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Home My WebLink AboutPermit Signage 2004-9-20 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . . CITY OF SPRINGFIELD Building/Combination Permit * PERMIT NO: COM2004-0I097 ISSUED: 09/20/2004 APPLIED: 09/0112004 EXPIRES: 03/20/2005 VALUE: SITE ADDRESS: 5251 MAIN ST ASSESSOR'S PARCEL NO.: 1702333107201 Springfield TYPE OF WORK: Banner PROJECT DESCRIPTION: hanner - response to COD2004-00428 TYPE OF USE: Owner: UMPQUA BANK-CORP Address: PO BOX 1820 ROSEBURG OR 97470 . I CONTRAG:m)(UNtM~TION I ~01\Ct, 1 S\-ll\Ll. ,-,J. E?t.ii ( Ii) (,V, COW1il\o1ot\~\ \It-mE?' 1\-1\S ? O~EU fO\\ License ,"i\\O?\lEO_ ^n Ie, ~B"'~O 'CO~~ENvt:",~ ~;BUIDDING INFORMATION I "'~'{ ~ 80 0 . # of Stories: Height of Structure Oil \0 Type of Heat:3QuifeS 'I . ,,\\\\'1 la'l'f . On v\ '"' .CVaterfType: e Ofe9 S~\ \O~I' P,..~\E.~"(\O~'(&~g~i'yj.~' luleS ale 952-00\- o'll filial> a ~~~rgyl~~~~, .on O"'~ IlIO& '0'1 \0\:., "a.\iOt' CeSprinkIeil Building:\ \ne \"Oln/a t\.\^\\\\\ooI _n_nr,,"'V'" . '.- ,.oO\t:i;" ......\"0" '-_ \~~!,DEV.EbO!~~';:;' .,.NFORMA'FioN' r' \)U~\\\t\ll \t\~\M Ofa2~o_3'32-23'l" J' ,~\lef~O OverlaJ. Dist: 1\"'" C~'\\'" . ,. # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Contractor Type # ofVnits: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Sethack: Side 1 Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description I PUBLIC IMPROVEMENTS I New Commercial Expiration Date Phone Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Pa!!e 1 of2 Value Date Calculated . . CITY OF SrK11~lJt<1I!,LD Status Issued Building/Combination Permit PERMIT NO: COM2004-0I097 ISSUED: 09/20/2004 APPLIED: 09/0112004 EXPIRES: 03/20/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees tiWLI Fee Description + 10% Administrative Fee Banner Special Permit Amount Paid Date Paid Receipt Number $16.00 $160.00 9/20/04 9/20/04 1200400000000001359 1200400000000001359 Total Amount Paid $176.00 I Plan Reviews , 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 RellUired Insnections I By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shall he 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 he used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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, 5./ '71/) jl. ~~'LC< 0",- of1.-..S(~ A-- ( AfP ~~ Date Owner or Contractors Signature Pa!!e 2 of2 225 Fifth Street ~pring&eld, Oregon 97477 54)-726-3759 Phone Job/Journal Number COM2004-0 1097 COM2004-0 1097 Payments: Type of Payment Check 9/20/2004 RECEIPT #: . Deseription Sanner Special Pennit + 10% Administrative Fee Paid By UMPQUA SANK GPRINQPlIU.O. , ~.~..'.".'-I..I... 1/JiG.: Wlfi .I _..~_._-- Ay of Springfield Official Receipt ~velopment Services Department Public Works Department 1200400000000001359 Date: 09/20/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 92756 In Person Payment Total: Page I of I 1l:35:54AM Amount Due 160.00 16.00 $176.00 Amount Paid $176.00 $176,00 · . SPRINGFIELD ...... ." . J ~ '" ill'" """" . "",,"an, 0' "'" . ''','''' ""."" · ''''', "" """"''ED'.:~ ~l ~ City Job Number c.c::w..1l.col..( -Ot (:) Cf 7 SEP 0 7 200~ ~ ~9 cJ ..~ B~"~ Lou"" S Z '> I tIf A 11-/ "'>7 .' ?.'J,9?!)1&" . ~ i,( (U ,.~ Assessors Mar I 70 Z 'S 3.3 I Tax Lo' 0 "'72..0 ( ~ ~~ ~ at -. ~r-~( [~Q~1~i;t7~, . ""'L . .. .~, ;; .,: ': :'?5:;~-~~'\~~:,~~t,:f~,~~i: ~ : Q) LA.W\f'Gu-A- ~A-..lc..- LPnr? ~ & ~ r- , Owner of Property Q <( l/l 18z..0 ~l ~ .~ .. ..,-1, .~ ~ ~ ~~ I~ -.. .__1~ ~~ ~r-~ ,-' ~ e~ , - ~ er~: f"7( -~ ~ U II l~ ..~ r~ -~ ~ ~~ ~r ~ ~( ~l r-( ~I . !J ~l /. ' > " ...... . '"., . ....."- '. '. ..' . . ., .. CITYOFBPRlNGFIELn OREGON{"" ,'. I.. " "\. '. . \ . ~ ~, , " . ,'. ^" c...., . !.' Add!'p<< 1> c> 7? 0 r City 120 Se- J,:;,...L" State D tL... Zip ~7Y 70 ~~ "'- -/.~-~~:~;r ~~-,. :'-r."" J";" -~'7;-{'~~"~~}~~;;::~, :"7 ::"~~; -.j~'_:,~ ,"T-:-~,-:-::'~-~1 ~;s~~." ~~~? T."7l;;~~,.~~i~' ,~~,:~~~~,'r,~.~::;~r..~'-;~-'-:' :::~~'tr'f\~~~~ ,Contr. ctor/lnstaller ;1~t.~~'I, \'.' ."' II' ''(''if'" "", ,'1'", ~o""'_' "."""",','1 ;/,', ~"'ilJ "rtt.I~,,'''' . ' ,~, ,."'j.,J r. " c" ' I I "" ^ 'I N'I"'" '" . I'I',~, " ' , '.,' \"11 ~ ~ 't" .1, I ~:'<" ~~ ,~"I' N' "I " . .1 '. . , ~... ' " d'.' I.... '';Iwi ~ "0'" I,,,,' .,. to,," ..,,0 ., '-<' "~, '~Ol' ,,,....10"""'_"'" ", .. 1'1' "OA '* ",,,.11 Cont~oo /,f .F7't/ //7",j6~\-~\\'co ~e.1 7--' ~nC~ \\ \. ~'/..\'l\"'c. E?~\"'\ \S Address .-2...-.J.2-~ ~~~~\\~..-;~t.1) t:-O\\ 3\\\':1 f Q~\l~\) \l u~S' ~B",~IJ\l\ - City Sp //~\\ _.>\1"1011 Q? ~" State C)p!.. ,p CQ~t-l\t:"Df>,'{ \'l~",u",. Construction ContractQl.t\'R~~Pstration # /1/ AJ Phof" Phonp S ~ /.. 9" 3-7(2 7~~ Zip .7'7;/77 Expirp< _'IO\}.\'~ . ~- o.U\'U- . 0\11'" XI t5;:l#vN~ . ,,-,'1'1 Ie NP.o.ofl . ^' \oll' le9u" \\\.. - ale ~ _our B: \oWO ~\eO u'l _~ l\l\e~~~ 9<:>~ 0' Date ofInstallation 0 .....c:.~'\ nc\ODate;6f'Rernoval. ~ rl).vc<iS -r ( I l'>\ . I).\"~ ~e\'. XlIOU"" 0\ \"- nO' - ~=--- V,\o'll~\o1\ce~.OO\o~ ~oO\e'" fl\e'E.Z 'J,,\\ot\ 09- Banner Permit Fee'~~ t~~.~Qtlir,.~<!:DeJ:!q~!t'< . ,~,,;>_O~,Q~~\';.(dministrati\'e F /76 . . 0""'- ~ '(\I"'''''' i.e" v \)'\;'" ~1' '-,----- \t\ 9t).~o \\\e cefl Oler:pt\ _'3'3~'Z By signature, I state and agree that I h~~e~Wfi\biY1C~p'!et&')~is application and hereby certifY that all information herein is true and correct. I w.'i'fu,~'~~e~d 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. Ifthe 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 proce0ss to return the $100.00 deposit if the banner(s) has been removed. Signatuop ~~ ~ . Date ~.?/ . ./ Descriptior Date of Application y:Jo ~{ For o.ffice Use Job # CJ:lI.'o''ZOol{ ~OlO 97. Receipt # Issued By Amount Collected RecelvedlnAfP SEP 0 2 2004 '15~oODOq \ V'34QU Shared Drive (f:}lBuilding FonnslBanner Pennit CSDI-OJ.doc