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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 ~j ()^ ~! City Job Number UJ 1'Y12-00S - q) . . e.J.,_J{ B L ' Ulll anner ocatlOn -.,10 ,.,..-11 ~ Assessors Map .,)~~ Owner ni Owner of Property ,- r:(!1J ~ ~ -"'r-It ~ ~ ~ ~j ~j .>,~Ij ~! ~l ~ eE~1 r-l ~j e; U IJ t)!!b .,)~f ~' ~j c..1 F'l ~! ~ ~I ~j ~} g:1 g: ~, ~l . . SPRINGFIELD, . CITY OF SPRINGFIELD, OREGON "....- L/ 3'{. ~ OOb(o 0 r\\CLt..X\ De.. ~1t ~l'1\5~lcld , Tax Lot ~\ r_Ij(\ ~ Addresrl\ ';:j"f\ \.0. L \ \ Y\ Cit:, [, I_~N C~\\J:~ Phonp 6lD-15?l~. Zip 0/~().J Statp a\L Con tractor/Jllsta lIel' Contractor /~ c:;.--- ~ Phonp Addres< City <;tate Zip Construction Contractors Registration # Expirpo 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. .~IlI!!I!'!!lI1I;!.Ill 1It,..,...,.._.,,".~,'--.,,','..,,',','. i' . ,......, , , f" '",;; , L'-_,"" .......,.> ." 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