HomeMy WebLinkAboutPermit Signage 2005-08-10Status: Issued
225 Fifth Street, Springfield OR
541:7263753 Phone
541-726-3676Fax
541 :7 26-37 69 I nspe ction Line
o SPRINGFIELD
Buildin g/Co mbination Permit
PERMIT NO: COM2005-01023ISSUED: 08/10/2005
APPLIED z 0712912005E)GIRES: 09/0112005
VALUE:
SITE ADDRESS: 1377 MOHAWK BLVD Springfield TYPE OF
ASSESSOR'S PARCEL NO.: 1703253403901
TYPE OF USE:
PROJECT DESCRIPTION: Banner - install 080205 remoyal date 090105
Banner
New Commercial
Owner:
Address:
Contractor Type
Sign
UMPQUA BAIIK-CORP
PO BOX 182I)
ROSEBTJRG OR r/470
Contractor
OWNER
License Expiration Date Phone
TION
# of Unib:
Primary Occupancy Group:
Secondary Occupancy
Prim ary Construction Type
Secondary Construction
# of Bedrooms:
h11
\n o hR 9b-
#of
Overlay Dist:
# Street Trees
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:
Frontyard Setback:
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacls:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Sidewalk Type:
DownspoutVDrains
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or muhiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Tvpe of Construction
lof2
Value Date Calculated
L
L
\-,Valuation Description I
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 2647 69 I nspection Line
Buildin g/Co mbination Permit
PERMIT NO: COM2005-01023ISSUED: 08/10/2005APPLIED: 0712912005E)PIRES: 09/0112005
VALUE:
. Fee Description
+ l0%o Administrative Fee
Banner Special Permit
Deposit
Total Amount
Amount Paid
$r8.00
$80.00
$100.00
$198.00
Total Value of Project
Date Paid
8/10/05
8/10/0s
8/10/05
Receipt Number
1200500000000001 179
1200s00000000001179
1200500000000001 179
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. AII 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.
Reouired fnsnections
By signaturer l 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 SpringfieH and the Laws of the State of Oregon pertaining to Ore wck 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 e- ./a- z2g-
Owner or Contractors Signature
2oI 2
Date
I ees raro I
225 Fifth Street
Springfleld, Oregon 97 477
541-726-3759 Phone
CW of Springfield Official Receipt
:velopment Services Department
Public Works Department
RECEIPT#: 1200500000000001179 Date:08/10/2005 2:51:43PM
Job/Journal Number
coM200s-01023
coM2005-01023
coM200s-01023
Description
+ l0% Administrative Fee
Deposit
Banner Special Permit
Amount Due
18.00
100.00
80.00
Item Total:$198.00
Pr:yments:
Tlpe of Payment Paid By Received By
CheckNumber
Batch Number
Auhorization
Number How Received Amount Paid
Check UMPQUA BANK djb 507754 In Person
Payment Total:
$198.00
-$1es-o-d'
)(
'e
1
8n0/200s lofl
ru!
225 FIFIH STREET . SPRINGFIELD,OR 97477 o PH:(541)726-3753 o FAX: (541)726-3689
Cifi Job Number Corr< ?;e,e_S- C>l oZ ?
Banner Location
Assessors Map
Ow,ner
City
,7o3 ZS 3q Tax Lot 03 >o/
Owner of Property
Address 7
Those OAR 952-001'
0
?/L a.
Contr*#or'/l nstaller.2'*,/-1z.)\-/ .rVz- ,//" -
l-1/2.
zip ?zr,/
2z Z.o
City
,2.State
Construction Contractors Registration #
Date of Installation J Date of Removal o o( o
Banner Permit Fee t[80.00 * Required Deposit $100.00 + 10% Administrative Fee
By signature, I state and agree that I have carefully cornpleted this application and hereby certifu that
ali 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 pennit 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 l4'n day to request an
inspection to veriff 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
J'-.//-d,
For O{fice Lfse
Z es--6 I
Amount Collected
oz3 Receipt #
FrRl.tttrt
n"
Date of App
>4 -19 t/
Issued By
r Job #
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