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
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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
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Assessors Map
ON,ner
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)
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
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Address
City State zip
Construction Contractors License #
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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
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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
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