HomeMy WebLinkAboutPermit Signage 2006-6-29
.
Status
Issued
225 Fifth Slreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspeclion Line
SITE ADDRESS: 5755 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334400800
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. CITY OF SPRINld'lJ!,LD
Building/Combination Permit
PERMIT NO: COM2006-00814
ISSUED: 06/29/2006
APPLIED: 06/29/2006
EXPIRES: 12/29/2006
VALUE:
Springfield TYPE OF WORK: Banner
PROJECT DESCRIPTION: BANNER IREMOV AL DATE 7-4-2006
TYPE OF USE: New
Commercial
Owner: MCKENZIE CROSSING PARTNERSHIP LTD
Address: 2811 EST STE B
EUREKA CA 95501
Contractor Type
Applicant
I CONTRACTOR INFORMATION I
Contractor
DYNAMIC LIFE, INC
BUILDING INFORMATION I
Frontyard Selback: Overlay Disl:
Side I Setback: # Streel Trees Rqd:
Side 2 Se1tia1ckf'iTION: Oregon law r' Paved Drive Rqd:
Rearya/.r'S~i"liack:s adopted by th ecilJlres you tO'lo of Lot Coverage:
Solar S:r;b~cks:on Center Tho e regon Utility
In ntiPoc.-. ,,_ . seruJP.~;:t,.o.".........~_ ..
0090. You ~:l~'Ob~~i~ Inrough OAR !/'p.l:Ju11'C IMPROVEMENTS I
ca:linr !h~, caples ofihe IUles b
Street Improvements?nter, (Note' the t I Y ,
I/Udluer for th8 Or '. , e ephone
Slorm Sewer A v.ailable: egon Utility Notificat/'on
V~'''t:r IS 1 8003 "
Speciallnslruction: - - 32-2344).
# of U nils:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Conslruction Type
Secondary Conslruclion Type:
# of Bedrooms:
Noles:
Description
Tvpe of Conslruclion
License
Expiration Date Phone
503-375-9555
# of Stories:
Heighl of Structure
Type of Heat:
Waler Type:
Range Type:
Energy Patb:
Sprinkled Building:
n/a
Lot Size:
Sq Ft lsl Floor:
Sq Ft 2nd Floor:
Sq Fl Basement:
Sq Fl Garage/Carport
Sq Ft Other: .
Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compacl:
Sidewalk Type:
DownspoulslDrains:
~.. ~,',iI: ~flt\LL EXPIRE IF THE WORK
, nuKILcD UNDER THIS PERMIT IS NOT
.ll~IMFNr.r-n OR IS ARANOONED FOR
I . ' 1011 IIA.Y PERIOD.
Valuation Descriotion
..
$ PerSq Fl
or multiplier
-.
;
i
Square Footage
or Bid Amount
Value
Date Calculaled
Paee I of2
I" .~
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax .
541-726-3769Inspeclion Line
*
. CITY OF ~r KmGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00814
ISSUED: 06/29/2006
APPLIED: 06/29/2006
EXPIRES: 12/29/2006
VALUE:
Status
Issued
SITE ADDRESS: 5755 MAIN ST
ASSESSOR'S PARCEL' NO.: 1702334400800
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: BANNER IREMOV AL DATE 7-4-2006
Owner:
Address:
MCKENZIE CROSSING PARTNERSHIP LTD
2811 EST STE B
EUREKA CA 95501
I CONTRACTOR INFORMATION.
Contractor Type'
Applicant
Contractor License
DYNAMIC LIFE, INC
BUILDING INFORMATION I
Expiration Date Phone
503-375-9555
# of U nil"
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Conslruclion Type
Secondary Construclion Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft Isl Floor:
Sq Fl 2nd Floor:
Sq Fl Basement:
Sq Ft Garage/Carport
Sq Fl Olher: '
Occupant Load:
n/a
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
Tolal:
Handicapped:
Compact:
Frontyard Selhac.!\nENTION: Oregon law reqlJir0V~l>'y!Oist:
Side I Selback: follow rules adopted by the Ore!!!:StrleetiTtees Rqd:
Side 2 Setback:Notificatio"ri Center, Those rules 2"~,,,ed:Drive Rqd:
Rearyard Selbal'hKOAR 952-001-0010 through OA'Y~;!l~!;.OJLGoverage:
Solar Selback" 0090. YOl' may obtain copies of the rules by
ca,: ,;: tile center. \"UtV1 p'iioLiEiM'PROVEMENTS.
l1I:r"OLf for ',na OregGn L' , f, ,
Streellmprovemenls: Cemer is 1-800-332-2344).
Sidewalk Type:
Noles:
,,' pownspoutsmrains: 1\-\t. WORK
j i'''\:' . I\ll E'i-\'IRt. If S NOl
\ \\\S I'\:.f\i'~~ ~~Ot.R 1\-\IS \'t.~~6\\OR
, 1\\)1\-\01'112 OR IS !\\3I\NOO",
_ n".^~Nr.t.O _ n
"v" 01\'1 \,Ct'\lVC"
I V aluatio~ Descri~tion ,Ii'l'l \ \\0
Storm Sewer Available:
Speci~llnslruclion:
Description
Type of Conslruction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 on
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00814
ISSUED: 06/29/2006
APPLIED: 06/29/2006
EXPIRES: 12/29/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
SIO.OO
$45.00
S100.00
6/29/06
6/29/06
6/29/06
Receipt Number
2200600000000000905
2200600000000000905
2200600000000000905
Fee Description
+ 100/0 Administrative Fee
Banner Special Permit
Deposit
Amounl Paid
Dale Paid
Total Amount Paid
$155.00
I Plan Reviews 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 Reouired lnsnections ,
Sign Final: After all required inspections are conducled and approved and the sign inslallation is completed.
By signature, I stale and agree, that I have carefully examined the completed application and do hereby cerlify thaI 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 lhe City of Springfield and lhe Laws of the State of Oregon pertaining 10 the work described herein, and
lhal NO OCCUPANCY will be made ofany slructure without permission of the Community Services Divi,ion, Building Safety.
1 furlher certify thaI only conlractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree 10 ensure thaI all required inspections are requesled at the proper time, that each address is readable from lhe
streel, lhal lhe permil card is localed at the front of the property, and the approved sel of plans will remain on the sile al all
~ "m;K,in, onstructio, "
,~ c'-d-ct-O?,
Owner :.7~~~rs Sign;J'~re \ Date
Page 2 of2
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225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . fAX: (541)726-3689
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Job Locati on
Assessors Man
Tax Lot
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Owner of Property
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Addres. ':)70 ( Jj(lfh >f.
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State_()f'.fiCH1_ Zir
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AddressYO. goy 71J711
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. Phonp 503 :31 s. qggs
Zip 17?Y!)7--tJJII
EXPires....AI'/J?
State Ole
Construction Contractors License #
AI~
Description ~/J1I ON€: 6b-r -o/VG ~. rfVT nIl6WD!ZJ(f;
(DictefUL 'f;/6/11 - ZljzPt. hilI X fR. fOil( A'7 ,/ N
Date ofInstallation ffllOtiy JcJ/JE;)Jj:6 Date of Removal---/4'ltJ;, j()bY CI) tA::/
Bannel' Permit Fee $45.00... Required DellOsit S100.00... 10% Administmtive Fee
By signature, I state and agree that (have carefully completed this application and hereby certif)' 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. If the 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 inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
::~;~:G'~.........................................~,~~~(~.......
..'.................,.'...........f~?,riY.tll,,,il.~,iHH'!SlyU.................'" ,
Date of Application /P - d.. Cf - 0 tp Job # fiD-n<..- '2DO b ~ 0 0 ~Receipt #
I
Issued By of)[,J Amount Collected .:if, ',S ~ . -
Shared Drive (f:)iBui1~ FormslBanner ]ortab\e Sign Permil CSD 8-05_doc
C/2~Sf)QL 11971.~22:~17Z.1?2IJ(y It- 503.111, 910J
Ves I latty-a ffil_ 9;'Vf! ;-enr/lj,JldY/ _ TNI
h(~worl(( -1-0 dtSflttf( /Wf.fJ hCU7J1ee.. tfh (Juv
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2006-00814
COM2006-00814
COM2006-00814
COM2006-00815
COM2006-00815
COM2006-00815
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Banner Special Permit
Deposit
+ 10% Adminislrative Fee
Banner Special Permil
Deposil
+ 10% Administrative Fee
Paid By
DYNAMIC LIFE
'-~.'-"'-~,~-,- ",
Wit, , "
. ~' .
-. ~. ~ _._.,.~ ~
* of Springfield Official Receipt
_elopment Services Department
Public Works Department
2200600000000000905
Date: 06/29/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
LKW 5340 In Person
Payment Total:
Page I of I
1:47:04PM
Amount Due
45.00
100.00
10.00
45.00
100.00
10.00
$310.00
Amount Paid
$310.00
$310.00
6/29/2006
Status
Issued
225 Fifth Streel, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
Banner Special Permit
Deposit
Total Amount Paid
.
Total Value of Project
~
Amounl Paid
Date Paid
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00814
ISSUED: 06/29/2006
APPLIED: 06/29/2006
EXPIRES: 12129/2006
VALUE:
Receipl Number
2200600000000000905
2200600000000000905
2200600000000000905
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.
$10.00
$45.00
$100.00
6/29/06
6/29/06
6/29/06
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
$155.00
I Plan Reviews I
IRf'?IJ~
By signature, I state and agree, thaI 1 have carefully examined the completed application and do hereby certify lhal all
informalion hereon is lrue and correcl, and 1 further certify thaI any and all work performed shall be done in accordance with
lhe Ordinances of lhe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
lhat NO OCCUPANCY will be made of any structure without permission oflhe Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance wilh ORS 701.005 will be used on this projecl.
I further agree 10 ensure thaI all required inspections are requested al the proper time, that each address is readable from the
street, that lhe mit card is located 01 the front of the property, and lhe approved set of plans will remain on the site at all
times durin 0 tructio
/
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225 nITH STREET' SPRINGnELD, OR 97477 . PH. (54 1)726-3753 . fAX. (541)726.3689
, CityJobNumber ~6-u-o'tt
Job Location
Assessors Ma~'
Tax Lot
Owner of Property
Al86<rsvtv5
"51r-J
~ >-III71\(:. a:. COf\JrArT' 60-_
77'178 Phonp ~'f(~7'1b-/6f>1
State t)/Z....--- Zi~ ? 7 '178
Addr"" 0 5?5~ tI\It (L,J
Cit:' S~"" ", PH).
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Address_P D. 'Bf)[ 201/1
City YJ Lt/lll
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. ;honp .f5t;),~" "3 7'5.11555
Zip C;73{)7.....tJ1lf
"tate D~
Construction Conlractors License #
MIA
ExpiresA.{/A.
2~ 11- fall)( 71t-/o/f!)
1fJe / JJ!J4.-!1.J;6
Description
.
rN r f!R-e'WO;eK<; (CDtfJf?- r./bW
.
Dateoflnstallationf~ID}\y J()~ Date of Removal
Bannel' PemJit Fee $45.00 "+" Required DellOsit $Hlll.OO + 10% Administmlive Fee
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
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, If the 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 inspection will begin the process to return the $100,00 deposit if the banner(s) and/or
portable si~ved J ./
Signaturp - / ~) ~ Dat;--#/Zb/tJb
. ">UU...TU_......'..'...,.................f.,}f&ij'i2"l:.~,;<<..,'. .........................'.....'......' ,..............r.,.....,...........
Date of Applicatior '..l~;;~~~~ . ";~b# f=~" - (/7) f( I L Receipt #
,
Issued By Amount Collected $ ,c:-r'.
Shared Drive (f:)/Buildil"@FonnslBanner]ortableSignPennitCSD8..(15.doc
eI2VSTlJ~ #Qll. ~22.~1l2f12ftC'l1y 506, Cftlf, Cf9cg
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00814
COM2006-00814
COM2006-00814
COM2006-00815
COM2006-00815
COM2006-00815
Payments:
Type of Payment
Check
cReceintl
.
RECEIPT #:
Description
Banner Special Penn it
Deposit
+ 10% Administrative Fee
Banner Special Pennil
Deposit
+ 10% Administrative Fee
Paid By
DYNAMIC LIFE
-inii'''"'~_'''''i''" ,.",
1JIr- . " ·
-..""'. 't;' ;
. '
~- ..... '" . . ,,",..~,,' -
,liiill\ of Springfield Official Receipt
_elopment Services Department
Public Works Department
2200600000000000905
Date: 06/29/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
LKW
5340
In Person
Payment Total:
Page I of I
1:47:04PM
Amount Due
45.00
100.00
10.00
45.00
100.00
10.00
$310.00
Amount Paid
$310.00
$310.00
6/29/2006