HomeMy WebLinkAboutPermit Signage 2005-8-19
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SPIRINGFIIELD.
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225 flITII STREET. SFRlNGflELD, OR 97477 . FH:(541)726..3753 . F~X; .~5~ ~!726..3689 _ .. ~"
~.~~ '~t-ki\\IT SHALL EXPIRE IF THE WORK
AUlrlOfW:D UNDER 'THIS PERMIT IS NOT
<; 7GGiVllv'itNCED OR IS ABANDONED FOR .
A\iY1l:lUUJ.\Yr>tKIUU.. i(..
Tax Lot DI 70 Z- ","",_..
. .
.
CilyJobNumberC:OWlZ-OO $'- 0/120
Job Location
574'(
WI A-IN
Assessors Ma~
J/07~5l.f(
Owner
Owner of Property 13/lwA(L \ Cva..~
,\7":':~!T:~~~: 'Jrg~Q" I~\., rp"l"frp,g vou. ~
follow rules adopted by the Oregon Utility
~lnt;f;""t;nn rp.l?h\1\n;rhose rules are set forth
In OAR 952.001.0010 through OI\B ~2-UU1.
SliIif'''l vnu~btain <zlsies of t~ I(lrt()>f
calling the center. (Note: the telepho~e
number for the Oregon Utility Notification
Center is 1-800..332-2344).
Addrp<<
pc.) "BoY 2310
City
fJ-u... ~e?V t: -
Contractor/Installer
tA
OA-~ fA--lL.
Phon~
1./ ~S-- S'5;'f b
Contractnr
e$.
,2-d
Addrf><< ; 7 ( 0
City
t:::vLC-(::-xt f::.~
DeL
Zip
Ci7l{OZ.
~~A6
State
Construction Contractors License #
/Vr-75')
Expirl'<
Description '?c:.>(1o-.{..,.,.~/"" ("c:A-dc5-L h.P.lla...l
~;J7fr
70s-
Date ofInstallation
Date of Remove I
Banner Permit Fee $45.00 + Required Deposit $100.00 + 10% Administrative Fee
By signature, 1 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
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. Ifthe 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 inspectio will begin the process to return the $100.00 deposit if the banner(s) and/or
portable sign(t) ~~ved. .
Signaturp. 0 Oat,. 'il'lr 1 ! 6
t
Date of Application
g/t '7/0 r
, I
~a
For Office Use
lob # c~-O/l2..0
Receipt # /2/ r-
/l{~ ~
Issued By
Amount Collected
Shared Drive (T;)/Building FonnslBanner_Portahle Sign Pemlit CSD 8-05.doc
.
. CITYOFSPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01120
ISSUED: 08/19/2005
APPLIED: 08/18/2005
EXPIRES: 09/18/2005
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
.,
SITE ADDRESS: 5744 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334101902
Springfield TYPE OF
Blimp, Portable Sign, Etc.
TYPE OF USE: New Commercial
, PROJECT DESCRIPTION: Portable sigu for Bimart/Fair participation; Inslalfdate 081905 removal date 0918050RK
. -- . " 'T SHAll t)('r'It\t Ir ",'- ..
THIS rthllll _..n nr.""T Ie ~lilT
U1 rlOKILtU UI\ULII " "V . -...
p., t"I'\CED OK IS ABANDONED FOR
CU\vll\l\ ,
ANY 1l:l(J Dp.,Y PERIOD.
-:- Owner:
. Address:
Bl-MART CORP #627
PO BOX 2310
EUGENE OR 97402
Contractor Type
Sign
I CONTRACTOR INFORMATION I
Contractor
SIGN GROUP LLC
License
145755
Expiration Date
06/30/2006
Phone
541-485-5546
I BUILDING INFORMATIONI
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION'
lmS yoU to
. regon lri1VefiiW,llifflJ UtilitY
t>.nENiIQN. ~oPted bl! !ltIleW~f~~et lort"
10\10'11 rules a t r i"d!lB'l\lIDt~1\ ~g\!.:001.
Noti\ication ce~~Q1 0 tl'\fcor;to~'tR~"Mg<; by
In O,c>.R 952~~" nbtain copie:",~ lelep"one .
009U. \V_. - 'S" '.'-' . ..-;...,,,.:
ailing tl\e CIIPJ!BLJCl~R.OVIi:MENTSI
c mber lor th". - . 800.3~I"-""'-' Sidewalk Type:
flU center IS ,-
REQUIRED PARKING
Total:
Handicapped:
Compact:
DownspoutslDrains
I Valuation Descrintion ,
Tvpe of Construction
$ Per Sq Ft
or multiplier
Date Calculated
Square Footage
or Bid Amount
Value
1 of 2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01120
ISSUED: 08/19/2005
APPLIED: 08/1812005
EXPIRES: 09/18/2005
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
.. 541-726-3753 Phone.
. 541-726-3676 Fax
.;. 541-726-37691nspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
Blimp + Special Permit
Deposit
Amount Paid
Date Paid
$4.50
$45.00
$100.00
8/19/05
8/19/05
8/19/05
Receipt Number
1200500000000001215
1200500000000001215
1200500000000001215
Total Amount
$149.50
I Plan Reviews I
.,
.
To Request an inspection caD 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. wiD be made the following
work day.
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
By signature, 1 state and agree, that I 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 wiD 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 . I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from
the st eel, that the per . card is located at the front ofthe property, and the approved set of plans wiD remain on the site
at a ti .n t uction.
,
Owner or Contractors Signature
~j/'1106
Date
2 of 2
225 Fifth Street
.. ,
Springfield, Oregon 97477
541-726-3759 Phone
JOb/Journal Number
COM2005-01120
COM2005-01120
COM2005-01120
Payments:
T)1le of Payment
Check
-
'.
-
:!'
,
..
"
J
8/19/2005
.
RECEIPT #:
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000001215
Date: 08/19/2005
Description
+ 10% Administrative Fee
Deposit
Blimp + Special Permit
Paid By
JULIE JONES
Received By
djb
1 of 1
Item Total:
Lbeck Number Authorization
Batcb Number Number How Received
9306 lu Person
Payment Total:
10:03:38AM
Amount Due
4.50
100.00
45.00
$149.50
Amount Paid
$149.50
$149.50
~
..
Report 10: SPRA103A
Voucher 10 : 00095033
Handling Code: RE
Jones,Julie
1210 Oakpatch Road
Eugene, OR 97402
Descriqtion
Deposit return
Account
425602
Fund
224
.
City of Springfield
Voucher
~
Accounting Date:
Vendor Number:
Invoice Date:
Invoice # :
Approver :
Operator:
Gross Amount:
OrQ
SubClass BY
Proi{Grant
00000
2006
Comments: Blimp removal ~k'd by Bob Barnhart and Lisa Hopper
57Lj~ on.. ..
September/16/2005
0000012850
AugusU1912005
Com2005.01120
PUEN5597
WILS5940
100.00
Amount
100.00