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HomeMy WebLinkAboutPermit Signage 2006-12-7 12Ef: co OObSPl4JaCitSiJ..!,f. , :" m7e ,""IT. """,nOD,O","" . m,," "''','''' . '^", '" """,:" ~ ~: ~ -. .,...--.14 c:t'll ..~ ..,_l~ ~l ~ ~ ~ ..~ l' 14 ~ ~ ~, -....-Ie ~4 ~4 ~. ~~ ~4 _4 ~C -. -4 e?; U II I. '. .'~l .r: ~ ~ ,--4 r.=ot4 ~, ~lDJ ... r-1c ~ ~ . I~ JQ) '~ ~ ~~ 1~1( ~) i-. -4 ~4 4 ~j ~l 6- 0 -7 ( City Job NumberC 0,...., ZOO I ::> ';O';~;~'li';I~~I'ill'II"lllll'?IOI,II'I~IIII(~I""~:~{1111:;'I"'I~I'II:I;;;"IIII:I/IIII'I':':'III'~~'I'I:~~'11,i! ,;:~;"J':I':~'~\" :~ l~ wller.! '1111"'111, /'11'111"'1' II II "ll I"111"lltl"11 , 1"'111""'1" ,,~ "1",.".,,..I,lIl,1 I' 1:0 r':\'(~'''''~~'~' '''~'(Z.~~'''I.I'C:~k' .. "',, ,,,,,.'1.,01.1" ,,,II Owner of Property lY" '" .:> Addreso Z I "J I b e-fJ'tl r+ 't:>1L , Phonp City S \> tCh 77't77 De... .State ZiJ: 'IP;'::I: 11111';:;P;!"I'I::'''lIIllil!il':'IiI'I1!IJilllP111"l:II'''!lil';!!iii'II;I,'ii' 11I,t:,':\';il'i"':;"'I,';;'I'jf'" :';:""""'l;ljil:": ";"",,;, !. fi?l~ur.~ft~ftr~{f!Jffl~/{~rIIlIlH;! !Uld Iii fl III I !!! ;liJi lldhij,~ ~;j; II! H: I: ~:; [II: jl: ~.:; J ~ d 'I!:!~:::!. ;:Pi ~jl: I!!!! <..' ~! >!: ~', l:.,!,:, ti.' .~ ::;: ' , .: Contractor C> W AI Cit. _____ ------- Addrpoo Phonp ~ ';;tate Zip City Construction contr~nse # Expirp~ Descriptionll A-"","'ei\.. /~""^" -kL./e: r 12eF: Co~Zoo~ - 00'77'1 Date of Installation Date ofRemovq\. S'}O\,\ v (.01.\\,11\9 'r~'} Permit Fee: $1)~,J5JiJi~h'fli'i'ILIl~ll6g;oOl.\\j~B!\~it, h,\l'- , _,;'h..\J'H'O _QoJ.~, By signature, I state and agree\~b~have'=&9~4VY~rli'P~f6I$.\SlapJi7~tion and hereby certify that all information herein is true an~s~~,O\]I~mt;owlle~9'h.4I(fSlaHlf-th~the above described banner(s) and/~r portable sign(s~I\t.I1'I~Iih:'i%~Oi-sq;JaVt{n~.t~~lldtr remov:d with,in 3? days from the date listed above. Ifthe:kJg\!1et~j ~~9f'1~O...i~'P~ul~sWittflmoved wlthm the \1melIne specified, I will forfeit the $100,0'0 q,epl\'Sfi.VN/'.~ Wiaaq~gih,!M~h special permit can be issued only twice per calendar year per deyeIlfp'!fl~~~l\I:!!aisJ\ali's1}l agree to call the inspection line at 726-3769 by the end of the 30'h day to request an insp'e'ction to verify the removal of the banner(s) and/or portable sign(s), This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or portable sign(s) has been removed. Signatur~ ~ Datp l-z..-(1{()v 'I""" """ J ",' , .. '" . ", ' ". '" O"'\C~'" . 'nc\c:rul'; ":1',1,'-' "', " , ", " I I H!I, ,,' j , . . ' ,I . Ih\ '\ ' Til!YO\~~' r"' PI 1 .... <f I '. II :111,1:" :';;1' ~'l~l !:.II:; h':'I:'!:,'I;:I'~I,1 i;'y~ ,I " "~'DQ,\Om.qe~ufe'r, :'~cb'''~\i I\e kJ.\" ,,"1 ':' I .'.11"" .""., '~~hb6^~~;:;;1'0\;\\bc~#U!;!t:~-.~~$0~i;{~~ r@""I7:Jb Date of Application?,O ~ ~u. jReceipt ~ ~ /7 'COMMENCE\J un ~\OO: P, <;;1 Z2- Issued By ~. "'i 1 R(\ 01\'1 Pkmount Collecte.-1 r""'" Shared Drive (T:)lBuilding FonnsIBanner_Portable Sign Pennil CSD 8.06,doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01571 ISSUED: 1210712006 APPLIED: 12107/2006 EXPIRES: 12/07/2006 VALUE: Status Issued 225 Fiftb Slreet, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769Inspeclion Line SITE ADDRESS: 2151 Main St ASSESSOR'S PARCEL NO.: 1703364203400 Springfield TYPE OF WORK: Bauner TYPE OF USE: New PROJECT DESCRIPTION: Banner I portable sign permit for compliance witb C0D2006-00934 Commercial Owner: GULLO BROS SERVICE CENTER Address: 2131 DEBRA DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Sign Contractor OWNER License Expiration Date Phone # of Uuits: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I BUII1.DING,INFORMATlON I follow rUle'-''''l,lUIl 'dW '''i.ju''b<o NOlfil'l!;~ton;;~}doPted by the Ore 0 Yf:,'QtSiZe: in ~~1JIK~f sfrGffirrerhose rUles:" n 'sij ~l'lst Floor: 009 Y1\ibf'Im~'OOl 0 through OAR e S'S'qftil2ud Floor: C ,:'~:~i obtain copies of h 95.stjJtt1Basement: 'fidli'g'etllype9nter. (Note'th tt e rUSlf,RtGarage/Carport , nUmha'fru'/ . e eJephcs Fi 'Ene'lr< a b:, Oregon UI'II . . If! I Olber: sprinkllfd'lB1ii!diU.!ltJO_33;.~~~!'f/Ca(j),c!;Upan t Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Selback: Solar Setbacks: Overlay Dist: NOn (#..~treet Trees Rqd: THIS "P.aved Drive Rqd: P[o;.;rlif LothCoverage: ~~.~HORIZED ~N;;; ;~~~RE IF THE WnRJt A~I'PUBi'iC;iMPROYElM'i~is~fMIT IS NOT , - -n I ""CHIOD ' ,ED F.n8 . Siaewalk Type: DownspoutslDrains: Total: Handicapped: Compact: Streellmprovements: Storm Sewer Available: Special Instruction: Notes: I Valuation DescriDtion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amouul Value Date Calculated Paee I of2 . . CITY OF ~r.K.l1'\i'-'t<u<.,LD Building/Combination Permit PERMIT NO: COM2006-01571 ISSUED: 12/07/2006 APPLIED: 12/07/2006 EXPIRES: 12/07/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project L.F"'" p",~ Fee Description + 100/0 Administrative Fee + 5% Technology Fee Bauuer Special Permit Amount Paid Date Paid $4.50 $2.25 $45.00 12/7/06 12/7/06 12/7/06 Receipt Number 1200600000000001736 1200600000000001736 1200600000000001736 Total Amount Paid $51.75 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. ~ir"1T~ By signature, I state and agree, that I have carefully examined the completed applicatiou and do hereby certify that all iuformation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with tbe 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 witbout permission of the Commuuity Services Division, Building Safety. I further certify that only contractors and employees who are in compliance witb ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, tbat eacb address is readable from the street, that tbe permit card is located at tbe front of the property, and tbe approved set of plans will remain on the site at all times during construction. o~r::::to~~re \ oz...l--t (btl Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-0 1571 COM2006-01571 COM2006-01571 Payments: Type of Payment Check cReceintl . RECEIPT #: Description Banner Special Permit + 5% Technology Fee + 10% Administrative Fee Paid By SMOKE N HOT INC 1PQ,~;_,,- ..1. 1i1it. ' ! ~t..'._ _.M I I " : .r, , <- -. """""_'-.'."..'..~-"~~___ ;:..1 <:;aof Springfield Official Receipt _Iopment Services Department Public Works Department 1200600000000001736 Date: 12/07/2006 Item Total: <":heck Number Authorization Received By Batch Number Number How Received djb 1028 In Person Payment Total: Page 1 of 1 3:02:42PM Amount Due 45.00 2.25 4.50 $51.75 Amount Paid $51.75 $51.75 121712006