HomeMy WebLinkAboutPermit Signage 2000-8-23
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I Job# 00-01285-01 I
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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
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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
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....p-/
'-<;,;
Fee
Deposit for Banner/Blimp/etc
Total Sign
Grand Total
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Job# 00-01285-01
Paid On
Receipl#
Sign
08/23/2000 2992
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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
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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
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Phol'18~
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AUG 21 2000 12:03
PAGE.01
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