HomeMy WebLinkAboutPermit Signage 2000-10-17
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Job# 00-01550-01
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Page 1 of 2
OCT 17 2000/2:01 PM/$ 100.00
ACCT#:821-00000-215500
T#:Ol-0003504/MINH HUNG PHAM
J08#:OO-01550-01
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01550-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5676 Main St Spr
Assessors Map#: 17023341
Lot: Block: Addition:
Tax Lot #: 03000
Subdivision:
Owner:
Minh Pham
1026 NE Anglee Plaee
Phone Number: 541-754-5752
City/State/Zip: Corvallis, OR 97330
New Value: $0
Address:
Scope Of Work: Banner
Banner for Double Dragon
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 inspeetion eallthe 24 hour reeording at 726-3769. All inspeetions requested before 7:00
a.m. will be made the same working day, inspeetions requested after 7:00 a.m. will be made the following
working day.
" '" ,64uaBequired Inspections
"\/"vc.'c.c..t,.\JutS l.~!
Ol\e:lI\IIOl\llil1111n l'OOalQ a4~lOpaqlUII'Si!!n I
Final Sign ~ ~u' Ot:"'-"I~' ~;A,'fterJall,requifed:iiisi3eci[ons are eondueted and approved and the sign installation is eomplete.
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In salf!' ,4110sa\do:lU\elqo ew 6U'"'QUI
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Construction Types:;re salnl 3S\OlLlaldope saln'l MOIIO\
O G ...~ 'looalO ~Li,1 Q P
ecupancy roup~:. _ "or. , 'r:::fYMOII N3il'rJ
# Of Buildings:' # Of Stories:
# Of Bedrooms: Current Units:
Handicap Access? 0 Census Code: Does not apply
rArea (Sq. Feet)
Main: Accessory: Total:
'aOI!:l3d A \ta 08 ~ AN\t
!:IO.:! a3NOGN\t8\t SI !:IO G38N3V'Jv-.J0'"
1 ()~I <::1 '1v-.J!:I3 v
Height (feet): d S/Hl !:I3aNn a3Z/!:IOHln\t
)I~r)~ ~ "LV "/3U/
Proposei:l Units: CI dX311\tHS llV'J!:I3d S/Hl
:30l10i\l
Sign District:
iSign Dimension:
I Vertical:
Height (Above Grade):
Sqr. Footage:
Illumination?
Comments:
Type of Sign:
Face Type:
Horizontal:
Thickness:
From Grade To Bottom:
Sign Material:
o
banner permit dates are 10-21-2000 through 11-4-2000
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Job# 00-01550-01
Page 2 of2
Fee
Paid On
Receipt#
Value/Quantity
Fee Amount
Banner Permit
Deposit for Banner/Blimp/ete
Total Sign
Grand Total
By signature, I state and agree that I have earefully eompleted this applieation and hereby eertify that
all information herein is true and eorreel. I further agree and understand that the above deseribed
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 speeified, I will forfeit the $100.00 deposit. I also
understand that this speeial permit ean be issued only twiee per ealendar year per development area,
I also agree to eallthe inspeetion line at 726-3769 by the end of the 14th day to request an inspeetion
to verify the removal of the banner. This inspeetion will begin the proeess to return the $100,00
deposi . er has been removed,
Si!!n
10/17/2000
10/17/2000
3504
3504
1
1
$40.00
$100.00
$140.00
$140.00
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/Date
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BANNER PERMIT
COMMUNITY SERVICES DIVISION
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
225 Fifth Street
Springfield, Oregon 97477
. Office: 726-3753
INSPECTION LINE: 726-3769
Banner Location: S'" 6 7 (;
LlAid <:if_ <ivei l.J 6rf it; L)) G12 "172!.7K
Assessors Map #:
Tax Lot
Address:
\ n 2 C,
\-.AifoJ.\-\ ~.llA,J\/Ul\A".J T'K.-AtJ
\\JT, AlVhE~;; ?L- Phone#(<;4\) 7<\.6.-<::;152
Owner of Property:
.....
City: (1r>RJ A Ih <"
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State:
(")1<
Zip: C1 7 ? pO
ContractorlInstaller:
n ~V )NJLJ)
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration Number:
Expires:
Description:
Date of Installation: ~;o
Banner Permit Fee $40.00
Date of Removal:
,,/,;/O?!
Deposit Required $100.00
By signature, I state aud 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) is not
larger than 60 square feet, and will be removed within 14 days from the date listed above. If the banner(s)
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. I 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(s). This inspection
will begin the process to return the $100.00 deposit if the banner(s) has been removed.
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10/06/ ')?iT/O
Date'
OFFICE USE
Date of Application:
l() - Ii-o-U
Job #:.b:1L=.1'J 15"<;""0 Receipt #:
Amount Collected: .ffl Jo .
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Issued By:
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DouM.. f)R.A-~o.I ell ,.R->' n c. n
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