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HomeMy WebLinkAboutPermit Signage 2006-07-31Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2006-00962ISSUED: 0713112006APPLIED: 0713112006EXPIRES: 08/3112006 VALUE: SITE ADDRESS: 1377 MOHAWK BLVD ASSESSOR'SPARCELNO.: 1703253403901 PROJECT DESCRIPTION: Springfield TYPE OF WORK: Banner TYPE OF USE: New Banner - Install 080206 removal date 083106 for Umpqua bank Commercial Owner: Address: UMPQUA BANK.CORP PO BOX 1820 ROSEBURG OR 97470 Contractor OWNER Contractor Type Sign License Expiration Date Phone CONTRACTOR INFORMATION Valu # 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: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Page I of 2 Value Date Calculated |,UtLlrt.t\rJ ll\r\rr(lvtA I l(Jl\ | ATTENTION: Oregon law requires vou tor?ll?* rures adopted by the Oregon Utitilyotification Center. Those rules are set forthOAR 9s2-001 -001 0 through Onfgse-ooi- ljtlvt L(rrtvlDt\ r rl\ry.,] Status Issued 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: COM2006-00962ISSUED: 0713112006APPLIED: 0713112006EXPIRES: 08/3112006 VALUE: Fee Description + l0oh Administrative Fee Banner Special Permit Deposit Total Amount Paid Amount Paid $14.50 $45.00 $100.00 $159.50 Total Value of Project Date Paid 7t3y06 7t3u06 7t3u06 Receipt Number 1200600000000001 162 1200600000000001 162 l 200600000000001 162 Fees Paid Plan Reviews 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. Sign Final: After all required inspections are conducted and approved and the sign installation is completed. nsnections times during construction. (v j.)*26 DateOwner or Contractors Signature Pase 2 of 2 ":T 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 225.Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C'' 'of Springfield Official Receipt L-.elopment Services Department Public Works Department RECEIPT#: 1200600000000001162 Date: 0713112006 11:16:52AM Job/Journal Number coM2006-00962 coM2006-00962 coM2006-00962 Description + ljYo Administrative Fee Deposit Banner Special Permit Amount Due 14.50 100.00 45.00 Item Total:$159.50 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check UMPQUA BANK djb In Person Payment Total: $159.50 -Fe.5ii- 144196 cReceintl Page I of I 713112006 225 FIFIH STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 o tAX: (541)726-3689 ciffJobnr-b", Co'"'aeqYo6 - 60 ?64 /3 7z H7.,1rt u/a E/r'r/Job Location Assessors Map ON,ner i ac3 zs 3Ll 03 ?O ITax Lot ) Owner of Property Address /s 77 rhorlA*, City C o n tr u ct o t'/I n st u I I e r Plion State OR Zi 77 O t rrl-,t:A- Address City State zip Construction Contractors License # )-{ C) (r) o p-{ op{a (t) (-)O F\ $-{()V) >.-+..J. r-J(-1,J 'el OQ I -{-) t-1H t-{() CL -1ao V) () _-C) 63-{-) $-..Oe{ $-{a) cs FA Descri Date of Installati 8-e -al Date of Removal g-3/- o(nn Banner Pernrit Fee $45.00 * Ilequired Deposit $100.00 + l0o/o Administrative F'ee By signature, I state and agree that I have iarefully completed this application and hereby certiff that all infonnation 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 retnoved 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 developrnent 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 inspection will begin the process to return the $100.00 deposit if the banner(s) and/or portable sign(s) has been removed. sierutur" 24- ?V' 4*'-,'' Dil" 7- 3,/-O1: For O.ffice Llse Date of Appl c6-oo ?62 Receipt # - / s9 .'uAmount CollectedIssued By >G d (- Job # Shared Drive (T:)/lluilding Fonns/Banner-l'onable Sign Permit CSD 8'05.doc CITY OF SPRINGEIELD,OREGON t?,/or-/ L \NDONED Expires otl -001- as bY *tr*ttil&trN!il*t) Report lD : SPRA103A Voucher lD : 00094889 Handling Code : RE Umpqua Bank 59 E.1lth St. Eugene, OR 97401 Descriotion Deposit Refund City of Springfield Voucher Account 21 5500 Fund 821 qrg SubClass BY 2006 Proi/Grant Accounting Date: Vendor Number: Invoice Date : Invoice # : Approver: Operator: Gross Amount : September/1212005 0000009078 AugusUl0/2005 Com2005-0123 PUEN5597 wtLS5940 100.00 Amount 100.00 Comments: Deposit Refund for Banner Refund Ok'd by Lisa Hopper & Dave Gadomski @ l3-rl cruau-.fl<-