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Home My WebLink AboutPermit Signage 2004-5-26 . e, CITY OF SPRINGFIELD Status Issued ~," ~ Building/Combination Permit PERMIT NO: COM2004-00620 ISSUED: OS/26/2004 APPLIED: OS/26/2004 EXPIRES: 06/17/2004 VALUE: 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 Springfield TYPE OF WORK: Banner TYPE OF USE: PROJECT DESCRIPTION: Banner - date of installation 060304 - date of removal 061704 New Commercial Owner: CORLISS CRAIG E Address: 2120 LAW LN EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMATION I # of Stories: ATTENTION: Oregon I~~ you to Height of Str6~11iwl' rules adopted by ~~d.l~i1ity Type of Heatiotification Center. ThosS<flJ!ll%riiftJr.forth VN Water Type~n OAR 952-001-001 0 thr~iD~.G6D\:001. Range Type0090, You may obtain co!lilJllta!;t"togiJ~~ifrt Energy Path: calling the center. (Nol8J fttlAtll~hone Sprinkled Bui!ffiPigber for thE!'i!lregon g~~.~tUlu\IDon \. -'::ll'..':::.',....., I.UVV-~':'~-~~""~)' , DEV"'LumIENTINFORMATION ~ 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: Street Improvements: : Storm Sewer Available: Special Instruction: NOTICE:, I PUBLIC IMPROYE~E~S.I THIS PERMIT Sni'LL t;'" It ,..." ".. - " AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee I of2 . . CITY OF SPKll'luHI',LD Building/Combination Permit Status Issued PERMIT NO: COM2004-00620 ISSUED: OS/26/2004 APPLIED: OS/26/2004 EXPIRES: 06/17/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Ff'f'~ tiWU Fee Description + 10% Administrative Fee + 10% Administrative Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $8,00 $10,00 $80,00 $100,00 5/26/04 5/26/04 5/26/04 5/26/04 1200400000000000805 1200400000000000805 1200400000000000805 1200400000000000805 Total Amount Paid $198,00 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'ouirf'd Tn~nf'~tion'i.l I 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 that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, 1 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, that each address is readable from the street, that the 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, o~~:o~ v0r'S"k ,P) - &l() - 0'-/ Date Pal(e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00620 COM2004-00620 , . COM2004-00620 COM2004-00620 . RECEIPT #: Description Banner Special Permit Deposit + 10% Administrative Fee + 10% Administrative Fee Payments: Type of Payment Paid By Check MCKENZIE FEED AND SADDLERY " "" 5/26/2004 ", ~! ~~.~ .ty of Springfield Official Receipt Wevelopment Services Department Public Works Department 1200400000000000805 Date: OS/26/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1298 In Person Payment Total: Page I of I 9:S4:23AM Amount Due 80,00 100,00 10,00 8.00 $198,00 Amount Paid $198,00 $198,00 225 rIfTH ~'TREI;r . SPRINGfIELD, OR 97477 . PH:(54 1)726-375:~ . rAX: (541)726.%89 ~j L70 ~l /rv.A'7_~' I_OOC)V" ~ City Job Number L-LVVI LJ.JLJ '-f Q) , "~4 Banner Location l/ ~ 'I- ~ I'f\ ClLV\ 'S'i'. till] .,~ Assessors Map /702. 32'3 ( .,) ..,.-14 Owner f1\ Owner of Property .' ~J ~ ~ .,) ,,,.--IC ~ ~l ~ ~, ~j I,~ ...,~I~ ~4 ~j ~ E: ~l ..-~ -4 ~ U IJ I~ .'~~l ..-4 .: ~ f,'\\ ' ~( ~( .~ ~( ~l ~( ~j . ~ ~l . . SPRINGFIELD (___ -- _d -" ". 1 : r. . ? 1/'. CITY OF SPRINGFIELD, OREGON / , ',.- '.". ., ?_"-- C-,,~ Co< h~:\ c.f 3 (( ~ <<\Cll.fl CST City ~ \ 'f\-5QI'o tn\ COli tractor/Installer ~ ot DL( 0-0 ( AI I t:N 1I0W:o-regon raw requIteS you to follow rules adopted by the Oregon UtII1ly Notification Center. Those rules n set forth I~ C'.^O '?~':' ?~~!t~':!g~O.A.All5C ~t 0090. You may obtai~Illlq1~~ ~Allln~8MlOQ~.~..tdl<>f~ nUIJ:l9.er for the Oregon J.ltll~ ftI9tifl.C@:tIon State e JL.centerla ~1 Addres~ Contractor NOTICE: ORK -l"f' rm..'T C:\-lAII EXPIRE IFTHE W , AU~HORiiED UNDER 1HIS PERMII \~ NU I City ;;3:!,::,:N~E~ ()Q Ie: @.ANDONED F'S~te ANY 180 DAY PERIOD, Construction Contractors Registration # Addrl'<< Phon~ 7.ip ,"'''pirp< Description 6'\CU\A. OCX2.X\l~3 c.l2Llov?:.l..;\--U:Ni . Date ofInstallation--1 ()f ~./OL( Date of Removal Lol.1.-l-Jo (:.1 , ( . !' Banner Permit Fee $80,00 + Required Deposit $100.00 + 10% Administrative Fee ~D 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. 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 $~OO.OO deposit if the bt;{e~ has.been remo,,\d. ^ Slgnaturp lli h'P, ~ ~ y Date 5 -62lo -t)Y U ' For Offi"'d Use Date of Application ?~~\ Job # CaMzoot( -oC>bZO j:ceipt If o~s Issued By l---.-CS: Amount Collected (> / 76"- Sh..n:d Drive (T:)/Building FonnslRanncr Pcnnil CSDl.Q3.doc