HomeMy WebLinkAboutPermit Signage 2006-10-10
.
-CITY OF ~rKll'i\.Jl'l.t.LD
225 Fifth Streel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~
Building/Combination Permit
PERMIT NO: COM2006-01288
ISSUED: 10/10/2006
APPLIED: 10/10/2006
EXPIRES: 04/10/2007
VALUE:
Status
Issued
SITE ADDRESS: 1978 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364202400
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner - install 101006 removal date 121006
ref: C0D2006-00823
Commercial
Owner: EAGLES LODGE
Address: PO BOX 656
SPRINGFIELD OR 97477
Phone Number: 541-726-5786 eel
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:
I BUILDING INFORMATION I OR"
'\r.f:. RE. II' i\"lE. 'l.J
~O' "11 M\~riS'\"'LL E~pl \-JIll IS NOBot Size:
i\"llS ~ I 1i1,Qr.\\~E\qre\-\IS pER EO tOR Sq Ft 1st Floor:
~\liW!JY'P 1f.flH/,~ IS ~B"'NOON Sq Ft 2nd Floor:
\-JI~#tI'RY~. Sq Ft Basement:
CO ~a,,\) ~pe\":.RIOO. Sq Ft GaragelCarport
p.N'i Eo'ergy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I aU \0
aW reqUIreS '/ \.ltili'/JEQUIRED PARKING
. oregon \ oregon .....~
Ove~ION: ted '0'/ the are set \'nltal:
# S/}~etJ~t~~4'd\oP Ihose rules ",Po 9S'2.1iI1hdicapped:
pa~Q:\I~r~' fu\\qafll'.ter..o tl'IroUgh 0 "e rull€o'il'lpact:
o","..II!,r.j ..,,' .00, . soH"
'0"'" 0 p; ~OC:'l".: '1' caple lephOl'e
i~:>~ '(ou ma'/ ~~~~ lI-lote:'~~~~oti\icatiOI'
I PUBLIC i~eR0vEMi~ilS'I""g~.i32.i344)'
ou"" - II ~.8
ceote Sidewalk Type:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Noles:
.1 Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e I of2
225 rIITH STRI:ET . SPRINGfIELD, OR 97477 . PH:(54 I)72G,375:~ . FAX: (,,41 )72G,3G8~)
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CITY OF SPRINGFIELD, OREGON
City Job Number( 0 IN' 'V> 0 b - 0 I Z Y f
1978MlttN
170 ']3 bY z..
sr
Tax Lot
02\.(00
Owner
~r\-C-Lt S.
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72'-
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Statp
Addres.
o LJ J\(~ICE:
Tn,.) t'tHMII SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THI.C: rJthoX':~T '-" r-f
liUMMENCED OR IS ABANDONE~' FO~ .u
ANY 1BD nAY~{ll'l Zip
City
Construction Contractors License #
Expire.
Description"1>.A-.V.N~ - ,........ \-..{( IO.f~.~b \~o"r IZ;//"~(,.
.' " /~ ATTENTldN:Oregen law requi~es lInol~ ~Ob
Date of Installation / tV // () ~1In.., ""Ei3:U!ll9.ft~mov;; t _ f'(:...- 10
. I.. iJl tJYUi"""I"'~UIIV..cIllY
, . Nellllcation C~nter. Those~ules Iue set forti"
Pel'mlt Fee: ~UU;!uJlJIjI!lJ~16(li"glJ'6~ffi~J1 ~rft2 \ CW'~~, .....or,
, VV:7U. 'BU may cDla~"~~l)l"" "I '''Sn'' . ho. . L
By stgnature, 1 state and agree that I have car"f" Vtcoffip,le eu9t '( ap.~hcau Eli1\:I.nmeby certIfy tnat
, . . . ....mn '1 IIf t.'Gn'er, 0 9' 'flt"'k.nh .
all mformatlOn herem tS true and correct. I f,n-ther.aal!Tee..anit:un erstah tnarmeo!ib'\S've descnbed
fltlHl... ''RJ. .r't< Oft/Bon lltlll"'l~g'lti("..t'
banner(s) and/~r portable sign(s) is not larger than ~effiMflfs .l~aba..~o;f-~M4 r~m?\Sl@ within 3? days
from the date hsted above. If the banner(s) andlor portable sign IS noi remov!<l wlthm the tImehne
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 cal1 the inspection line at 726.3769
by the end ofthe 30th day to request an inspection to verify the removal of the banner(s) andlor portable
sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) andlor
portable sign(s) has been removed.
Signatur+ .~4-
/o/rolor:::.
I
~~
Dat"
/0<>/6(...
I
For Office Use.
Date of Application
Job # L b - 0 \ t. g t
Receipt #
21>~
Issued By
Amount Col1ected
Shared Drive (T:l/Building FomlS'Banner_Ponablc Sign Pemlit CSD 8.06.doc
-1At~AI!'lc,aIi',)II:LD'
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.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006.01288
ISSUED: 10/10/2006
APPLIED: 10/1012006
EXPIRES: 04/10/2007
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
Fp.p.s tiWU
Fee Description
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
$9,00
$10.00
$4,50
$90.00
$100.00
10/10/06
10/10/06
10/10/06
10/10/06
10/10106
Receipt Number
2200600000000001415
2200600000000001415
2200600000000001415
2200600000000001415
2200600000000001415
Total Amount Paid
$213.50
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.
L...Peouired If~?p.r.ti~
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
By signature, I slate 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 Stale of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made ofany 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 furlher 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 cons"truction.
f!:,/l / ,f ..J
~ ~/vM/~
o ner or Contr~s Signature
1~~/t/-/)J.
Date
Pa~e 2 on
225 Fifth Street
Springfleid, Oregon 97477
541-726.3759 Phone
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CAf Springfield Official Receipt
D"'I'e'lopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 1288
COM2006-0 1288
COM2006-0 1288
COM2006-0 1288
COM2006-0 1288
Payments:
Type or Payment
Check
cRcceintl
RECEIPT #:
Description
Banner Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
+ 10% Administrative Fee
Deposit
Paid By
FRATERNAL ORDER OF
EAGLES
2200600000000001415
Date: 10/10/2006
Item Total:
t.:heck Number Authorization
Received By Batch Number Number How Received
djb
2247
In Person
Payment Total:
Pa~e I of I
10:55:57AM
Amount Due
90.00
4.50
9.00
10.00
100.00
$213.5U
Amount Paid
$213.50
$213.5U
10/10/2006