HomeMy WebLinkAboutPermit Signage 2004-11-1
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22~ rlml STREET. SrRINGflELD, OR 97477 . rH:(,,41)72G.~7~:~ . FAX: (,,41)72G<~G89
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Owner
Owner of Property ()a~ 'i2UlQ".~ M"...,v~l\II'
\ r~-'-;
Address :J ::f~f) (JIi /(fV1tJYI I- Ii/au ~<<mf>P.Ke.mg,.,~gtfqU~~
/ foJ.low rules adopted by the ~1'l1,JtUity
s~'lftlfi&6on Center. TIZi~" 'Im: ~~1slt1"i
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules bV
calling the center. (Note: the telephone
~~~3Er fs~ t~..: Z'-~~1J11 U~;J;~y I~uuii~
Center is 1-800-332-2344).
Phonp
City Job Number Co W1 VYC> '-\ - 0 I '~<; S
Banner Location 2oqo O~ M fl0
Assessors Mar I 70 -:) 2 S- s I
City 'fIlJ.l11 fl.
Contractor/Installer
Contractor est-A-
$ltlI'4 ~D Aw~...ut:.
Addrpoo l'2-io t>~ p~ IZ-t")
City ~'1!NoC
Construction Contractors Registration #
Tax Lot
0770\
<;tate 0f2-
Zin f'l'1o"2-
Expireo ~ (3QjDl'!.
I 'fS:1 ~
Description 'N~f'A-1..A- R.A-N~ ON -stbRk.~tJ1
Date of Installa1ior
ii/I '7/011
Date of Removal
.) f /,).q /Dtf
I
Banner Permit Fee $80.00 + 10% AdmillistJ-ative Fee - Deposit Required $100.00
By signature, 1 state and agree 1hat I have carefully completed this applica1ion and hereby certify 1ha1
all infonnation herein is true and cOrrect I further agree and unders1and 1ha1 the above described
banner(s) is no1 larger than 60 square feet, and will be removed within 14 days from the date listed
above. If the banner(s) is not removed wi1hin 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 developmen1
area. I also agree to call the inspection line at 726-3769 by the end of the 14'h day to reques1 an
inspec1ion to verify the removal of the banner(s). This inspec1ion will begin the process to return the
$ I 00,00 deposit if the banner(s) has been removed.
Signaturp~~ -
For Office Use
Job #C0"'" <.00,-\ -01 ,>53' Receipt # ~ 'S Y b
(, u
l'7tl
Da J:.A I' . {( 0 ( 0 LI..
~tffi\l"tPP lcaiIon
~ p'FRMIT SHALL ~IRE-$ THE WORK
1~~1'~~\Z~~ L::::-~f\ TJ_A~~Qhm IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 160 DAY PERIOD,
Oat"
/ / () ( 0 \..(
Amount Collec1ed
Shared Drive <T:)IBuilding FomlSlBanner I'cm\i1 CSDI-03.doc
.
. CITY OF SPlUr'llJt<1J~,LlJ
Building/Combination Permit
PERMIT NO: COM2004-01353
ISSUED: 11/0112004
APPLIED: 11/0112004
EXPIRES: 05/0112005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone.
541-726-3676 Fax
541-726-3769 IlIspection Line
SITE ADDRESS: 2090 OLYMPIC ST A
ASSESSOR'S PARCEL NO.: 1703253107701
Springfield TYPE OF WORK: Banner
TYPE OF USE:
PROJECT DESCRIPTION: Banner - install 111504 removal date 112904
New
Commercial
Owner: MCKAY INVESTMENT COMPANY LLC
Address: 2350 OAKMONT WAY EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
SIGN GROUP LLC
License
145755
BUILDING INFORMATION I
Expiration Date
06/30/2006
Phone
541-485-5546 -
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
jl"~~n"l
\IV' ........
THIS PERMIT SHALL EXRliDE~MENI(INFORMATION I
AUTHORIZED UNDER THIS PERMIT IS NOT
Frontyard Setb'l!'BMMENCED OR IS ABANDONEOfe'i1iily Dist:
Side I Setback: ANY 180 DAY PERIOD. # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
Type of Construction
Sidewalk Type:
ATTENTlcm,Qt'jitlMMJE&E;W;lulres ~ ~
follow rules adopted by tha Oregon Utility
Notification Center. 'Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
nnQn You !fIav obtain copies of the rules by
e<llng the center. (Note: me UlleplIu,,'"
I Valuation Descriotion'I1ber for the Oregon Utility Notification
Center Is 1-800-332-2344).
$ Per Sq Ft Square Footage
It' I' B'd A t Value Date Calculated
or mu Ip Icr or 1 moun
Notes:
Total Value of Project
Paee I of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01353
ISSUED: 11101/2004
APPLIED: 11/01/2004
EXPIRES: 05/01/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Ff'f'~ P.aidJ
Fee Description
+ 10% Administrative Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$18,00
$80.00
$100.00
1111104
1111104
1111104
1200400000000001546
1200400000000001546
1200400000000001546
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 Reouired In~nection~ I
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
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, 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 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
timc);~t~8cJv- ( II,) (}cf
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
SP.ringfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-0 1353
COM2004-0 1353
COM2004-0 1353
Payments:
Type of Payment
Check
111112004
.
RECEIPT #:
.P~~~~~ ,'.,_~~. ;
~..','
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, ,
~_..--.- .-..-
<lllliity of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200400000000001546
Date: 11/0112004
Description
+ 10% Administrative Fee
Deposit
Banner Special Permit
Paid By
ES & A SIGN
Received By
djb
Page I of I
Item Total:
Check Number Authorization
Batch Number Number How Received
33539
In Person
Payment Total:
1:52:06PM
Amount Due
18.00
100.00
80.00
$198,00
Amount Paid
$198.00
$198.00