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HomeMy WebLinkAboutPermit Signage 2001-4-9 . '- , .. I Job# 01-00286-01 I . Page 1 of2 TRANS#:01-0004875 DATE:APR 09 2001 AMT RECD:2 $ 80.00 CHANGE: CASHIER:032 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00286-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1926 Marcola Rd Spr Assessors Map#: 17032523 Lot: Block: Addition: Tax Lot #: 00100 Subdivision: Owner: Thang Van Nguyen 1926 Marcola Road Phone Number: 541-746-8039 Address: City/State/Zip: Springfield, OR 97477 Value: $0 Scope Of Work: Banner Nail & Tan Banner Dates march 26, through April 8th, 2001. D"IAR Anril 9th IhcolJnh thA Anril 22nn, Office Use New Quad Area: # Of Units: Constr. Type: Water Heater: Land Use: ' Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All inspections 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 working day. Final Sign Required Inspections I Si~n I -After all required inspections are conducted and approved and the sign installation is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D ,Area (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply N01ICE: LLEXPIP.EIFTHEWORK iHIS PERMli SHA r: iHIS PE.RMli IS NOT ~'--D UNDt:R FOR H~jght(feet): S ^BANDONED P -.. ,ri'~,"""R\ " roposeu1umts':J ;~~'~BO DAY PERIOD. Total: Sign District: rSign Dimension:: Vertical: Height (Above Grade): Sqr. Footage: Illumination? D Comments: Type of Sign: Face Type: '. Horizontal: Thickness: [oJ II ,- .l'jr ' From Grade To'Bottom: .Ol-i.-, .J..V 'i;~' I I',j I, .1. '" Sign Material~a9C. V J', Inl' ";:'1:- "r c:J!I:, :" nU.llH..... . , r- '. " .,~J~.\.. 4 .' (~( r"i.ll,=!-S u" , :dPI ';.1.3 ,,;,;li:;dt;Cn . "'... i . Job# 01-00286-01 . Page 2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Banner Permit Banner Permit Deposit for Banner/Blimp/etc Total Sign Grand Total By signature, I state and agree that I have carefully completed this application and hereby certify that all information herein is true and correct. I further agree and understand that the above described display will be removed within 14 days from the date listed as the date of installation above. If the display 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 14th day to request an inspection to verify the removal of the banner. This inspection will begin the process to return the $100.00 deposit if the banner has been removed. ~ C;VU!JJf!1JJ/ /frJ -/alft'l /1/ H ~ignature ! I lb ( , Si~n 03/26/2001 04/09/2001 03/26/2001 4762 4875 4762 1 1 1 $80.00 $80.00 $100.00 $260.00 $260.00 ~~RINGFIELD --. City of Springfi_ Voucher Report 10: SPRA103 Comments: refund for job # 01-00286-01 ok'd by Tom Marx \q;;t" ~ (U--