HomeMy WebLinkAboutPermit Signage 2006-12-13
~)
~,;;
I'! , ""
~&
."" '1-"""""_"""V,.t~
Ii
~ef: c.o l> ZOO, - 009 ss-
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
~Zoob - 0 Ibe z..
City Job Number
Job Location
41/'7' a SI:
\70"3Zb'3(
Tax Lot
o 0 I~ (
Assessors Map
Owner .
OwnerofProperty ~ikl dJ.J,u'~ .
Addres" If/(1 t12 ,<;:1
Cit" S C}/))P/:~U
. , (/
/~ 17(:I\....r.Je;...Cr- r4...<..A- I}{C-
/
Phonr- 5L/f-5.2o -75~6
17lf7'8
tJl<
Zit:
Staff"
'9J'>-.
1ft i&~ 'I$j,
. 0". 0,... III
II) (/~.:.. "'IV h It,
00& 0-1~~I}Q "'.IelS' """'~G
V B6': ~C q~ 'l)i
If!>.....,. k !,.:). _ ~'" O~"I.. ~(fhonp
I}qh.~;q~. V{f h,.. ~? ""/6);' - @O'A lit;' .
.,~ ~Io .,~ 'a.); vy. "'^,
\9.1'1' ~$~~~ V)'Q") ~o~ 0", (.v~4-Zip
C~(}I'"~ &"/(9. 4"c$l-0-01'"o. ~l"'q~UI"6! "<:.-",
?)I'($)r t~ Or..~ fil,OOJ')1'~;1:\S' .q~1iuiYeQ
.~. ...", 'VI. 'IQ' ~ """($) Vj,., ~\,.
7. ').'~OA S.. \S' Clr ~f6. <~& I/,.;,
va' (A (~ -, IJ ' &. 'I" /; 1y
V-a ~~}t &1. J<)/9 ~~ 0/7
.~'" a~ 1. el_ ""f '1)_
'I//). ";?~ ,~ . ~"t ~'t9 vI'
> v.l /. Ql~ Olii).. ""'01), \S 6
/1 /?,~ ~A' Date ofRe~0~'l?h.~~2..::~--Db
'" - Alf;.' % .
,r~~~;:YBet~'6J.75 in~luding $100.00 Deposit.
f!" I.-~'A <:^^ 1\/.
By signature, I state and agre~rJ~;A.'I~~v'~!'}lLY completed this application and hereby certify that
all information herein is true and colie,EP-1l ffvJhJ~ee and understand that the above described
banner(s) and/or portable sign(s) is not~A~:t:1Jl~O ~re feet, and will be removed within 30 days
from the date listed above. If the banner(sy~n~~~)l~gn is not removed within the timeline
specified, I will forfeit the $100.00 deposit. I also (~RcJ?kh9.t this special permit can be issued
only twice per calendar year per development area. I ~A~jr<tcall the inspection line at 726-3769
by the end of the 30th day to request an inspection to veriffthe 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.
~k~'
Signa~~ .
Contractor/Installer .
Contractor ~/.f1
Addres~
City
Construction Contractors License #
Description
~ ".I4h 'cA t30p-r.l
Date of Installation
.-.----.
----------~
Datt>
/~~U-IJ~
Date of Application
For Office Use
IZ-fS-Ob Job# rt..- O/bOZ.
Receipt #
<;1 7..:C-
Issued By
~
$
Amount Collected
Shared Drive (T:)/Building Fonns/Banner]ortable Sign Permit CSD 8-06.doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01602
ISSUED: 12/13/2006
APPLIED: 12/13/2006
EXPIRES: 06/13/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 449 Q ST
ASSESSOR'S PARCEL NO.: 1703263100101
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner - code compliance ref:COD2006-00955
Commercial
Owner: JITTERBUG JAVA INC
Address: 449 Q ST
SPRINGFIELD OR 97477
Contractor Type
Sign
Contractor
OWNER
I CONTRACTOR INFORMATION I
License
Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BU RMA TION
follow rules ad ..., II W rEH.julltl~ ~ou b\i
No~tl6~fPOile~, opted by the oregonillze:
in ~Jti~JYS:fM~Fe Those rules are ( t}fst Floor:
OOdff~oTfrPR:1-0010throughOAR9 . 'i~d Floor:
'W1l.t'e9* @:Y obtain copies of the ~ Basement:
n ciM!gm.r.ente,. (Note: the te/e ~~ 1'~.rngelC",port
4Bi~f{t{Jafl\le Oregon Uti/it . ~ ~ql;t Other:
sprinkianBmJ9iPf800_332_~~~:'f'C~lQ(jpant Load:
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
NOnc~ Street Trees Rqd:
THIS pf:-?l!ved"Drive Rqd:
A K.M IJr hbWctv~~r
. UTHORIZED UNO'" RE IF THE WORK
(;rHAMI"",,/;-;: ER TH/~ pcnH'T ,_
~NYI ~'~J;~ww~We~~~W~'FO\JR. IVU I
. 11IUU
. Sidewalk Type:
Downspouts/Drains:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01602
ISSUED: 12/13/2006
APPLIED: 12/13/2006
EXPIRES: 06/13/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Amount Paid
Date Paid
$4.50
$2.25
$45.00
12/13/06
12/13/06
12/13/06
Receipt Number
1200600000000001753
1200600000000001753
1200600000000001753
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.
LRe(]uired InsDect~
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
times during construction.
--
~7
~-, /.- ---
O~er okontractors Signature
-............
/2-/.1-<<
Date
Pal!:e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0 1602
COM2006-0 1602
COM2006-0 1602
Payments:
Type of Payment
Check
cReceiotl
RECEIPT #:
Description
+ 5% Technology Fee
+ 10% Administrative Fee
Banner Special Permit
Paid By
NDN MERCANTILE INC
('!" of Springfield Official Receipt
.l dopment Services Department
Public Works Department
1200600000000001753
Date: 12/13/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 5502 In Person
Payment Total:
Page I of I
1 :35:22PM
Amount Due
2.25
4.50
45.00
$51.75
Amount Paid
$51.75
$51.75
12113/2006