HomeMy WebLinkAboutPermit Signage 2006-11-22
225 nITII STREET. SrRINGFIELD, OR 97477 . 1'11:(541)726,3753 . FAX: (541)726-3689
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SPRINGFIELD:
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CITY OF SPRINGFIELD, OREGON
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DateofInstalhition /I /2-'7, loc, Dai~J.R~'60/~l /'1- 2.2- b'"
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Permit Fee: $161.75 including $I~.OO Deposit.
Addres<
Construction Contractors License #
Expir('~
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 date 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 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 30lh day to request an inspection to verify the removal ofthebanner(s) and/or portable
sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
portable sign(s) has been removed.
Signaturf> ~
DatI' /I/ZZ /0 r-
Date of APPlication~/zz/ob
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For o.U;ce Use
Job # c6 - ON '16
Receipt #
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Issued By
Amount Collected
Shared Drive (T;)/Building Forms/Banner_Portable Sign Pennil CSD g.06.doc
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01496
ISSUED: 11/22/2006
APPLIED: 11/22/2006
EXPIRES: 12/22/2006
VALUE:
.
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4441 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323106400
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner - install 112306 removal date 122206
lInTI"!:.
Owner:
Address:
GRA y'S'a~I!NII!ES1W.Rs EXPIRE IF THE WORK
% STWFf.l'tlllL!iJ;;Bf:R~~Dl!RWrAT~r4Yi'MIT IS NOT
EUGENt"tJR,' '9'7402 I I
I'nUUCMl'cn n~ I~ 6R6MnnNcn cn~
ANY 180 DAY PERIOD1 CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heigbt of Structure
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled Building:~ "OU ~::n/a
,_.~. \"o,r,,\" ..5 y
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
. .., I DEVELOPMENTlNFORMA TION:.lr
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. calling t\18 c~''''-f'L' 't r.o . ,.,.,,,, NOtll\Catlo~
- .. t....-:~ ~\ .:...t~~overage:) .
numberfo' "-." 1_1'00-332-2344 .
(":(:\nt3n~ -
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instructiou:
Commercial
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutsfDrains:
Notes:
I Valuation Descriotion I
, ,
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Paee 1 of2
Value
Date Calculated
.
.CITY OF ~rKll'lt.FIELD
Building/Combination Permit
PERMIT NO: COM2006-01496
ISSUED: 11122/2006
APPLIED: 11122/2006
EXPIRES: 12/22/2006
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
Fl'l'S Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Bauner Special Permit
Deposit
Amount Paid
Date Paid
$14.00
$2.75
$45.00
$100.00
11122/06
1lI22106
1lI22106
11/22/06
Receipt Number
2200600000000001613
2200600000000001613
2200600000000001613
2200600000000001613
Total Amount Paid
$161.75
I Plan Reviews I
To Request aD 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.
Sign Final: After all required iuspections are conducted and approved and the sign installation is completed.
By signature, 1 state and agree, that I have carefully examiued the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 pertainiug to the work described herein, and
that NO OCCUPANCY will be made ofauy structure without permissiou of the Community Services Division, Buildiug Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensnre that all required inspectious are requested at the proper time, that each address is readable from the
street, that the permit card is located at the frout ofthe property, and the approved set of plans will remaiu on the site at all
timesdur~ructiou, 11/7.-'2-/171<>
......
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
SprifigfiCld', Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006.01496
COM2006.01496
COM2006-01496
COM2006.0 1496
Payments:
Type of Payment
Check
cReceintl
.
RECEIPT #:
Description
+ 10% Administrative Fee
Deposit
Banner Special Permit
+ 5% Technology Fee
Paid By
GRAYS GARDEN CENTERS
<Aof Springfield Official Receipt
IWelopment Services Department
Public Works Department
2200600000000001613
Date: 11/22/2006
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
djb 24222 In Person
Payment Total:
Page I of I
11 :40:07 AM
Amount Due
14.00
100,00
45.00
2,75
$161.75
Amount Paid
$161.75
$161.75
11/22/2006