Value of Project
Date Paid
7n7t06
7n7t06
Receipt Number
2200600000000000981
2200600000000000981
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 \ryork
day.
By signatureo 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
times during construction.
07/1-06
Owner or Signature Date
Pase 2 of 2
r ees raro I
t(eoureo lnspecuons I
225Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C'.., of Springfield Official Receipt
^ relopment Services Department
Public Works Department
RECEIPT #: 2200600000000000981 Date: 0711712006 9:15:53AM
Job/Journal Number
coM2006-00886
coM2006-00886
Description
+ l0%o Administrative Fee
Banner Special Permit
Amount Due
4.50
45.00
Item Total:$49.50
Payments:
Type ofPayment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check DAVENHILL HOME
FURNISHING
djb 5250 ln Person
Payment Total:$49.s0
$49.s0
cReceint I 711712006Page I of I
225 FIIH STREET . SPRINGIIELD, OR 97477 o PH:(541)726-37lia o IAX: (541)726-11689
Cotrrrzocll- oo 886City Job Number
Job Location ljso lMolnnal< RAI
Assessors Map l"03zs33 Tax Lot /ooo o
b.,l
Ow,ner
Owner of Property rLac,{
Address ?7L .LC a(
City Ir{
Contractor/Installer \n .{OU
L
City
Construction Contractors License #
10
a\e
1
6e'{
\he \ne \
b
Date of Date of Removal f^ (t tZ
Banner Permit Fee $45,00 * Required Deposit $100.00 + 10ak Atlministrative Fee
By signature, I state and agree that I have carefully cornpleted this application and hereby certif,u 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) 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 at 726-3769
by the end of the 3 0th day to request an inspection to verifu the removal of the banner(s ) andior portable
sign(s). This inspection will begin the process to retum the $100.00 deposit s) and/or
portable sign(s)been removed.\[
E'i.NLL r0b 7 ,
S
Date of Appli 7
For
NCED ?a/
Receipt #
Amount Collected Ll
'
2Issued By >4
Job #
Shared Drive (T:).tBuilding Foms,/Banner-Portable Sip Pennit CSD 8-05.doc
*.,r ffi#.Sffi#ilH{#ll
V)rp{
r prlr\
€)(,)
L)r 1n{i\*
$-.{()
7
>1U
e qx{
-lt;)r-4
i-{
FII
C}
TJ
state- zip-
Exnires
t
l4l-.-'-{
r-(v),
\S