HomeMy WebLinkAboutPermit Signage 2006-4-26
.CITY OF ~rIuNGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00494
ISSUED: 04/26/2006
APPLIED: 04/26/2006
EXPIRES: 10726/2006
VALUE:
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5640 Main St
ASSESSOR'S PARCEL NO.: 1702334103000
Springfield TYPE OF WORK: Banner
Commercial
TYPE OF USE: New
PROJECT DESCRIPTION: Banner - issued expired to satisfy CODtQ06-00472
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Owuer:
Address:
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. , \\..~te'. ~'~~ "-Int\\\catiOIl
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, .' u ,lot t\\al)..CON,TR'ACTOR INFORMATION I
nul \ \ .... Cef\ter \~
Contractor License
OWNER
PSMMR LLC
3474 SPRING BLVD
EUGENE OR 97405
Contractor Type
Sign
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUILDING INFORMATION I
# of Stories: '''O\'.I<-
Height of Str.~cture;: \I-\'t.', 0....
\,,1:' (:"r\"~ . IS 1'-1 \
~Oi \...... \o!I\'1\P.~rof\He~t: S ?'t.\'.\o!II\
\I-\\S ?'t.\'. ~N&'JTYpe~\ DOI'-I't.D I'O\'.
fI.\.\\~\O\'.\lt~~n\~\\ 't;~p,eBfl.1'-I
O\o!l\o!l't.I'-ICE~~U:1'~~1~;
C'N'/ ,,\I\) lSprinkled Bnilding: n/a
I DEVELOPMENT INFORMATION I
Frontyard Sethack:
Side I Set hack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Paee I of2
Value
Date Calculated
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00494
ISSUED: 04/26/2006
APPLIED: 04/26/2006
EXPIRES: 10/26/2006
VALUE:
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L..1'~~s P,~id I
Fee Description
+ 10% Administrative Fee
Banner Special Permit
Amount Paid
Date Paid
$4.50
$45.00
4/26/06
4/26/06
Receipt Number
2200600000000000523
2200600000000000523
Total Amount Paid
$49.50
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.
I~N~
By signature, I state and agree, that I have carefully examined the 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 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 be 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 front of the property, and the approved set of plans will remain on the site at all
times during construction.
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4/ZlJ.Iz..oo<Q
Date I
Owner or Contractors Signature
l
Paee 2 of2
225 Fifth Street
Sprf~grield, Oregon 97477
541-726-3759 Phone
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c.. f Springfield Official Receipt
D opment Services Department
Public Works Department
RECEIPT #:
2200600000000000523
Date: 04/26/2006
1:18:35PM
Job/Journal Number Description
COM2006-00494 + 10% Administrative Fee
COM2006-00494 Banner Special Permit
Item Total:
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Cash ADVANCE AMERICA djb In Person
Change ADV ANCE AMERICA djb In Person
Payment Total:
Job/Journal Number Description
COM2006-00494 + 10% Administrative Fee
COM2006-00494 Banner Special Permit
Item Total:
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Cash ADV ANCE AMERICA djb In Person
Change ADVANCE AMERICA djb In Person
Payment Total:
Amount Due
4.50
45.00
$49.50
Amount Paid
$50.00
($0.50)
S49.50
Amount Due
4.50
45.00
$49.50
Amount Paid
$50.00
(SO.50)
$49.50
cReceintl
Page I of I
4/26/2006
.
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225 FlITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . fAX: (54 1)726-3689 ~&;1~S>)0... 'lllIlI1! "'<~
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Description TlA/.I.V6lL - I.sSt.l.E'd ~/"z..f'J. 4-
l{ -I ~ - z:.c>~ . Date ofRemov~l
Banner Permit Fee $45.00 + Required Deposit $100.00 + 10% Administrative Fee
By signature, lstate and agree that I have carefully completed this applita\iO'~~d hereby certify that
all information herein is true and correct. 1 further agree and understilncl that'!1l6'1bove described
banner(s) and/or portable sign(s) is not largerlttJ1!n 60 s.9u*-di'~\\~~d'.wili'~b~itemoved within 30 days
from the date listed above. If the bannef(s~'kd7or"p(irtable\sig1\i~ noO'efiioved within the timeline
'fi d I '11 cr' h $10000 d '. \cI\'.1-" -"d\\l",v~d 'h\l.I>.'h'" . 1 . b" d
specI Ie, WI ,or,elt t e . eposlhl- illSO;lI!1 erstan ~ t at t IS specJa permit can e Issue
1. I d d I " .-<\.III!' ~ I'l':l Ill" ~.... II h' . l' 7263769
on y twIce per ca en ar year per eve opment'a!~a.'(]\a sO,a=e,e-to ca t e mspectJOn me at -
th " h\.l\~\' .J' t,..oC:?';,' .
by the end of the 30 day to request an insQ.e'C!ionio~erify the removal of the banner(s) and/or portable
sign(s). This inspection will begin the proc~S!tdr~tum the $100.00 deposit if the banner(s) and/or
portable sign(s) s been remove ;-)
Signatur - _;r),~~Cl' _ ~
ForOfjice Use
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Datp.
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Job#C6-c:>6Lf't(
Receipt #
L/'~
Date of Application
Amount Collected
Issued By
Shared Drive (T:VBuilding FonnslBanner_Ponable Sign Pennit CSD SoOS.doc