HomeMy WebLinkAboutPermit Signage 2006-02-07Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2006-00151ISSUED: 0210712006
APPLIEDz 0210712006
EXPIRESz 0310212006
VALUE:
SITE ADDRESS: fof 30TH ST Springfield TYPE OF WORK: Blimp, Portable Sign, Etc.
ASSESSOR'S PARCEL NO.: 1702310000703
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Portable signs - Install013106 removal date 030206
Owner:
Address:
GOODWILL IND OF LANE COUNTY
855 SENECA RI)
EUGENE OR 97402
Contractor Type
Sign
Contractor
OWNER
License Expiration Date Phone
CONTRACTORINFORMATI(
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o 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:
o(
f,
nla
1$
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
$ Per Sq Ft
or multiplier or Bid
, Footage
Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Pase 1 of2
Value Date Calculated
0''l
€
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00151ISSUED: 0210712006
APPLIEDz 0210712006
EXPIRES: 03/0212006
VALUE:
Fee Description
+ l0Yo Administrative Fee
Banner Special Permit
Deposit
Amount Paid
$14.s0
$45.00
$100.00
Total Value of Project
Date Paid
2t7t06
2t7106
2t7t06
Receipt Number
2200600000000000178
2200600000000000178
2200600000000000178
Total Amount Paid $159.50
To Request an inspection call the24 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.
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 Springlield 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
times
Owner Signature Date
2
Pa;ee2 of2
Iees raro I
Keourreo lnsDectrons l
225 Fifth Street
Springiietd, Oregon 97 477
541-726-3759 Phone
^ity of Springfield Official Receipt
.,----,evelopment Services Department
Public Works Department
RECEIPT #: 2200600000000000178 Date: 0210712006 10:37:2eAM
Job/Journal Number
coM2006-00151
coM2006-00151
coM2006-00151
Description
+ l0o/o Administrative Fee
Deposit
Banner Special Permit
Amount Due
14.50
100.00
45.00
-$1sq-50'
Item Total:
Payments:
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check Number Authorization
CreditCard
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Goc>bwtce LV\
djb 007143 In Person $159.50
Payment Total :
-5i59
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City Job Number
Job Location
Assessors MaP
SPRINGHELD, OR97477' PH:(541)726-3753'FAX: (541)726-3689
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Banner Permit Fee $45.0t'l + Required Deposit S100.00 + 10oA Administr:rtive Fee
By signature,I state and agree that I have carefully cornpl eted this application and hereby certifi that
all information herein is true and correct. I further agree and understand that the above described
banner(s) and/or portab le 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 removed within the
specl fied, I will forfeit the $ 100.00 deposi t. I also understand that this special pennr
only twice p er calendar year per development area. I also agree to call the S1 6-3769
by the end of day to request an insPection to veriff the removal portable
sign(s). This inspection will begin the Process to return the s) and/or
portable sign(s)removed \$
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For Office Use
Date of Appli aA-o<>/t!Receipt #
/5>z
the 30th
Amount CollectedIssued By >g
6 Job #
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