Loading...
HomeMy WebLinkAboutPermit Signage 2000-3-24 ... , ,. ,';' . I Job# 00-00466-01 I . Page 1 of 2 TRANS#:01-0001043 DATE:MAR 24 2000 AMT RECD:2 $ 140.00 CHANGE: CASHIER: 032 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00466-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1859 PIONEER Pkwy Spr Assessors Map#: 17032623 Lot: Block: Addition: .., Tax Lot #: 02301 Subdivision: Owner: Address: WYNANTS 1853 PIONEER PKWY EAST Phone Number: Scope Of Work: Banner BANNER FOR WYNANT'S City/State/Zip: SPRINGFIELD, OR 97477 New Value: $0 Contractor Type Sign Contr Contractor Metro Western 1792 42nd Street - Suite B, Springfield, OR 97478 Registration # Expiration Date Phone 541-747-4374 Quad Area: 1CNW # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All inspections 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 working day. . Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D rArea (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Sign District: ,-Sign Dimensions- I Vertical: Height (Above Grade): Sqr. Footage: Illumination? D Comments: Type of Sign: Face Type: Horizontal: Thickness: --I From Grade To Bottom: Sign Material: ~: , 4' ... . Fee Job# 00-00466-01 Paid On Receipt# Banner Permit Deposit for Banner/Blimp/ete Total Sign Grand Total r Sign 03/24/2000 1043 03/24/2000 1043 . Page 2 of 2 Value/Quantity Fee Amount 1 1 $40.00 $100.00 $140.00 $140.00 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 display will be removed within 14 days from the date listed as the date of installation above. If the display is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that this special permit can be issued only twice per calendar year per development area. I also agree to cali the inspection line at 726-3769 by the end of the 14th day to request an inspection to verify th$lfef1)Oval of the banner. This inspection will begin the process to return the $100.00 de~P?7;~ed. . . Signature ~ 3-/o/'-~ Date . BANNER PERMIT COMMUNITY SERVICES DIVISION 225 FIFTH STREET SPRINGFIELD, OR 97477 (547) 726-3753 FAX (54 7) 726-3689 225 Fifth Street Springfield, Oregon 97477 Banner Location: I' fA)rMd~<:; Office: 726-3753 \1)c;)C, V: ~ 'V~ INSPECTION LINE: 726-3769 J:d hi / !'j }/~ I&,,~ flJ'mt7t!?r P41 tL Assessors Map #: Owner of Property: /)) Lf III ~ m"" I 'j", 4/1, ~ 5 Address: fJJ l'r74e~ p,/u? t:L 1 City:,~Y1'"l~t:lH ,/ Contractor/Installer: 1Me;t-vt> - W&5fe-yn Address: ~.5 5, ~ ~ .;#:: /7.s- City: &:5;:?r/#4//~ I' / Tax Lot Phone #: State: en?.. Construction Contractors Registration Number: I ,/ Description: 3X It) 6t?: V\I-\e--tr Date of Installation: 3-:i!-C{- ~ State: ~ /2-?'5ifc. Zip: q? q.77 ~/~n ~ /9W?? I~ Phone#: 79'6 33/2- Zip: 97 'f 77 Expires: /7-/.5-=- ~~ Date of Removal: 3 - 3/ - 2-IM'~ Banner Permit Fee $40.00 Deposit Required $100.00 By signature, I state and agree that I have carefully completed this application and hereby certify that all infonnation 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. Ifthe banner(s) is not removed within the time line specified, I will forfeit the $ I 00.00 deposit. I also understand that this special penn it 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 14th day to request an inspection to verify the removal of the banner(s). This inspection will bd'/is to r; t: )0 ~~osit if the banner(s) has been removed. /A/~ ~t/~ 3'-ZC/-~ Signature Date OFFICE USE Date of Application: Job #: Receipt #: Issued By: Amount Collected: . . ~. City of Springte'd Voucher Report 10 : SPRA 103 Voucher 10 : 00017862 Handling Code: RE Metro Western Sign & Awning 303 S. 5th St. #175 Springfield, OR 97477 Descriotion Account Fund Or<1 Banner refund 215500 821 Comments: Banner refund for Wynanats 1859 Pioneer Parkway job number 00-00466-01 I~t;,\ 9r~ 7~() Vendor Number: Voucher Date: Invoice # : Approver : Operator: 0000004539 Jun 16, 2000 6-16-2000 Puent, David WILS5940 Gross Amount: 100.00 SubClass BY ProilGrant Amount 2000 100.00