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
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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.
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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
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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
$198.00
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ZZO FIlTH STREET. SPRINGFIELD, OR 97477 . PH:(041)726-3703 . FAX: (041)726-3689
City Job Number CooM"Z.-O oL{-OI S'Ob
Banner Location
(,CJOO MAIl\! sml;:G1
ATTENTION: Oregon law requJroo.$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
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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.
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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