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Home My WebLink AboutPermit Signage 2006-6-9 22:; F1ITH STREET. SPRINGFIELD, OR 97477 . rH:(:;4 ])726-37:;:, . FAX: (:;4 ])726-3G89 ~; 0; .",~, CO; ."....-1, Job Location ~ """""~ Assessors Ma~ () c;l)J <1:)) Owner of Propert:' (:,)) .->~: "'--- ~ ~, <1:)' ,j ~ COlltractor/lllstaller ~> ContractN .~~j ~, 01 H~ ~1 ''::.'1 E1J Q Q IJ ~> " ffi,:~'; -" <!12; ~'11 ~: ~..oj ..... ..._....J~ ~ Ql)) " "1, ,~~ . ; \1 ~ ~'I~ ----' ~; Ql)! ~~ E1~ .- ~ G'd' , !J Ml . ;l.J:F: CObzo06 -00 S 7b . SPRINGFIELD . 0 CITY OF SPRINGFIELD, OREGON ,.' CityJobNumber COW\ZOOCS-Oc> 7&'1 5'11 S- W1,4fAI 1702.. 3341.. S:I Tax Lot D"510D "* Owner If: ~(I IIVL 5.A-~€W A-y I Addrpoo 1 '3 7 ( 0 A- ~{04.... .,l City ("J ~ll;\.,^A- Cr~lt- <;~ /Sf v J sn: f'llOPhonp (',1 9'1J-9b Zip 'fou\O leo.ui1eS \)\i\~ 01' \a'll Olegol\ \ol\'l\ _," ()le9 ',' ,he ,~"e\ . ",,<;\:,\.<\ IV' -- Qo?\eu v, e l\l\e,:> v',; 9";)'l.-\Jv' f>.' ~eS a ,nOS b. Of>.D . S '0'1 'nIIO'/'J II) , ('P.l\\el. . '" ."'0\l9phm!j.Q" l\lle , "a\\U" \ QIJ'v ' ieS'O'C nOli'> ~O\I\IC\\ 9";)2-00 " :o\ill\ CO~e" \\'Ie \e\e?, ca\iOl\ 'n of>' '.' mQ'ta~~_. l~o ..,.',h. No\2lp 'OQ90, "v; \ne cel OlegOl\ v~~ ~.'3AA). , , ca\lll\", I \ne oQ-"'''''- . Construction Contractors License # ~O, \0 ,~\-€l Explrl'< Description 7?1W~EQ. I co;\l~:r:~+.Ik:h........ ~.O~ZG06~ 00$"" DateofInstallatior b/?I'/'6~ DateofRemov~1 ~!0 b Banner Permit Fee $45.00 + Required Deposit $100.00 + 10% ~~~tive Fe,e By signature, I state and agree that I have careful complete ~~P~"~'~~~~~!fie~ebY certi,fy that all information herein is t~e and correct. I ~ ~lIJl\'b& ~~," ~~\~'tve d~scribed , ~/ banner(s) and/or portable Slh'Il(S) IS not larger !tj\iit~ l[ete '\l!~' e removed wlthm 30-days A V from the date listed above, If the banner(s) andlQb"Wl ~Sl~ ~~.removed within the timeline ~\') specified, I will forfeit the $100,00 deposit. I al~'cJ~~ m t this special permit can be issued only twice per calendar year per development are/l.~'i lfso agree to call the inspection line at 726-37 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 Sig~(~as.. been r/~~d, d signatufl.1lbtL ~ Datp (PH~. . ~ State e:>L/ '" €^ Addreso City Date of Application b!~," D~ For Office Use 'ob # CO""'Z,OOb - Receipt # S.. )0 / /- Issued By Amount Collected Shared Drive (T:)/Building FonnslBanner_Portable Sign Pemlit CSD g-OS.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00781 ISSUED: 06/23/2006. APPLIED: 06/23/2006 EXPIRES: 07/07/2006 VALUE: Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726'3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5415 MAIN ST ASSESSOR'S PARCEL NO.: 1702334203300 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner - Install 060706 removal date 070706 ref:C0D2006-00596 Commercial Owner: SAFEWAY STORE #311 INC Address: % CPTS 1371 OAKLAND BLVD STE #200 WALNUT CREEK CA 94596 Contractor Type Sign Contractor OWNER ;"P~,/OU \,.... I CONTRACTOR JNEq\,Mlt'l'rO.N -I)on U\ili\,! :rn::.t-I.,u," ! d b'i II," - e set \or\h i 110'11 IUles adOp;e 1hdslci!~~t~p, <}ixpipafion Date Phone }:I\ra\~~n'~J~,~\~~~Q \h~~,~,:~ ~,.he IUle~,~'1 B\liLmNGiNEORM'A'fI9Nl the \elep\'\O \ion oo~u', ,- - e centel, '" UtilI\'{ Noullca # 4!f;SlijH~el the Olegon 332-2344). Lot Size: HeiRhillffiSf/.uctur.S ~ _800- Sq Ft 1st Floor: r""" (",pOl"" Type of Heat: Sq Ft 2nll Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Patb: Sq Ft Otber: Sprinkled Building: n/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT JNFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Jnstruction: I PUBLIC IMPROVEMENTS I t. 'l'l\)\\'f- '. Side~klf>ID\P~! ~\ \'2> \'I\)\ \\01\C~~\'!I\' '2>~D"ti~SPill.'fsf~~~!!{J t\)\\ ,\\\'2> ~\)\\\lr.O \\\'I~ \'2> f>,'Of>,\'IO f>,\\'\'!IWlr.\'IC,r.O ~'t.\\\\)()' ~~," ~'OCl Of>,'1 ' Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 012 . . CITY OF SPRI~lJl'lJ!,LD Building/Combination Permit PERMIT NO: COM2006-00781 ISSUED: 06/23/2006 APPLIED: 06/23/2006 EXPIRES: 07/07/2006 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 ~ Fee Description + 10% Administrative Fee Banner Special Permit Deposit Amount Paid Date Paid $14.50 $45.00 $100.00 6/23/06 6123/06 6123/06 Receipt Number 2200600000000000875 2200600000000000875 2200600000000000875 Total Amount Paid $159.50 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. 'Rf'~ Sign Final: After all required inspections are conducted and approved and the sign installation is completed. By signature, 1 state and agree, tbat 1 bave carefully examined tbe completed application and do hereby certify Ibat all information hereon is true and correct, and I further certify that any and all work performed sball be done in accordance with the Ordinances of the City of Springfield and tbe 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 tbe Community Services Division, Building Safety. I further certify that only contractors and employees wbo are in compliance with ORS 701.005 will be used on tbis project. J furtber agree to ensure tbat all required inspections are requested at tbe proper time, that eacb address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on tbe site at all times during construction.. Owner or Contractors Signature o il-\~INA-L >'c,~;4...f....re 0",," ,Vl'lt.......~...... Date 0>jb -::D~ Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541- 7Z6-3759 Phone . Job/Journal Number COM2006-0078I COM2006-0078J COM2006-0078I Payments: Type of Payment Check Cash Job/Journal Number COM2006-0078I COM2006-0078I COM2006-0078I Payments: Type of Payment Check Cash cReceintl RECEIPT #: Description + 10% Administrative Fee Deposit Banner Special Permit Paid By PROCLAIM PROMOTIONS INC PROCLAIM PROMOTIONS INC Description + 10% Administrative Fee Deposit Banner Special Permit Paid By PROCLAIM PROMOTIONS INC PROCLAIM PROMOTIONS INC 1At-.tl:"'"-::.;ji"~'-".. .,- -, '.~' . ~ '. j .. ._. ," - ~ of Springfield Official Receipt _elopment Services Department Public Works Department 2200600000000000875 Date: 06/23/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 13701 In Person djb In Person Payment Total: Item Total: (;heck Number Authorization Received By Batch Number Number How Received djb 13701 In Person djb In Person Payment Total: Page I of I 1:58:14PM Amount Due 14,50 100,00 45,00 $159,50 Amount Paid $159,00 $0.50 $159.50 Amount Due 14,50 100,00 45,00 $159,50 Amount Paid $159,00 $0,50 $159.50 6/23/2006