HomeMy WebLinkAboutPermit Signage 2005-6-2
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Banner- date ofiustanation 060205 - date of Mil"o-rai1'()i)t60Slregon law requiresyou to
follow rules adopted by the Oreaon Utilitv
I~OllTICaIIOn t;enter. I hose rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
l"'~lIinn tho ,",ontor '....1........... .1..._ ._1__1...___
'1' l!T'l'IN for the Oreg'o Ut'I'ty N t'f" -..-
, CONTRACTOR INFORMA TION,"- . n II 0 I Icatlon
'Enter IS 1-800-332-2344).
License Expiration Date Phone
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
. 541-726-3676 Fax
, 541-726-3769 Inspection Line
SITE ADDRESS: 4343 MAIN ST
ASSESSOR'S PARCEL NO,: 1702323104001
Owner:
Address:
CORLISS CRAIG E
2120 LAW LN
EUGENE OR 97401
Contractor Type
Contractor
, # 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 Setback:
Solar Setbacks:
; Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
*
. UJ t' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00660
ISSUED: 06/02/2005
APPLIED: 06/02/2005
EXPIRES: 06/16/2005
VALUE:
Springfield TYPE OF WORK: Banner
BUILDING INFORMA nON I
# of 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:
I DEVELOPMENT INFORMATION I
I HIS PERMIT SHALL EXPIRE IF' REQUIRED PARKING
^' ,~, ''''R THE WORK
Overlay-Dist:' IZED UNDER THIS PERMIT IS 1;,ota':
# StreetCTr'eeS::~qd.:D OR IS ABANDONED Foffl~~dicapped:
Pave"!P.riv~ ~.9<!JAY PERIOD Compact:
% of Lot Coverage: '
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDralns:
I Valuation DescriDtion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e I of2
.
. CITY 01' ~rK11'\ju1'lJ!,LU
Building/Combination Permit
. PERMIT NO: COM2005-00660
ISSUED: 06/02/2005
APPLIED: 06/02/2005
EXPIRES: 06/16/2005
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
Ff'f'~ paWJ
Fee Description
+ 10% Administrative Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
S18,00
S80,00
S100.00
6/2/05
612/05
6/2/05
Receipt Number
1200500000000000720
1200500000000000720
1200500000000000720
Total Amount Paid
S198.00
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 Rf'nuirf't1I~
Sign Final: After all required inspections are conducted and approved and the sign installation is completed,
By signature. I state and agree, that 1 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
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 tbis 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 oftbe property, and the approved set of plans will remain on the site at all
times during construction.
-------
, /'0 ,;) - Q)
Owner or Contractors Signature
Date
Page 2 of2
22~ I1ITH ,.REET . SPRINGFIELD, OR 97477 . PH:(~41)726-:\7~:~ . FAX: (541)726.3689
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SPRINGFIELD,
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CITY OF SPRINGFIELD, OREGON
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Construction Contractors Registration #
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Description ~ n\\\)~ /-A\\,(\i~\t~~J ~_l\y\o\J<<-- 1=Z.Q.d rzmle~s
Date of Installatior In - OJ. - '\::) ~ Date of Removal ~ n - (\() - CJS-
Banner Permit Fee $80.00 + 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) is not larger than 60 square feet, and will be removed within 14 days from the date listed
above. Ifthe 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 blmner(s) ~ ~en remo d.
Signaturp~ '<\.\ 'H.oIl1 \ \~ DatP<f'i~ -l'N ()~
For OfJic
Job # tOM~-~O Receipt #
,Amount Collected .t:\i jq~ ,02)
Date of Application to /2/ OS
Issued By. 1)c...Jl ~o/
7 ;;).0
Shared Drive (T:)'Duilding FonnsJBanncr Pcnnil CSD1-03.doc
22~ Fifth Street
)lpringfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00660
, COM2005-00660
COM2005-00660
Payments:
Type or Payment
/ Check
r- "
,
,
,
t-
i
....
'.
"
6/2/2005
.
RECEIPT #:
Description
Banner Special Permit
Deposit
+ 10% Administralive Fee
Paid By
MCKENZIE FEED &
SADDLERY, LLC.
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JiJ..ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000000720
Date: 06/02/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 1957 In Person
Payment Total:
Page I ofl
1l:04:58AM
Amount Due
80,00
100,00
18,00
$198,00
Amount Paid
$198.00
$198,00