HomeMy WebLinkAboutPermit Signage 2000-01-25Job# 00-00109-01 Paoe 1 of2
JAN 25-2000/10:4? Al4/$ 100.00
AICTS : 8?1-00000-115500
RIPTS : 01-0000353/[UURT5F0RTS
J0ES:00-00109-01
Job Number: 00-001 09-01
SPRINGFIELD
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2728 Pheasant Blvd Spr
AssessorsMap#: 17032200
Lot: Block: Addition
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 02603
Subdivision:
clTY oF SPRINGFIELD, OREoON
Owner: Courtsports Athletics
Address: 4242 Commerce
Scope Of Work: Banner
banner Courtsports
Phone Number:
City/State/Zip:
New
541-687-2255
Eugene, OR 97402
Value: $0
Contractor Type
Sign Contr
Contractor
Courtsports Athletics
4242 Commerce, Eugene, OR 97402
Registration # Expiration Date Phone
541-687-2255
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2CNW
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24hour recording at726-3769. All inspections 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
working day.
Required lnspections
Sign
FinalSign -After all required inspections are conducted and approved and the sign installation is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Accessory:Total:
Sign District:Type of Sign: Other
Page2 of2
Face Type:
ign Dimensions
Vertical:
Height (Above Grade):
Sqr. Footage:
lllumination?
Gomments:
Thickness:
From Grade To Bottom:
Sign Material:
Fee Paid On Receipt# Value/Quantity Fee Amount
Banner Permit
Deposit for Banner/Blimp/etc
Total Sign
01t25t2000
01t25t2000
353 2
1
$80.00
$100.00
$180.00
353
Grand Total
By.si-gnature, l.state a.nd agree that I have carefully completed this application and hereby certify that
all information herein is true and correct. I further agree and understand that the above ciescribi:d
display will be removed within 14 days from the date listed as the date of installation above. lf the
display is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand
that this special pgrm.r.t can lq isqqgQ only twice per calendar year per develophent area. I also agree
to call the jl.sOection line_at 726-3769 bV lfg end of the 14th d'ay to request an inspection to verify [he
removal of the banner. This inspection will begin the process t<i return the $100.0b deposit if the'
banner has been removed.
$180.00
Signature Date
Job# 00-00109-01
Horizontal:
CITY OF OREGON
D EVELOPM ENT S ERWCES DE PARTM ENT
225 Fifth Street
Springfield, Oregon 97 477
S' .GFIELE,
BANNERPERMIT
COMMUNITY SERVICES DTVISION
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 ) 726-3753
FAX (541) 726-368s
h,
Office: 726-3753
INSPECTION LINE: 726-37 69
Assessors rvap*: i 7 0 3 ZL l-T a.'s, b oZ raxlot
Owner of Property:
Address:Phone #:
Banner Location:
City: State:
Construction Contractors Registration Number:
City:State:zip , Q7?72
Con tra cto r/In sta I le r :u)
Address:Phone #
Expires
Description
Date of Installation: / *L{-oo Date of Removal:-o(,t-
Banner Permit Fee $40.00 Deposit Required $100.00
By signature, I state and agree that I have carefully completed this application and hereby certiB/ that allinformation herein is true and correct. I further agree and understand that the above described banner (s) is notlarger than 60 square feet, and will be removed within 14 days fiom the date I isted above. Ifthe banner(s)is not removed within the timeline specified, I will forfeit the $ 100.00 dbposit.I also understand that this specialpermit can be issued only twice per calendar year per development area. I also agree to call the inspection Iine at726-3769 by the end of the l4th duy to request an inspection to verif the removal of the banner(s). This inspectionwill begin the process to return the $ I 00.00 deposit if the banner(s) has been removed.
OA
zip:
OFFICE USE
Date of Application
Amount Collected
Issued By
n