HomeMy WebLinkAboutPermit Signage 2006-5-9
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspectioo Line
*
. CITY OF ~r.Kll"'lJr H..LD
Building/Combination Permit
PERMIT NO: COM2006-0054I
ISSUED: 05/09/2006
APPLIED: 05/09/2006
EXPIRES: 05/10/2006
VALUE: .
Status
Issued
SITE ADDRESS: 4343 MAIN ST Springfield TYPE OF WORK: Banner
ASSESSOR'S PARCEL NO.: 1702323104001
TYPE OF USE: New , Commercial
~."'TI':'~ ITlfltd. '-"'''f'.i-r- l.....~' ~qulres you to
PROJECT DESCRIPTION: Banner - date ofiostallation 05-10-2006/date of removal. is 06-10-2000.
foHow rules adopted by the Oregon Uti!it~,
Owner: CORLISS CRAIG E
Address: 2120 LAW LN
EUGENE OR 97401
: ,U~ i:t,,;dllUII vt::Oll\l;;;;l. "1\.)..:1..... ,............. .....'''''' ....... .....,.,.
In O/,R 952-001-0010 through OAR 952.001-
Or;90, You may obtain copies of the rules by
r~llinn the center, (Note: the telephone
no ,mhp, 1m the Oregon Utility Notrtlcal1on
I CONTRACTOR INFORMATION'ler is 1-800-332-2344).
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Heigbt of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: ,WiICE: S~ ~~/~~~'1:nwnh_lI: \NORK
Range Type: THIS PERMIT SHASq Ef'Garage/Carpo'rt OT
Energy Path: AUTHORiZED UND~ij\F1iIOtbC'r.:RMIl IS N
Sprinkled Building: OMf 'ENnla 0 OR Oi:cunanproliilO FOR
r. VI vC 101'Hf".......aoc..
- - "p.,y t"tKIUU
I DEVELOPMENT l1uv""IA'f10N '. .
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
...
Total:
Handicapped:
Compact:
I PUBLIC IMr""v,,EMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslOrains:
Notes:
I Valuation DescriDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Lioe
Fee Description
+ 100/0 Administrative Fee
Banner Special Permit
Deposit
Total Amount Paid
.
Amount Paid
$14,50
$45,00
$100,00
$159,50
Total Value of Project
F~~s ~
Date Paid
5/9/06
5/9/06
5/9/06
I Plan Reviews I
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00541
ISSUED: 05/09/2006
APPLIED: 05/09/2006
EXPIRES: 05/10/2006
VALUE:
Receipt Number
2200600000000000575
2200600000000000575
2200600000000000575
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.
Sigo Final: After all required inspections are conducted and approved and the sign installation is completed.
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
tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
tbat 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,tbat each address is readable from the
street, thattbe 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.
~ f\~), - D5 -D5- ~
Owner or Contractors Sign at e
Paee 2 of 2
Date
225 F1ITH STREET. SPRINGFIELD, OR 97477 . PH:(541)72G.3753 . FAX: (541)72G-3G89
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, Tax Lot
Owner of Property (' r CGUl1
Address d- t J.;() \.J2lu. )
City, ~\)[\Lj QWll ri
(o-dls~
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Contractorllnstll/ler P ,
Contractor ~ p \
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Phopp ,~
,. ,- ~''JION: Oreoon law requ:It;~ jl'~'\:\Y
Statp; : OC ',' Rc\OPtzl1,.bV<v/qr~(~ 1. 1.1 _~
t: erulesalt::~vL'''''''.''
.. _ :::<,1'0\1 Center. 1,105 OAR 952-001-
, ,,- \'0" 001-0010 through ' b
1\1 O. \., ~ ~- bt' copies 01 the rules Y
00;;0, You may 0, aln",~t~. tho telephone
. cr.:ilng \II" vo"wO" 'on Utility Notification
mber lnr the reg
\1U -Phon~'. nM_,>,>??344\.
Vt'II~"'" ,... . --
Address
City.
';tate
Zip
Construction Contractors License #
Expirpc
Description '1Y\ \ \ \\...,' (', ,~--, F e..ec.(
\
Date ofInstallation- f) - It) - N I"
fu n nP.Af~
Date of Removal
( "-:) ~ ~ 'tllp
~ ~, ).
Banner Permit Fee $45,00 + Required Deposit $100,00 + 10'}'. Administrative Fee
By signature, I state and agree that I have-carerullyc(j@pleted this application and hereby certify that
all information herein is true and correct. I furtherli!brree,andunderstand that the above described
banner(s) and/or portable sign(s) is not larger thari.601~q~,~i[fe~Cah& Mii':ffij:rl[mo~c\l\"li,tffin 30 days
from the date listed above, If the banner(s) and/or~n9.t;!~~,ls sigj\;is li.tt mh'bV'edlwidi\1!;tR8~imeline
specified, I will forfeit the $100.00 deposit. I alsOJunderstalia tn~t Hii~Rsp^e"Clliil:p'eUr\ircan be issued
, . vv lJ/'IT t"tKlnr.> v.,
only twice per calendar year per development area. I also agree t(j 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) and/or portable
sign(s), This inspection will begin the process to return the $100,00 deposit if the banner(s) and/or
porta~le sign(s) has been re \:.-oved. ~ n
Signatur .... I_~ ~ Du/pm -("j9, -Ot-
For,Office Use
Job # (!& -- OD s-lf/
Receipt f
/ '5 t:], s-r>
Date of Application 'S J 0, J rX.o
Issued By rJ. rY\(L cJ.-, a..el-u
Amount Collected
Shared Drive (T:VBuilding Forms/Bannet_Pomble Sij;Jl Pcnnit CSD 8-OS.doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
..'
Job/Journal Number
COM2006-00541
COM2006-00541
COM2006-00541
Payments:
Type of Payment
Check
cReceintl
.
RECEIPT #:
Description
Deposit
Banner Special Permit
+ 10% Administrative Fee
Poid By
MCKENZIE FEED &
SADDLERY LLC
~"..
~
<a of Springfield Official Receipt
_elopment Services Department
Public Works Department
2200600000000000575
Date: 05/09/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
201254
In Person
Poyment Total:
Page I of I
II :09:47 AM
Amount Due
100,00
45,00
14.50
$159.50
Amount Paid
$159,50
$159.50
5/912006