HomeMy WebLinkAboutPermit Signage 2006-3-31
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ZZ5 FIITH STREET. SPRINGFIELD, OR 97477 . PI-!:(541)726-3753 · FAX: (541)726-3689
City Job Number CoM ZOUb- OO:S ~J
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Assessors Map /7 0 J' Z 2.- \{ \.{
Job Location
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Tax Lot
Owner
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Owner of Property
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State
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Contractor/Installer
Contractor
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City
Zip
Construction Contractors License #
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Description 13 A7t6'\8\... - ~,4-t) ~
Date ofTnstallation '3;/ Z ~b '
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Date of Removal 3/2-7 kb
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Banner Permit Fee $45.00 + Required Deposit $100.00 + 10% Administrative Fee
By signature, I state and agree that I have carefully completed this application and her~~~ify that
all information herein is true and correct. I further agree and understand that the ab1~~..f~ed
banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be re~~~~~\~~O days
from the date listed above. If the banner(s) and/or portable sign is not remov~~~In%~imeline
specified, I will forfeit the $100.00 deposit. I also understand that this s&.~~t5~,~an be issued
only twice per calendar year per development area. I also agr~t~~.~AiJll~~~e~on line at 726-3769
by the end of the 30th day to request an inspection to verify~,,~~~~'f~1?~er(s) and/or portable
sign(s). This inspection will begin the process to return th~~\%)~$~\~e banner(s) and/or
portable sign(s) has been .removed. t....~~. ,,~~<<"'\\\\5> 0;{
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Signature / { I~ I--'~~(;:>I/ ~~ Date ~ '1/1 () to
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Date of Applicatioo rxf~r ~:: :ffi; t ~ 8 )
Issued By Amount Collected
Receipt #
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Shared Drive (T:)/Building Fomls/Banner_POI1ahle Sib'll Pemlit CSD 8-05.doc
Status
Finaled
CITY OF SPRINGFIELD'
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2006-00385
ISSUED: 03/31/2006
APPLIED: 03/31/2006
EXPIRES: 03/3112006
VALUE:
SITE ADDRESS: 6 HAYDEN BRIDGE WAY
ASSESSOR'S PARCEL NO.: 1703224407000
Springfield TYPE OF WORK: Banner
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Banner - permit to satisfy code enforcement action COD2006-00416. Permit issued
expired.
Owner:
Address:
ROLAND KORINEK
PO BOX 22224
EUGENE OR 97402
Phone Number: 541-726-8355
I CONTRACTOR INFORMATION.
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ContractoJ,\'0'X-- ~ ~\J'\
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~. ~~\\. 't.~~\S Vt-~~'X--\) \"' t BUILDING INFORMATION.
'(\\t~.... ~\\ s 'f0S~ ~\\~\)
# of U~\)sS '(S~ S\) \J~ ~ \S ~ # of Stories:
prima~.c~tij)~\~~e.\\\\J\)' Height of Structure
Seconda~y)OC~~ff~~\P: Type of Heat:
Primary Cbh~tr~tlo'fi Type Water Type:
Secondary ~~)struction Type: Range Type:
,. # of Bedrooms: Energy Path:
Sprinkled Btt~lding:
Contractor Type
Sign
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
License
Expiration Date Phone
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
...
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I DEVELOPMENT INFORMATION I
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~'o~ 'O~ Ov~!lay~Dist:
O~. 0 A'O~,^c#"Str,eet Tr~es Rqd:
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'\~~ ~'O~ 'Q. ",-'O~' \) \f-av~~pTlve Rqd:
~ ~ ~\): C'O'" ,\)\)\ . t(o/Of Lot Coverage:
\O\\?\c'O-~O~7.:\)\)\ o'0~?r\ ~~"'"
. ~'I.\\ _ 01'0 _0.'.\ >DC _,'.
\'" O~~'.-{O~ ~~{I,pij~LI~' I~PROVEMENTS .
\)\)~ \\\",Y> \0" :( \'='
c'o:' 'K)'O~ 0\'0
0\!0 C'O
'0
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
'.4'
Downspouts/Drains:
I Valuation DescriPtion'
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Value
Date Calculated
Paee 1 of 2
Status
Finaled
CIl}1 OF SPRINGFIELD'-
Building/Combination Permit'
PERMIT NO: COM2006-00385
ISSUED: 03/3112006
APPLIED: 03/31/2006
EXPIRES: 03/3112006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
::,.541-726-3676 Fax
:541-726-3769 Inspection Line
Total Value of Project
L Fees Paid J
.., Fee Description
+ 10% Administrative Fee
Banner Special Permit
Amount Paid
Date Paid
$4.50
$45.00
3/31/06
3/31/06
Receipt Number
2200600000000000413
2200600000000000413
..",
Total Amount Paid
$49.50
...
I Plan Reviews'
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.
Reouired InsDections ,
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 I
... 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
,". times during construction.
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Owner or Contraetors Sign.tnre U
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Date
Paee 2 of 2
225 Fifth Street
.. .
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00385
COM2006-00385
Payments:
Type of Payment
Check
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3/31/2006
RECEIPT #:
Description
+ 10% Administrative Fee
Banner Special Permit
Paid By
ART MCGHEHEY
r"~ty of Springfield Official Receipt
~velopment Services Department
Public Works Department
2200600000000000413
Date: 03/31/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1490
In Person
Payment Total:
Page I of I
11:13:24AM
Amount Due
4.50
45.00
$49.50
Amount Paid
$49.50
$49.50