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HomeMy WebLinkAboutPermit Signage 2000-8-23 r; -~-' ~ ~ . I Job# 00-01285-01 I . Page 1 of 2 TRANS#:01-0002992 DATE:AUG 23 2000 AMT RECD:2 $ 140.00 CHANGE: CASHIER: 032 CITY OF SPRINGFIELD~ OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01285-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 ~ '* Location Of Proposed Site: 5415 Assessors Map#: 17023342 Lot: Block: MainSt Spr Addition: Tax Lot #: 03300 Subdivision: Owner: Safeway Phone Number: City/State/Zip: New Value: $0 Address: Scope Of Work: Banner Banner for Safeway Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769, All inspections 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 working day, NOTICE: THIS PERMIT SHALL EXPIRE IFTHE WOR~ . ^ "THORIZED UNDER THIS PERMIT IS NO r # Of Stories: Height (feet):. R IS ABANDONED FOR Current Units: proposed(lif\i~!ENCEDO Census Code: Does not apply ANY 180 DAY PERIOD. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ,Area (Sq. Feet) I Main: Accessory: Community Comm Total: Sign District: ,Sign D',..~ ~ _ ~ I Vertical: Height (Above Grade): Sqr. Footage: Illumination? Type of Sign: Face Type: Horizontal: Thickness: Fee Paid On From Grade }.R~e~q~I..;...-..;(i::J\..t, .d,ll' 'C'1u1io.:; IUU \ Sign Materia,lflllow rules aClopteCl by the Oregon Utilitl \Jotification Center, Those rules are set font " OAR 952-001-001 0 through OAR 952-001, 0090. You may obtain copies 01 the rules by ,.e,;;;na th- __..:_f, :-tlata: U:a !3leJ:'k,?~:: Receipl# I1umt>qafali1tl\lgriffl/ln UtilF\\~~W/8fl~pn I ,-:-:.-.:,.:. .__.;._-:---;"':.!.~~. . o Comments: Banner for Safeway Dates are 8-23-00 to 9-7-00 Banner Permit Silln 08/23/2000 2992 1 $40,00 !' " ....p-/ '-<;,; Fee Deposit for Banner/Blimp/etc Total Sign Grand Total . Job# 00-01285-01 Paid On Receipl# Sign 08/23/2000 2992 . Page 2 of 2 Value/Quantity Fee Amount 1 $100,00 $140.00 $140.00 By signature. I state and agree that I have carefully completed this appiication and hereby certify that all information herein is true and correct. I further agree and understand that the above described display will be removed within 14 days from the date listed as the date of installation above, If the display 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, J 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. This inspection will begin the process to return the $100,00 depo~~anner ha een rem ved, Signature fy/-a/ oiJ Da~ ( Aug-21-00 lO:45A ,- P_Ol . UANNER PERMIT COMMUNITY SERVJCES DIVISION PPS nrTll -,TREt; r SI-'l-ifNC;HI:::LV, on 97477 I S4 II 7;!n :lib" fAX(54J) 726,,,689 225 Fifth Slreel Springfield, Oregon 97477 Offtce: 726.3753 INSPIXTION 1.INE: 726-376') Banner Loration: S!f.J..r... , m" ~''^ As~e.llillinr~ Map #:_. Owner of Properly: _ c.., "'^ 'f:'(\ <<1" : .. '- ,J >'\V''-'\I\4''-''- t Auurcss: ..J..&'OD,VC4II,,-,1iJ!..,.- ~t-\\JL L~~~p~ 0 Tax Lot Pl'2:>f-:bl Cit)': s~~~J("o SlAte: 0 (L Phone Ii: ~,,-Wr8 Zip: ,97 t.;() f C on Ira ctor/l os.a lie r: Auuress: Phone 11: City: Slue: 7.ip: Construclion ContrArlon ne~istraliun Number: __ Expires: Description: Date uf InSInUation: x-23~ Ilote of Remuval: ') T / (,. -{ I $U 9-7-00 Banner Permil Fcc $40,00 Oep<lsit Required S100,tJIl Ill' .ignoture, I .lale alld ogree thai I have carefully completed this application anu hereby eel1ify thai all information herein is true and con-eet. I J'urlhei Jp,ree and understanu that the :lbove dcscrib~d banner (:1\) is nul lorge, lhon (,0 'quo,e I'cOI, and will he removed within 14 day' ITol11lhe uale listed ahove, Irthe bonner(,) i) not removed within the timeHne specified, I will forfeir the $1 00.00 llt::~OSit. I (\11;,0 unc.k'rsltl.nd tn;u rh,s. spl.:l:inl permit com he issueu unly twice per calendar ycC'\r per development arc~. I also ;lgree to CM.II the inspection line at 726-376') by the end of Ihe 141h dn)' to reque<t .0 inspection 10 verify thu rcmovnl oflhe honnur(s), I'll;. in'pectlun will br.::gin the proce~5 tn Tt..'1.urn lhe $100.00 deposit irthc banner(s) h3~ hCL'Tl removed. Si~latme Dale .........-.------.-------------.............-------------------......-------------..------.-........-.......---......---.....-.-.-----------.----.------ OFFICE US!.: D;lfe;: ot' Application: ___" . Johll' _ Receipt #: b,ueu By: __ ,\muunl Collected: Post-II' Fax NOle 7671 ITO 1),<":l.v-,,;,, Ico./oept. SA~e..'l.)"~'" IPh(,Jne" 'IF"" 7'17' '115 ~ Dale '!- )... 1J'a8~slil- I From 1< LJ....!. I ')'tl....-. CO, C:' I - .- 1 _.h.... ". ...\,;},,'......;""11"'- Phol'18~ Fa.. " AUG 21 2000 12:03 PAGE.01 ~v-- ~W-W5 ~ r('JA'-<? < ~ . ~ r ~?- ~l\ I I ,A r ,/ V ./ . 'V ( , i