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Home My WebLink AboutPermit Signage 2005-5-3 225 F1ITH STR!:IT . SrRINGFI!:LD, OR 97477 . rH:(54 J)72G<~75g . rAX: (54 J)72G<~(;89 ~1 CO..Wz...,e.$'-~O SI ~ e; City Job Number .s...... -_.- - . ". 'i" "~I I '71;;)... tv! ~ ~--(-- \:llJ Banner Location "~I 170 >>.bs. I ~ ' Assessors Ma~' ..),.-If 0\ .- \:llJ aJ)) t)) .,Jl~lt ;;? ~l ~ ~ ~j ~J eo) ...-I{ ~j ~j ~l ~ El ~l -1 ~ U IJ 1,0 .'~i ,.....i :-i ~ ~ r-l ~~ ~J ~~ ~l ~~ ,.....1 ~J ~l SPRINGFIELD, "'- . Tax Lot DISOO , . Owner : ' =qUlres you to --::rW A~~ regon Utility Owner of Property ~.rrn~l '1-:t\1 , ,....... - Center. Those rules 11""'O'~' _ Address III d t\ACl-~~.oo1.oo10through~~~;~~J5tf- btp?:,;)- , - I Q09O. YOU may obtatn CUI'''''' v . , I City_ ~I ~ k1 e.- led. _lIInotheC8~lt~lN~~~~~:~ '7 '--r 71 . J v ___torttleVCregudc.,r"'J"- ,--- t Is 1-800-332-2344). Contractor/Installer ( r , . Cen er _ ~ 'I Contractcr (l!!-e./-rrD. u.)LS~ ~ r ~ flVLL Addr('<< 3o_~ .;$. sn Sk.. (I ~ Phonp / ~ ~ - ~ ~ I d-' ~~Vl)~dJ State o-t2- Zip ~ 74// Construction Contractors Registration # /10 03 W Expirp<9/;) 0/ 0(0 \-IE 'Nu1'\l~ _\"c, ryO\\l.E W I \~ M(')i l'Ui v-' II S\'\f\\..\. ~.. 1't.?-I'J\\i v 5 - 3 - 0 c- \;\\'2> I'\:?-M IQt.\'.I\-1I';0: ............Q.?-O - Date ofInstallatior ....:> B:U'\<?8'R:em'6~J ~ f\~~\)er'"v ( ~ i>. \'JIt.\'\Cr.Q \)\'\~. Banner Permit Fee $80,00 + Required Depo~q~"WO:O-~9EIministrati\'e Fee City Description 'RA-Jo./ IV ~./L. 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 14lh 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 i the banner(s) has been removed. Cu-.dLttA Signaturp DatI' 5:::-J3 -OS- / Date of Applicatior s--3-0) ?:>[S For Office Use Job # Cc&olA Zoo~--OOSf'" Receipt #_ Amount Collected _ /18 ~ Sb-S Issued By Shared Drive (T:)'lluilding FomlSlBanocr Pcnnil CSDI.o3.00c . . CITY OF ~rK.1j'lt.l'1~LD Building/Combination Permit PERMIT NO: COM2005-00519 ISSUED: 05/03/2005 APPLIED: 05/03/2005 EXPIRES: 11/03/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1712 MAIN ST ASSESSOR'S PARCEL NO.: 1703363101800 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner for Buckshot Trading Co. Installed 050305 removal date 051705 Commercial Owner: Address: SUNSET INVESTMENTS LLC 2201 WILLAMETIE ST STE B EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type Sign Contractor METRO WESTERN SIGN & AWNING License 128586 Expiration Date 04/1512009 Phone 541-746-3312 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I BUILDING INFORMATION I # or Stories: lte5 'IoU \0 Lot Size: H~A~p'f'&t~m'e1'N ~egon U\ili\'jSq Ft 1st Floor: "TTeijl>'t-6'i'~d b'l tne are set to~ Ft 2nd Floor: 101l0..w=a. ~f~r. 'ThOSe rul~"l\ 9SZ.()Ql\r Ft Basement: Noti\i~ ~O'O thrO~gh Hhe rules SltFt Garage/Carport \n OA Ii' t 'n COpies 0 hon~q Ft Other: 009~I\,(hiJDeil)~~~nl!tJote: the tf!h~l? cati9Fcupant Load: At..", ,.Anle . ",' a ....tn'\' NO"," I DEvfIOliMu'fI~iiM~iI...A}. ',II" 11 "'"""I' . \i8UUiH .. ',:.: ..... Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING .1\ Total: Handicapped: Compact: . # orUnils: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type . Secondary Construction Type: # of Bedrooms: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I NUll"'" ",r;It''''P''\M~\i,~ PERM\1 SHALL EXP;>lOewalR lfype':IAJ: THIS iU\" ~~~M\T \" 1'\1, i>.\lTHORIZEO UNDER n DO~Y,"I~pou~SlDrains: COMMENCED OR IS ABANOYNEI:l I:H1 ANY '\80 DAY PERIOD. Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . . LlJ l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00519 ISSUED: 05/03/2005 APPLIED: 05/03/2005 EXPIRES: 11/03/2005 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 F....~, Paid I Fee Description + 10% Administrative Fee Banner Special Permit Deposit Amount Paid Date Paid $18,00 $80.00 $100,00 513/05 513/05 5/3/05 Receipt Number 1200500000000000563 1200500000000000563 1200500000000000563 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. Sign Final: After all required inspections are conducted and approved and the sign installation Is eompleted. 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 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, Bullding 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, 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. ~~ S-3-0S Owner or Contractors Signature Date Pal!e 2 of2 225 Fifth Street S;.lringfield, Oregon 97477 541-726-3759 Phone Joh/Journal Number COM2005-00519 COM2005-00519 COM2005-00519 Payments: Type of Payment Check '1 t 5/3/2005 . RECEIPT #: Description + 10% Administrative Fee Deposit Banner Special Permit Paid By METRO WESTERN SIGN -~..... . ii.' ~",-;.._,........ '.:.. { '1 -"--.. . ,. -, , . ./' ; "",__,"'..."'C. .... q..,:,. " lli.ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000000563 Date: 05/03/2005 Item Total: Check Number Authorization Recelyed By Batch Number Numher How Recelyed djb 9095 In Person Payment Total: Page I of I 10:38:46AM Amount Due 18.00 100.00 80.00 $198.00 Amount Paid $198.00 $198.00