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HomeMy WebLinkAboutPermit Signage 2004-12-9 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01506 ISSUED: 12/09/2004 APPLIED: 12/09/2004 EXPIRES: 06/09/2005 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line ~."" : '. I , SITE ADDRESS: 6900 Main St ASSESSOR'S PARCEL NO.: 1702353205317 Springfield TYPE OF WORK: Banner PROJECT DESCRIPTION: Banner - 121104 removal date 122304 TYPE OF USE: Commercial Owner: GIBSON & GIBSON Address: 668 GREENWOOD ST JUNCTION CITY OR 97448 I CONTRACTOR INFORMATION. Contractor Type Sign Contractor OWNER License I BUILDING INFORMATION. ATTENTION: UII.gUN IWI requwes V&I tlll # of U nits: qo~low rull3S adoptedlbjf lhCPOJIlgcn Utility Primary Occupancy Group:NOtificatlon Canter. ir~~t&\Iel!!!ifl'oril'i Secondary Occupancy Grou\n OAR 952-OO1-OO10~ 952-0016 Primary Construction Type 0090. You may obt&ln~~~ rul3s b Secondary Construction Type:calling the cente~~ Ilephonlil If # of Bedrooms: number for the pj ~!iPB Center 10 1 ~ I g. I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer ~vlU'bble:. ~~ ......r. VA.. SpecialInstruniHS:PER'MIT SHA ' Notes: tg~HORIZEO UNO~~ i~;~~E~~'~~ WORK . MENCEO OR I~ 60^^'M.._ . S NOT "'VI IOU UAY PERIOO- _... " ..::-: . I Val\Jation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Page 1 of2 New Expiration Date Phone nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport . Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Value Date Calculated . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01506 ISSUED: 12/09/2004 APPLIED: 12/09/2004 EXPIRES: 06/09/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I Fee Description + 10% Administrative Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $18.00 $80.00 $100,00 12/9/04 12/9/04 1219/04 1200400000000001715 1200400000000001715 1200400000000001715 Total Amount Paid $198.00 I Plan Reyiews 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. I Reollired Insnections I Sign Final: After all required inspections are conducted and approved and the sign installation is completed. By signature, I state and agree, that 1 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 of the property, and the approved set of plans will remain on the site at all times during construction. ~ 12./9/04 Owner or Contractors Signature Date Paee 2 of2 225 Fi~ijJ Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004.01506 COM2004-01506 COM2004-0 1506 Payments: Type of Payment CreditCard 12/9/2004 RECEIPT #: Description + 10% Administrative Fee Deposit Banner Special Permit Paid By RIVER CITY COFFEE .PRINapUELI) ru ~I ~., i liE' of Springfield Official Receipt _elopment Services Department Public Works Department 1200400000000001715 Date: 12/09/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 173407 In Person Payment Total: Page 1 of 1 10:49:05AM Amount Due 18.00 100.00 80.00 $198.00 Amount Paid $198.00 $198.00 .<'" ~ 01 .~ 001 .~: >- .~' 0; 00) C:)~ U ..~: >"' ~: OJ; 00) / -. ~, ...p~ " .,,~: ~: ~' . , . . S; E' , , .", 0; Ul ../ I: ~) ."a~,.;J . . . . , , CL)~: ~"," , , r ." . ~~ Q); ~j ~; <<15 ~j ~1 ZZO FIlTH STREET. SPRINGFIELD, OR 97477 . PH:(041)726-3703 . FAX: (041)726-3689 City Job Number CooM"Z.-O oL{-OI S'Ob Banner Location (,CJOO MAIl\! sml;:G1 ATTENTION: Oregon law requJroo.$lll.\'@, /70 Z. 5, 5" 'J Z ~ollow rules adol't%~ ~tIW OrliOOfl u~ 7 Notification Center. Those rulss ara sat iorill In OAR 952-o0Hl010 through OAR 952-001. G::i IBSON d- G:l16S00090. Y9v@yobtalncopiesoHlls rules b~ "'c:l;;;II~ Jn7 "QII~'c;n. (.J,""o. 1110 t..l.~..r.'''''1-IV G6ZE:,~ wt:>bD '3>r Olumber ior the Oregon Utility Notificatioll ~E::~{lf-/j~ g:;~ ~). C)~ Cj'(4 '1't State Zir Assessors Ma;> OWller Owner of Property Addres~ t;'3 'S . J'U""L-TIO'10 CIty t..ll'1 COlltmctorl/llstatler Contractor K-YP IN'\iSSTME.N1S PD 8<:l"l\ ~L. Phon- ,41- "t;4"l1;'l$ Addreso NOTICE: State C:i<- Zip '1,4/1 THIS PERMIT SHALL EXPIRE IF THE WORK Construction Contractors Registrafi\Hif#]RIZED IJNnFI1 TI-lIC: DJ:O!~IT !~ ~!8'Fxpirf'o r.nMMF~Ir.Ff1 no 'C^r:^'!88'~~~3 ~::l O . t' Fr;W:.l~ <?fpND'tfWYU.8~'NlffimJ '2-4" 11=lt.-L. )( I "l' l.()),j<.. "ewER. L.,-r') escnp IOn . GO f'Y'€.C:; City -S~tNGfle..W Date ofInstallation l"Z-III(C,Cj 1'Z../zs/oLl Date of Remow 1 Banner Permit Fee $80.00 + Required Deposit $100.00 + 10% Administrative Fee By signature, I state and agree that I have carefully completed this application and hereby certifY that all infonnation 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 from 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 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(s). This inspection will begin the process to return the $100.00 depos~'t if the nner(s) has been removed. ~~/~~ ,~/~/o~ Signaturp ~r ~ , Oat" Date of Application 12-'7-01.{ '1::>(5;. For Office Use Job#COWlzoc4- 6/JOb Receipt# /7/) Amount Collected fi J 9 8 ~ Issued By Shared Drive (T;)IBuilding FonnsJBanner Pennit eSDI-D).doc