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Home My WebLink AboutPermit Signage 2005-8-2 22;' flrrH STREET. SrRINGflELO, OR 97477 . rH:(;,4 ])726-37;'3 . FAX: (;'4 ])726-3689 ~J (Q) -,/ ., 20: Banner Location .0 .,--.I! ~ Assessors Map .,':--li OWlIer OJ Owner of Property Ci(!JJ ~ (1,;)) City ..),~14 :?:- ~l ~ fti1J ~) City ."\-=~~ ~J v -.) ,:--'1 g;:l ~ Sl ~! ~: ~j (Q; U I] l~ .'~~~i r-l ~i :-.1 ~ ~j ~! ~J ~i bo4i ~I ~i ~J ~l . . SPRINGFIELD :=_ -_~.~:' I, ":'!/_ /....._,_~_/../.r~~ .'_ ;) CITY OF SPRINGFIELD, OREGON .~ _-v'.~., ". " .~. CityJobNumb~r C.OIM:Z.oo S- - 010 Z z.. S.2 S- / /r7 ,A/';' /7{)'l 3J"31 57- i?/k?- O./C- 07M( Tax Lot ///Vl //.r.. ;J/-) /? AA//< / ATTENTION' ~ r- <'--) ~ - ' on law requires ~' ,,, Address ...., 2- J . /r] !lW.rules.5'ti nto.< "I'~ - - qnP . /"~IIlcation Center. Th - .,~ VI "!,Iun tr"tv . )47;- /:.,..~ ,..G;::-,.woAR 952-001-00'1'1 :~~ettorth Zip 9' 7 Y 7 &" .. ~ uu~u. You may obt . . h . '''J<::-UU1- C I/' am caples of the rules b COlltractorllll.~taller a In9 the center. (Note: the tele h Y . nU~~r for~r . . pone Contractor ./~ &-A/ /' ~ ~on Utlilty Nnlificatinn 1-8uO-J:Ji!-<!<l44:j:--' . Addre<< ?7 Z S r7/""'.</<>.-d,()~'-O...... Phonp,-')7"/- 9~7/-.2.7J"l-- ';tate 0 P- 977177 Zin Construction Contractors Registration # Expirp< Description . <)~./...-. ~ - ~ . S- ___A""'-- /.5A. /5-/ y~ / Date oflnstallation..d/../.?- 'Z - 0 r Date of Removal 69010 S- '---' 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 information 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 dev~lopment 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 $ I 00.00 deposit if the banner(s) has been removed. t. \NO\'ll\. Signatur,. ../ ~ __ .$S..,~~ i.$\\\Cr:. ..~ ,,\~!\\Jr51t~\~~d)~r -...- 1\:\IS 1'\:.\'1"'" ~\,\O\:\'I \ t"" . 0\,\\:0 r\J\'I For Office f{;Sl\\-IO\'lll\:O 0\'1 IS 1\1'>1\\'\0 "7 ~4 {,_ ..['Df"\~I'~C\:O 1'\:\'1100. 7j'Z-)/ C ) Job # CS -. CJ,l,~\p\Yi. Receipt # t\\'l' Date of Application--> Issued B~' -:t> rc: / '78~~ Amount Collectecl Shared Drive (T:)/Building Forms/Banner Pennit CSDI-Q3.doc . CITYOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-0I022 ISSUED: 08/10/2005 APPLIED: 07/29/2005 EXPIRES: 09/0112005 VALUE: . Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5251 MAIN ST ASSESSOR'S PARCEL NO,: 1702333107201 Springfield TYPE OF Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner - instaU 080205 removal date 090105 Sidewalk Type: Downspouts/DraiitsNO~~ 't.'/..'(\?'t. II' ~\~ \S ~ \,\Q1\C\WS\ SI;\f>-\..~\\ ,I;\\S '(~'t.$ to?' ,1;\\S,:;t>.\l't.\) Ij~~ IS f>-'Of>-~\) ; :-' , "NI\:.I:. i\:.u - 't.?ICl\J. I Valuation DescRp,tion ,I\)f>-'i '( f>-I'" . Square Footage or Bid Amount - Owner: UMPQUA BANK . Address: PO BOX 1820 ROSEBURG OR 97470 'CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License , BUILDING INFORMATION I . l,,~,iles ~~~'ili\'l #ofUmts: Ol'la\N ", f~r1fS':.'o{\n Primary Occupancy Gro'P.:~,ION" Ole~ed '0'1 \nG .~j~lrtlof;;~~_OO\' Secondary Occupancy ",,\I e uleS adO? ,nose !fS:po9!'ilfeat: '0'1 Primary Construction T,yj)e'tl f. I' cel'\el. \0 \nlOIWater wyp.e:les Secondary Constructi,\QO\I\lca\IOo2_00\ .00 all' co\Ra1\~i \\):p~'=,Of\~f\ # of Bedrooms: in Of>..\'. 9 u ('l\a'l 0'0\ ~~o~.e.~\!~!Ii:;a\\ OO:~;:(\ \ne, ~~.~\~;e~~:~~~,,~~~~.\)' nla {\u('l\'Oel ~~(I\e~'BEvELbPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLIC IMPROVEMENTS I Street Storm Sewer Available: Special Instructiou: Notes: Descriptiou $ Per Sq Ft or multiplier Tvpe of Construction 1 of 2 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: Value Date Calculated . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-0I022 ISSUED: 08/10/2005 APPLIED: 07/29/2005 EXPIRES: 09/01/2005 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.l : Fee Description + 10% Administrative Fee Banner Special Permit Deposit Amount Paid Date Paid 518.00 580.00 5100.00 8/10/05 8/10/05 8/10/05 Receipt Number 1200500000000001180 1200500000000001180 1200500000000001180 Total Amount $198.00 I Plan Reviews , 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 aU required inspections are conducted and approved and the sign Installation Is completed, By signature, I state and agree, that I have carefully examined t!te 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 ofthe 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 readable from the street, that the permit card is'located at the frout of the property, and the approved set of plans wiD remain on the site at all times during constructiolL J/ _ ~~ -::~/.ff?---- c:::fY-./'d-05 Owner or Contractors Signature Date 2 of 2 . 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ..' Job/Journal Number COM2005-0 1 022 COM2005-0 1 022 COM2005-0 1 022 . Payments: Type of Payment Check ., 8/1 0/2005 RECEIPT #: ~ ~ of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000001180 Date: 08/10/2005 Description + 10% Administrative Fee Deposit Banner Special Permit Paid By UMPQUA BANK Received By djb 1 of I Itcm Total: LnecK Number Autllortzation Batch Number Number How Received 507809 In Person Payment Total: 2:52:51PM Amount Due 18.00 100.00 80.00 5198,00 Amount Paid 5198.00 5198,00