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