HomeMy WebLinkAboutPermit Signage 2002-5-15
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DEVELOPMENT SERVICES DEPARTMENT
1ft COMMU~::R7i~MS<ON
225 FIFTH STREET
SPRINGFIELD. OR 97477
(541) 726-3753
FAX (541) 726-3689
Office: 726-3753
INSPECTION L~~26-3769
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Owner of Property: Cnhl1 'ml11~f:\N,'i ,sOD
Address: 709\ main ('if-:
225 Fifth Streel
Springfield, Oregon 97477
Banner Location:
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Assessors Map #:
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City: (pYI I/( .\" .",-:5 ,\0 ~'" State: U K.
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70 I' (7 - _...'li1:.rt.1f,~\~ 0 .~0 ,.S-:> I Phone #: 51..{/ - J 4 '7 - /.J ;'
Phone #: (Sljll :~9- 9)-9 L(
Zip: Ci7lfTK
Address:
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City: )"'Sf@~F~~,,,, v~",0':~''\_,,*'' State: 0 (L
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Construction Cont~<;,~0~~2g~t~e~'I:~U~ber:
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Description: 'EA\1\7N~,,,,O.~<' .,::<::?rr--sc..loo \ if-, u"
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Date of Installation: :EJ" - ( )' ~ 0 L~. Date of Removal:
HJ>D::-
Banner Permit Fe . 0 Deposit Required 5100.00
Zip:
'77,1{7 g
Expires:
e-.. >"Of r. __
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5-27-0Z.
By signature, 1 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 (5) is not
larger than 60 square feet, and will be removed within ten (14),IIa)l~ e date lisled above, If the banner(s)
is not removed within the timeline specified, I will fOrfe~~~o,oo de sit. I also understand that this special
pennil can be issued only twice per calendar year per de R ea. I also agree to call the inspection line at
726-3769 by the end of the 14th day to request an inspection 10 verify the removal of the banner(s), This inspection
will begin the process to return the 5100,00 deposit if the banner(s) has been removed,
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OFFICE USE
Date of Application:
<:;-15-02-
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OZ-0057 ~-o \
Job #: .> Receipt #:
190: 1:J3I HS\!::J Issued By:
: 39N\!H::J
OO'OBI $ G:O::J31:J lW\!
GOOG Ijl ).\!W: 31\!0
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Amount Collecled:
'705 S-
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I Job# 02-00575-01 I
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Page 1 of 2
TRANS#:01-0009055
DATE:MAY 15 2002
AMT RECD:2 $ 180.00
CHANGE:
CASHIER:061
... SPRINQFIELD
~
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00575-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
~~ Inspection Line: 726-3769
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Location Of Proposed Site: 7095 Main St Spr ~ '\'<'-\ ,C;, ~
Assessors Map#: 17023534 iS~\~9;.~~ ~\)9;. Tax Lot #: 06311
Lot: Block: \~~~ll.~~,\)\)~~ Subdivision:
~ ~ -3.- ~{J. ,-'0'("
Owner: John Hammer ~'\\t; ~~ ~ ~~ ,C;, \"Phone Number:
Address: 800 42nd Stree~~C;, q;~t.;~\) \)~~~~i'ty/State/ZiP:
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Scope Of Work: Banner \>>" ~~ 5.) \)f' New
Preschool now enrollff1~~", \'0
Install banner
Springfield, OR
Value: $0
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Land Use: : ":" ",e'" ~. ~,,, ,!f:Ofr.Bulldmgs:
... "\~ ,-:S 0 ':-...... ~ ,',tJ
Zoning Code: _' ';';>',,0 ?fj' O'~ }..0<;/ ,Occupancy Group:
Bedrooms: . /",yP~",o ~,Q-:S '~0'" ~i/" ~o:$Heat Source:
, u, t . ~. ~ ~. ~ ~"'.
Range: ,.J 'l;'-J '.11.",~ <,0' e' ,'~\ n.~Sq. Footage:
~'.. ,h ,.,(:.- "C) .'..(;. ,"~ ,~~~ n...
../ ,... U' ." ~'" ~ u 'r
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To request an inspection call the 24 hour recording at 726,.3769,\ AII,inspections requested before 7:00
a,m, will be made the same working day, inspection~;~~iiJ'eSted;!lfffi!l.'7-:60-a,m. will be made the following
working day, ~o'O~' -\Q~c~';,'S' :,.
'~ pp' {s;<:" ~'o ~r
Requi;.ed:lhsp~cti&ns
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.After all required inspections are conducted and approved and the sign installation is complete.
Office Use
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Final Sign
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Sign District:
iSign r' 'D ~ D
I Vertical:
Height (Above Grade):
Sqr. Footage:
Illumination? 0
Comments:
Type of Sign: Face Type:
Horizontal:
Thickness:
From Grade To Bottom:
Sign Material:
,.
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Job# 02-00575-01
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Page 2 of2
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Fee'
Paid On
Receipt#
Value/Quantity
Fee Amount
Banner Permit
Deposit for Banner/Blimp/etc
Total Sign
Grand Total
By signature, I state and agree that 1 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
ba()~;;;; ~mo~~iAlk;Jh1 S - /y_ O~
Sirature !) Date
Sign
05/15/2002
05/15/2002
l
9055
9055
1
1
$80.00
$100.00
$180.00
$180.00