HomeMy WebLinkAboutPermit Signage 2006-10-19
ZZ5 FlITH STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)72G-3689 "
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Construction Contractors License #
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Permit Feeo~MtJiI\f!ih~ lIlIo! $100.00 Deposit.
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By signature, I state and agree that IMlI~e\8M-~fuily ~ompleted this application and hereby certify 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 deposit. I also understand that this special permit can be issued
only twice per calendar year per development area. I also agree to call the inspection line at 726-3769
by the end of the 30th day to request an inspection to verify the removal of the banner(s) and/or portable
sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
portable sign(s) has been removed.
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Signatu.p ~ ~ -=-----
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Date of Application 10)';-:6 Job # {. b ~ 1-:1 SO
'JX?
, Date ofInstallation
Datp
Ir;~~
Issued By
Amount Collected
Receipt If
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Shared Drive (T:).'Building Fonns/Banner_Ponablc Sign Pemlit CSD 8-06.doc
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.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01350
ISSUED: 10/19/2006
APPLIED: 10/19/2006
EXPIRES: 04/19/2007
VALUE:
Status
Finaled
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1401 Market St
ASSESSOR'S PARCEL NO.: 1703253310004
Spriugfield TYPE OF WORK: Bauuer
TYPE OF USE: New
PROJECT DESCRIPTION: Banner permit for code compliance. Ref:COD2006-00860
Commercial
Owner: BES LLC
Address: 1385 OAK ST
EUGENE OR 97401
Contractor Type
Sigu
Contractor
OWNER
Atre6N'fRAl;;'WR INFORMATION'
fOllowrufe:sad t~- '''-.. ""1UU'",yvu,~
NotlficalionCen~~ ad by IheLlce!lse Utili~..xplration Date Phone
in OAR QI;:"."". :^., :hose rules are set forti
DOl II:. BOJIJDINGlINFORMA'TioN'f !152-001
C&llIng lOG center. (Not . th .,le rules b\
nUmbertkof(<:todes' e.,. e telephone Lot Size:
~, '('~v,allon Utility N t'f' ,
m~i~m~_~~"r,e 0 Ilcatlon Sq Ft 1st Floor:
Type of Heal~ -;J;J2-2344). Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Rauge Type: Sq Ft Garage/Carport
Euergy Patb: Sq Ft Otber:
Spriukled Buildiug: u/a Occupant Load:
tF."Uh.L
TH1 UEVI':LOPMENT INFORMATION I
.J 'l:R,vlI, SHAL
AUTHORlll5fel:talMJ2~~X;~RE IF THE WORK
COMMENOt~~~T!.f')fb~9.i1PERMIT IS NOT
ANY 180 D~Jvffi, r),v"" Nlll!DONED FOR
%.fr'iJ jl(Mverage:
REQUIRED PARKING
# of Uuits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Haudicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Dowuspouts/Draius:
Notes:
I Valuati~n Descriotion I
Description
Type of Coustruction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e 1 of2
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.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01350
ISSUED: 10/19/2006
APPLIED: 10/19/2006
EXPIRES: 04/19/2007
VALUE:
Status
Finaled
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees P.'lidJ
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Amouut Paid
Date Paid
$4.50
$2.25
$45.00
10/19/06
10/19/06
10/19/06
Receipt Number
1200600000000001544
1200600000000001544
1200600000000001544
Total Amount Paid
$51.75
I Plan Reviews I
To Request an inspection call the 24 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.
IRellu~
By siguature, J state and agree, tbat 1 bave carefully exsmiued the completed application aud do hereby certify tbat all
iuformation hereon is true and correct, aud 1 further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Spriugfield and tbe Laws of tbe State of Oregou pertaining to the work described berein, aud
that NO OCCUPANCY will be made ofauy structure without permission of the Community Services Division, Building Safety.
I furtber certify tbat only contractors and employees who are in compliance witb ORS 701.005 will be used ou tbis project.
I furtber agree to ensure tbat all required iuspections are requested at the proper time, tbat each address is readable from the
street, that the permit card is located at the frout oftbe property, and tbe approved set of plans will remaiu ou tbe site at all
times duriug construction.
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Date
Pal!e 2 of 2
225 Fifth Street
Spring'1eld, Oregon 97477
541-726-3759 Phone
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C.of Springfield Official Receipt
'-'opment Services Department
Public Works Department
RECEIPT #:
1200600000000001544
Date: 10/19/2006
II :08:48AM
Job/Journal Number
COM2006-01350
COM2006-0J 350
COM2006-0 1350
Description
Banner Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Amount Due
45.00
2.25
4.50
$51.75
Amount Paid
$60.00
($8.25)
$51.75
Amount Due
45.00
2.25
4.50
$51.75
Amount Paid
$60.00
($8.25)
$51.75
cReceinl1
Page I of I
10/19/2006