HomeMy WebLinkAboutPermit Signage 2004-11-04Status Issued
225 Fifth Street, SPringlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 InsPection Line
Contractor TvPe Contractor
owltERSign
# of Units:
Primary OccuPancY GrouP:
SecondarY OccuPancY GrouP:
Primary Construction TYPe
Secondary Construction TYPe:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Building/C ombination Permit
PERMIT NO: COM2004-01370
ISSUED: 1110412004
APPLIEDT 1110412004
EXPIRES: 05/04/2005
VALUE:
SITE ADDRESS: 1667 18TH ST
issrsson'S PARCEL No': 1703253107701
PROJECTDESCRIPTION:Banner-install110404removaldate1ll804
owner: MCKAY INvESTMENT C-o^MPANY LLC
i;;;;.', 2ii0-oAKMbNr wAi EUGENE oR e7401
Springfietd TYPE OF WORK: Banner
TYPE OF USE: New
License Expiration Date Phone
Load:
Commercial
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sprinkled
$ Per Sq Ft
or multiplier
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
,J
ORK
r0R
N\P
Square Footage
or Bid AmountDescription Type of Construction
Total Value of Project
Value Date Calculated
Valuation Description
L
to
H\S1
Status Issued
225 Fifth Street, SPringfield' OR
541-726-3753 Phone
541-726-3616Fa-x
541-7 26-37 69 InsPection Line
Fee DescriPtion
+ l}o/o Administrative Fee
Banner SPecial Permit
Deposit
Total Amount Paid
Amount Paid
$18.00
$80.00
$100.00
$198.00
Date Paid
lll4l04
ttl4l04
lll4l04
Buildin g/C ombination Permit
VALUE:
ReceiPt Number
1200400000000001569
1200400000000001569
1200400000000001569
To Request an insPection call the 24 hour recording ^t726-3769'
will be made the same working day , inspections requested after 7
day
Sign Final: After all required inspections are conducted and approved and the sign installation is completed'
By signature'I 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 SPringfield 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 ofthe property, and the aPProved set of plans will remain on the site at all
times during
Owner or Contractors Signature Date
All inspection requested before 7:00 a'm'
:00 a.m. will be made the following work
Page 2 of 2
coM2004-01370
Lu0412004
ry0412004
0s/04/2005
PERMIT NO:
NSUED:
APPLIED:
EXPIRES:
-l
225 Fifth Street
Springfield, Oregon 97 477
541 726-3759 Phone
rrty of Springlield Oflicial Receipt
- .veloPment Services DePartment
Public Works DePartment
Job/Journal Number
coM2004-01370
coM2004-01370
coM2004-01370
RECEIPT #:
DescriPtion
+ lO% Administrative Fee
DePosit
Banner SPecial Permit
1200400000000001s69 Date: 1110412004 1:12:25PM
Amount Due
18.00
100.00
80.00
Item Total:
Number How Received Amount Paid
Type of PaYment
Check
Paid BY
SUPEzuOR
Received BY
djb
Batch Number
1374 In Person
Payment Total:
$198.00
CUTS
tt/4/2004 Page I of I
rPEII{GFIILII
I
225 flmH STRLIT . SPRINGFIELD,OR 97477 o PI-l:(541)726-37lia r FAX: (541)726-3689
Citv Job Number Co'w-z-r'<:\ - O!37 O
-t u\
Banner Location 1
Assessors Map l7c3 zt3 /Tax Lot
Ox,ner
Owner of Property
Address
Zi
C,,/trt€rw ATTENTION: Oregon law requlrec You to
Notitication ars set fortt
number
Construction #
-t"77() t
4Y,^{L
s-
SCity
City
D
Date of Installation o Date of Removal l- t8* o
Banner Permit Fee $80.00 + Required Ileposit $10t1.00 + 10% Adrninistrative Fee
By signaturer l state and agree that I have carefully cornpleted this application and hereby certifu 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 frorn 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 permit can be issued only twice per calen dar year per developrnent
area. I also agree to call the inspection line at726-3769 by the end of the I 4'h day to request an
inspection to verifiz the removal of the banner(s). This inspection will begin the retum the
$r 00.00 the been
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Date of -0 Job #Receipt #
- )t € Amount Collected L EXP'nPtfr?FwoRK
H lr-ilu PrHru[ ts l[ol
Sharcd Drive (T:),rtluilding Forrns, Banner l,ennit CSDI-0l.do!
Issued By
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