HomeMy WebLinkAboutPermit Signage 2006-3-29
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(54 1)726-~75~ . FA:X: (541)726-3689
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City Job N umber COM 'Z..C 0 ID - U 0 J. 7 )
56)8
170'2.. s"3l{,
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y1I1,A. vV'
. Tax Lot
DSCOO
Owner
?SwtMvL L~L
Owner of Property
c- I l .res 'Iou 10
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Notillcatlol -00' -00' 0 ttlroll\,J sol ttle rules b'l
in OJl-R 952 obtain caPle te\e?\\one
0090. 'Iou ma'l enter. tNole.. ttle No\l\\C3tion
_~II;nO ttle c . ~n \ l\ll\t'} .
-- \ r tn" O;C.~' -32-20""'.
number 0 is '_800-3
center ,Phono
Addres<
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City
/=:t.A c.- L~( c:
Contractor/Installer
Contractor
o tV^, 6<...
Addre<<
City
. State
Zip
Construction Contractors License #
Expirf'<
Description TAN"'6\. - I ~ Sv..~ ~"1f1-c.-r) (~ Co ~2c:>c>b _O~3'b
DateoflnstallatioI' -S/Z.;bb Date of Removal .:s/2~~
Banner Permit Fee $45.00 + 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) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days
from the dale listed above. If the banner(s) and/or portable sign is not removed within the timeline
specified, I will forfeit the $100.00 deposit. I also understand that this special permit 9an be issued
only twice per calendar year per development area. I also agree to call the inspection line at 726-3769
by the end of the 30th day to request an inspection to verify the removal of the banner(s)M~or portable
sign(s). This inspection will begin the process to return the $100.00 deposit if\~~~~and/or
portable SiAn(S) h been removed. ~: \. 't.'/..,?\'f..'t. ~~\, \S
n01\C ~~\, S\\I'-\'f.. ,f\\S '?t::~Q'f../
Signature;: --;1 U' .,.}lIS '?t:: ,-cfl \\~I;)_ .~?QI"JfZ-JI p{.
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. . ~ For Ofk~{./I~lk~~~ ,?'t.'f..\Q'i).
:J; C; ~c. ~'l :\I'll) -
Date of Application , Z. /( ,'" Job # LJO" 60:l7 .>
/:>($
Issued By
Amount Collected
Receipt #
r.r7~
37(
Shared Drive (T: )/Building. Fom1SlBanncr _Portable Sign Pemlit CSD 8-05.doc
225 Fifth Street, Springfield, OR
u 541-726-3753 Phone
.: 541-726-3676 Fax
~:S41-726-3769 Inspection Line
.
. LI! f 0.1' ~rK1NGFIELD
Building/Combination Permi~
PERMIT NO: COM2006-00375
ISSUED: 03/29/2006
APPLIED: 03/29/2006
EXPIRES: 09/29/2006
VALUE:
SITE ADDRESS: 5658 Main St
ASSESSOR'S PARCEL NO.: 1702334103000
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Banner - permit to satisfy code enforcement action COD2006-00396. Permit issued
expired. . reS yOU to
_... '~\M reaU\ ._..'~_.
TENTIUl'l. V'~"- h Oregu" v.....,
AT dop\ed by \ e et lor\h
tallow rulef' ~nter. Those rules are ~52-001-
Noti\~C:~~~~01_001 0 \hrOU?~ ?~~e rules by
\11 v' ,. ~i_'J .......~v obtallll,.,VY'- .'_'" toh:~nhone
0090. ,'CONT.RA<:l'I'QRIINFORMA.1ilON'I1
calli..~ oreg'u" v....
Contractor number tor the. 1_800-332-23i~~ense
center is
OWNER
Owner:
, Address:
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:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Sethack:
L Solar Sethacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
Springfield TYPE OF WORK: Banner
Expiration Date
Phone
BUILDING INFORMA nON I
# nf Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
tiDEVELOPMEl'II,Jl'II-ItQRMAlTiciIW ~l
~01\ "\1 \)t\I\I..... ~r. pCl'>Mlrr., I.~
1HIS PER", H1HIS <e" OR
~\J1HOR\It\)O\!l\li ~li.~\)O~E\) f
OMME~CEVI sWe ees Rqd:
C 0 \)t>1I~ Rqd:
~W{ '8 % of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DOWDspoutsIDralns:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
.
Value
Paee I of2
.
. Ul i' OF Sr1Ul'lGFIELD
Building/Combination Permif
PERMIT NO: COM2006-00375
ISSUED: 03/29/2006
APPLIED: 03/29/2006
EXPIRES: 09/29/2006
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
FI'I" PaW
Fee Description
+ 10% Administrative Fee
Banner Special Permit
Amount Paid
Date Paid
$4.50
$45.00
3/29/06
3/29/06
Receipt Number
1200600000000000375
1200600000000000375
L
.
.
Total Amount Paid
$49.50
I Plan Reviews ,
To Request an inspection call the 24 hour recording at 726-3769. All iospection 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.
, Rl'nuirl'r1ln'ol'r.~
,
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 descrihed 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 readahle 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.
(dt2tors~u;e &-
~-;;-7-1J0
Date
.
Pal!e 2 of2
2J,i ~ifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00375
COM2006-00375
Payments:
Type nf Payment
Check
1;
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3/29/2006
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RECEIPT #:
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<llllliity of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200600000000000375
Date: 03/29/2006
Description
+ 10% Administrative Fee
Banner Special Permit
Paid By
XTREME ENTERPRISES INC
Received By
djb
Page I of I
Item Total:
Check Number Authorization
Batcb Number Number How Received
604
In Person
Payment Total:
2:S0:03PM
Amount Due
4.50
45.00
$49.50
Amount Paid
$49.50
$49.50