HomeMy WebLinkAboutPermit Signage 2004-12-10B uilding/Combination Permit
Status Issucd
225 [ifth Street, Springfield, OR
511-726-3753 Phone
511-726-3676 Fax
5 1l-7 )6-3'7 69 In spection Line
PERMIT NO: COM2004-01516ISSUED: 1211012004
APPLIEDz 1211012004
EXPIRES: 06/1012005
VALUE:
Si, ..\DI)I{ESS: f05S 14THST
;r !l1 .SS(rR'S PAIICEL NO.: 1703363204401
I'RC !ECT DESCIUPTION: Banner 121004 removal date122404
Springfield TYPE OF WORK:
TYPE OF USE:
Banner
New Commercial
On'lr'-'r':
A (l (l r,'\ s:
\\.OODSMAN GRILL
1I7 S T4TH ST SPRINGFIELD OR 97477
CortrnctorTYpc Contractor License Expiration Date Phone
# of I tnits:
lr':. ir\' Occupflncy GrouP:
S,'r,', r':rr) 0ccupancy Group:
I','i "' r rv Constructi<ln Type
Sr.r- ?r(tirrv Construction Type:
#,. i('(lroonrs:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
is 1'E00-332 -23441.
nla
THIS PERMIT S
AUTHORIZED U ND OT
the
Square Footage
or Bid Amount
REQUIRED PARJ(NG
Total:
Handicapped:
Compact:
Frorrrvard Setback
Si'-lc I !:lctlr,,:k:
S"lc I Sc(irack:
l',.'l : r.'a rtl Sctback:
Sr,l:''Setl'acks:
COMMENCED OR
ANY .IBO
DAY PER
oh of Lot Coverage:
Strcrt Inrprovemcnts:
Storrrr Seu'er Available:
S",'"1 Instrtrctitttt:
$ Per Sq Ft
or multiplier
Valuation
l\r'sr'ri1.l1i1;11 Type of Construction
Total Value of Project
Value Date Calculated
k
B uildin g/ C o mb in atio n P e r mit
Stltus Issucd
22:1 |ifth Street, Springfield, OR
5r l-716-3753 Phone
5il-126-3676 Fax
54' -- 26-37 69 Irrspcction Line
PERMIT NO: COM2004-01516ISSUED: 1211012004
APPLIEDz 1211012004
EXPIRES: 06/1012005
VALUE:
Fees Pa
Amount Paid
$18.00
$80.00
$100.00
$198.00
Date Paid Receipt Number
r200400000000001728
1200400000000001728
120040000000000r728
Fce' DcscriDtion
+ \',:"/u .\ tlministrative Fee
ll:rrr rrcr S pecial Pernrit
l' '1. " s:t
Total Anrount Paid
t2n0l04
t2n0t04
t2n0l04
Plan
I r ' . ,.,,:st an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
y i r,' rlade thc same working day, inspections requested after 7:00 a.m. will be made the following work
t! l, r'.
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
Rv s: ,,rr;rtrrrc" I statc and agree, that I have carefully examined the completed application and do hereby certify that all
ir; j , ::' 11 irercorr is true and correct, and I further certify that any and all work performed shall be done in accordance with
tlr,, ' - 1i,1,1y1,.1s5 of tlrc City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and
11,,,1 ,i,J OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I lr:r- l'e r ccrtify thlrr only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I l'uriir,.-.r asree to cnsure that atl required inspections are requested at the proper time, that each address is readable from the
strcct, tSat the perrnit card is located at the front of the property, and the approved set of plans will remain on the site at all
tinrcs tl:r"i constrrction.
1Z -10-o/
( t., ,' ,. (l :rtraCtOrs Si Date
Pase2 of?
l{eouired InsDectrons'
125 Fifth Street
Springfieid, Oregon 97477
541-726-3759 Phone
C;ty 9f Springfield OfficiatReceipr
relopment Seryices Departmeit
Public Works Department
RECEIPT #: 1.200400000000001.728 Date: 1.2/10/2004 2r39:O7PM
Job/Journal Number
coM2004-01516
coM2004-0lsl6
coN,I]001-01516
Description
+ ljYo Administrative Fee
Deposit
Banner Special Permit
Amount Due
18.00
r00.00
80.00
Item Total:$198.00
Pat'ltt l'"'s:
Type ot l'ayment
Checl( Number Authorization
Paid By Received By Batch Number Number How Received Amount Paid
Check DIRECT TEL CELLPHONES djb 5975 In Person $198.00
PaymentTotal:-$19s^o-d'
121r012004 Page I of I
225 FIYTHSTREET . SPzuNGFIELD, OR 97177 o PH:(511)726-3753 o FAX: (541)726-3689
ciryJob *u o"rLon'tzcol -Cr t / 6 *4oBanner Location oq{or12a<632 Tax LotAssessors MaP
Outter
,+)u tdd Su/L/e-v-{Gn^-L\
Owner of ProPertY 5r
Address /os 5. /<{z_7q7
StateCity
C o ntrur:tot'/l n stslla r
ATTENTION: O regon law req'uires You to
Contractor (>cv(-forth
-001-on Center. Those rules are set
t.r?t
THIS PEFTMIT SHALL EXPIRE IF THE WORK
I\I
Notificati
0090.You maY obtain coP ies o{ the ru les
the telePhone
number lor the Oregon
is
StateCity
Construction Contractors Registration #FOR ).
e rc__Descri
$100.00
Date of Install O
Banner Permit Fee $8S.S0 * Required Ileposit $100.Si, + 10% Admiuistrative Fee
By signature'I state and 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 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 sPeci fied, I will forfeit the $100.00 deposit'
I also understand that this special permi t can be issued onlY twice Per calendar year Per develoPrnent
area. I also agree to call the insPection line at 726-3769 bY the end of the 14th day to request an
inspection to veriff the removal of the banner(s). This insPection will begin the Process to return the
)removed.
-/o -a
For O.ffice ta LK
sV .()O - brsr #
Amount Collected t98YDate of
Issued By hG
()Job #
Shared Drive (T:)i Building Forms/Banner Permit CSDI -03 doc
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Report lD : SPRA103A
Voucher lD :
Handling Code :
00085772
RE
City of Springfiu-d
Voucher
Direct Tel Cell Phones & Beepers
105 S. 14th St.
Springfield, OR 97477
Accounting Date:
Vendor Number:
lnvoice Date :
lnvoice # :
Approver:
Operator:
Gross Amount :
January 14,2005
0000004677
January 14,2005
coM2004-01516
Puent,David
wtLS5940
100.00
Amount
100.00
Description Account Fund 94 SubClass BY Proi/Grant
Banner deposit refund
21S5OO 821 2005
Comments: Express Check
Banner deposit refund Ok'd by Lisa Hopper
Com2004-01516/105 S. 14th Street
SPRINGFIELD City of Springfir d
Voucherm
Report lD : SPRA103
VoucherlD: 00085772
Handling Gode: RE
Direct Tel Cell Phones & Beepers
105 S. 14th St.
Springfield, OR 97477
Descriotion Account
Banner deposit refund
21 5500
Fund 9rg SubClass
821
Accounting Date :
Vendor Number:
lnvoice Date :
lnvoice # :
Approver:
Operator:
Gross Amount:
BY Proi/Grant
2005
January 14,2005
0000004677
January 14,2005
coM2004-01516
Puent,David
wlLS5940
100.00
Amount
100.00
Comments:
Express Check
Banner deposit refund Ok'd by Lisa Hopper
Com2004-01516/105 S. 14th Street
C'TY OF OREGO'U
sPnlN---_tELD
D EV ELOP M ENT S ERVI C E S DE PART TIE NT
August 22,1996
Direct Wireless
105 South l4th Street
Springfreld, Oregon 97 477
RE: Banners
It is our practice to notify businesses when we have notice, or have received a complaint regarding a
possibte violation of the Sign Code on your property'
Information has been forwarded to me by Code Enforecement staff indicating you have a banner located
on the rear of your building. Banners are allowed by a special permit once a year for a ten ( l0) day period'
The cost of thi permit is $40.00 with a refundable $100,00 deposit provided the banners are removed by
the end ofthe tenth day. I have enctosed the Code section and an application for your use ifyou choose to
apply. The banner that is currenfly tocated on your property needs to either be removed, or you can apply
for the special banner permit within thp next seven (7) days.
tf you frare any questions, or if I may be of assistance in the future, please feel free to phone me at726-
3790.
Sincerely,
Lisa Hopper
..Building SafetY Coordinator
cc: Code Enfotcement
enclosures
Qfr,225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-37s3
FAX (541 ) 726-368e
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