HomeMy WebLinkAboutPermit Signage 2006-02-09Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-7264676Fax
51 I -7 2 6 -37 69 Inspection Line
F PRIN
Buitding/Combination Permit
PERMIT NO: COM2006-00171ISSUED: 0210912006
APPLIED:. 0210912006E)GIRESt 0310712006
VALUE:
Sl'l'!l 'l)DRESS: 148418TH ST
AS: r ' ol{S PARCEL NO.: 1703253403900
PROJECT DESCRIPTION:
Springfield TYPE OF Banner
TYPEOFUSE: New
Portable sign - Install 020706 removal date 030706
Commercial
Orvncr':
Arldrc:;s:
Contrtctor Tvpe
Sir: n
MCKAY II\"VESTMENT CO LLC
2350 OAKMONT WAY STE 204
EUGENE OR 97401
Contractor
OWNER
License Expiration Date Phone
CONTRACTOR INFORMATI ON
-# ()r I,,,rrs.
I'r'i,rr r' .' Occupancy Group:
:., . r()ccupancy
I', '. , '-lonstruction Type
Sr.'.', r, ' 'r'Construction
F t.t , .,r()tl.lS:
l:16rr f ..r r,l S1,f f xgft'
: , :rr.l.::
| \ 'tlrltck:
!, r, l.s :
- Stret,t
S t,r rrrr S over Available:
S,, '.1'(rrrction:
# ofStories:
Height of
Type of Hea* i.
Water Type:
Range Type:
Energy Path:
Sprinkled nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
o/o of Lot Coverage:
OTIGE:RE IT lHE
REQUIRED PARJ<ING
Total:
Handicapped:
Compact:
WORK
t0R
Ntl"'s
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
l\,,s,'," 'l ion Tvpe of Construction
lof2
Value Date Calculated
tr
lIUIIJLTII\tr fl\f U.FUvlAI fUN.l
ANY 180 DAY
Valuation Description I
4U
Buitding/Combin ation Permit
l,':ri:' : Issued
215 I : 'r Street,Springfield, OR
5 II-7' -l753 Phone
5ll-; -.1676 Fax
5 : l-1 " 'l69Inspection Line
PERMIT NO: COM2006-00171ISSUED: 0210912006APPLEDz 0210912006E)?IRESz 0310712006
VALUE:
F,'r: l'".,'rirrtion Amount Paid
$14.50
$4s.00
$100.00
$rs9.s0
Total Value of Project
Date Paid
2t9t06
2t9t06
2t9t06
Receipt Number
1200600000000000137
1200600000000000137
1200600000000000137
+
I
I'
:rirristrative Fee
.ccial Permit
Total Amount
Plan Reviews
';t rrrr insp€ction call the24 hour recording at 726-3769. All inspection requested before 7:00
l;e nrade the same working day, inspectionsrequested after 7:00 a.m. will be made the following
.i,'rr Finali After all required inspections are conducted and approved and the sign installation is completed.
\!
Reouired fnsnecfions
ti :.
() , 1'
lr
l' ,' :
1l' '
',rr,'. t st'rtc nnd agree, that I have carefully examined the completed application and do hereby certify that all
..r'(.on is true and correct, and I further certiff that any and all work performed shall be done in accordance
;rrances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein,
OCCUPANCY will be made of any structure without permission of the Community Services Division,'ty. IfurthercertiffthatonlycontractorsandemployeeswhoareincompliancewithORST0l.005willbeused
j . I't.
,rire€ to ensure that all required inspections are requested at the proper time, that each address is readable fiom
' ,t t he pcrmit card is located at the front of the property, and the approved set of plans will remain on the site
'"rringconstruction.
'r tll rirel0rs Signature
2of2
Date
I ees rarql
225 Fifth Street
Sprirrgficld, Oregon 97 477
541-726-3759 Phone
^:1y of Springfield Official Receipt
-- €velopment Services Department
Public Works Department
RECEIPT#: 1200600000000000137 Date: 0210912006 tt:22z45ttM
Job/Journal Number
coM2006-00171
coM2006-00171
co\1tr)06-n0l7l
Description
+ l0% Administrative Fee
Deposit
Banner Special Permit
Amount Due
14.50
100.00
45.00
Item Total:$rs9.s0
Pit.r'tt, l\:
Type ot'l'ar rrrent Paid By
UheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Crcurtuard TERI BUSSE djb 009918 In Person $159.50
Payment Total:
-5iS56-
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'ti
2t912006 lofl
4pntlllorlrl.o
225 IIFIH STREET . SPRINGFIELD, OR 97477 o PH:(541 )726-3753 o tAX: (541)726-3689
Coaau(>6- OO 11 I
City Job Number
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Assessors MaP
Ov,ner
1703 ZS3V Tax Lot o f 200c
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Owner of PropertY
Address
City
Contructor/l nstuller
Date of A
Notitic ation Ce
0090.You nter' (Nce il-",,"'[,Hl;
2344).
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-(5(5 Receipt #
Amount Collected /r .. fu
b
City zip
Construction Contractors License #e--
Date of Install c5,Date of Removal 3 7
Banner Permit Fee $45-00 * Il'equired Deposit S100.00 + 10% Administr:rtive Fee
By signature, I state and agree that I have carefullY cornPleted this application and hereby certifr that
all information 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 removed within the timeline
specified, I will forfeit the $100.00 deposi t. I also understand that this special pennl t qan be issued
only twice p er calendar year Per develoPment area. I also agree to call the inspection line at726-3769
by the end of the 30th day to request an insPection to veriff the removal of the b s) and/or portable
sign(s). This inspection will begin the process to retum the $100'00 s) and/or
portable sign(s) has been removed.\S
\\\S $B
S
Si
Issued By
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Sharcd Drive (T:)/BuildinB Foms/Banner-Ponable Sign Pemrit CSD 8-05 doc
AR 952 f ol
UtilttY
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Expires r-