HomeMy WebLinkAboutPermit Signage 2004-08-26Status 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: COM2004-00953ISSUED: 0812612004APPLIED: 0810212004
EXPIRESz 0212612005
VALUE:
SITE ADDRESS: 1671 18TH ST Springfield TYPE OF WORK: Banner
ASSESSOR'S PARCEL NO.: 1703253107701
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: 2 Banner permits to satisfy code requirements and code enforcement action. BWOP of
applicable fees.Installed dates were 070104-071504 and 071604 -072904.
OwneT: MCKAY INyESTMENT C6MPANY LLC
Address: 2350 OAKMONT WAY EUGENE OR 97401
Contractor Type
Sign
Contractor
OWI\ER
License Expiration Date Phone
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# 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:
nla
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
n/u of Lot Coverage:
REQUIRED PARJ<ING
Total:
Handicapped:
Compact:
\t \S
t\E
r0R
0N\
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Paee I of2
CONTRACTOR INFORMATION
rrtion
Description Type of Construction Value Date Calculated
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Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00953ISSUED: 0812612004APPLIED: 08/0212004EXPIRES: 0212612005
VALUE:
Fees Pa
Fee Description
+ l0%o Administrative Fee
+ 10l,6 Administrative Fee
Banner Special Permit
Banner Special Permit
Penalty Fee - BWOP Building
Total Amount Paid
Amount Paid
$8.00
$8.00
$80.00
$80.00
$160.00
$336.00
Date Paid
8t26t04
8t26t04
8t26104
8t26t04
8t26t04
Receipt Number
1200400000000001266
1200400000000001266
1200400000000001266
1200400000000001266
1200400000000001266
Plan Reviews
To Request an inspection call the24 hour rccording 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.
By signature, I state and agree, that I have carefulll' cxamined the completed application and do hereby certify that all
information hereon is true and correct, and I furthcr ccrtify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Lau's of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure rvithout permission of the Community Services Division, Building Safety.
I further certify that only contractors and employecs'rvho 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 ol'the p , and the approved set of plans will remain on the site at all
times during construction.
Crr o
Owner or Contractors Signature Date
Pase2 oI2
r .l
.l Li
t(eourreo lnsDecuons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
^rty of Springfield Official Receipt
;velopment Services Department
Public Works Department
RECEIPT #: 1200400000000001266 Date: 0812612004 e:30:57AM
Job/Journal Number
coM2004-009s3
coM2004-00953
coM2004-00953
coM2004-009s3
coM2004-00953
Description
+ 10Y. Administrative Fee
+ l0% Administrative Fee
Penalty Fee - BWOP Building
Banner Special Permit
Banner Special Permit
Amount Due
8.00
8.00
160.00
80.00
80.00
Item Total:$336.00
Payments:
Type of Payment Paid By
CheckNumber Authorization
Reccived By Batch Number Number How Received Amount Paid
Check HOLLYWOOD
ENTERTAINMENT
djb 7801 8 l In Person
Payment Total:$336.00
$336.00
8t2612004 Page I of I
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225FIF-|H STREET . SPRINGFIELD,OR97477 o PH:(541)726-3753 o FAX: (54I)226-3689
City Job Number (nvnzooq-c) .," ,- 3 -rf o 31(q
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Assessors 170 s3 Tax Lot o7 701
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Banner Permit Fee $80.00 * Required Deposit $100.00 + l}Yo Administrative F ee
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By signature, I state and agree that I have carefully completed this that
l*all information herein is true and correct. I further
banner(s r) is not larger than 60 square feet, and will be
above. If the banner(s) is not rernoved within the $100.00 deposit.
I also understand that this special permit can be issued per development
area. I also agree to call the inspection line at726-3769 4 day to relquest an
inspection to veriff the removal of the banner(s). This will begin the process to retum the
$100.00 deposit if ) has removed.s
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For
zoo"l -oo 7t3 /26CDate of A Receipt #
S3 / c--O(>Issued By
Job #
Amount
Shared Drive (T:)/Building Forms/Banner Permit CSDI-03.doc
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SP ,'O ""CITY OF
LLC