HomeMy WebLinkAboutPermit Signage 2002-3-6
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I Job# 02-00253-01 I
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00253-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4885 ASTER St Spr
Assessors Map#: 17023234
Lot: Block: Addition:
Tax Lot #: 00101
Subdivision:
Owner:
Address:
Roy Gray
P.O. BOX.117.
Phone Number:
City/State/Zip:
Springfield, OR 97478
Value: $0
Scope Of Work: Banner ' New
banner for Jenna Village
Banner to be removed no later than April 3, 2002
Contractor Type
Sign Contr
Contractor
Roy Gray
P.O. BOX 117, Springfield, OR 97478
Registration #
Expir~ti~DP~~Ek ;':: ..(~hone
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Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office'Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Final Sign
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. A I i EI'IJ i ION'
. '. fOl/ow rllJ.a,.. ,.Oregon lallol
ReqUIred Inspections ''10rtfic t. - .s..:upred b ~u"es y
. in a Ion Cente y the Ore au to
I Sign I OAR 952-0 '. r.-Those r I . , ,gor:~f!!!1y.' .
-After all required inspections are conductedl~~AAs~nh~~h-dJ~lwOmJA~~me ~~hete.
Calling the ~ Obtain COPies o~AR 952-001_
nUmber for the 6er. (Note: the t t~e rUles by
Ce . ~egon Uti/" e ephone
.nter"S 1-8'00' Ity Notific t. - --. .- .~
-332-2344). a Ion
Height (feet):_
Proposed Units:
# Of Stories:
Current Units:
Census Code: Does not apply
Construction Types:
pccupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: .
Accessory:
Total:
NOTICE:
TMlb P'thMIT SiiRlL EXrmC If TII[ WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANV 180 DAY PERlOCl
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Sign District:
~Sign Dimensions
Vertical:
Job# 02-00253-01
Type of Sign:
Page 2 of 2
Face Type:
Horizontal: Thickness:
Height (Above Grade):
Sqr. Footage:
Illumination? D
Comments:
From Grade To Bottom:
Sign Material:
Fee
Paid On
Receipt#
Value/Quantity
Banner Permit
Banner Permit
Deposit for Banner
Total Sign
Grand Total
Sign
03/06/2002
03/06/2002
03/06/2002
8231
8231
8231
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 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. This inspection will begin the process to return the $100.00 deposit if the
banner has been removed.
Signature
Date
Fee Amount.
$80.00
$80.00
$100:00
$260.00
$260.00
.
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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NOTlCE: THE WORK
Adffi"~lill=QM\T SHALL EXPIRE IF - f~OT
THORIZED UNDER THIS PERM\' '"
Cik)J=,..CCO OR IS ARANOONEO FOR
'CUIVIIVIt:. \I -
hMV 1M OA..Y PERIOD.
CommIcm:m' Contractors Registration #
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Phone
State
.[-
Zip
;, IjUt;:~;.
Expirec::
, 'v,...t~h.:
Description
~'I. IS.
Date of Installation ~'5 fe j 0 2-
, ,
Date of Removal
F4.\>'_; \ S 0 2-
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Banner Permit Fee $80.00
Deposit Required $100,00
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
banner(s) is not larger than 60 square feet, and will be removed within 14 days from the date listed
above. If the banner(s) 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 call the inspection line at 726-3769 by the end ofthe 14th day to request an
inspection to verifY the removal of the banner(s). This inspection will begin the process to return the
$100.00 dep~fthe banner(s:)has been removed.
Signature -ltc-'-( \.-- ~~~_ L Date .$ ~ J (j ~
I
Date of ApplicatioJ:1 .3 - &, - 0 ?-
For Office
Job # ~ :;l-1J7) ~ 3 -0 I Receipt #
Issued By
cKkj
$~
.tf-foo I -
Amount Collected
Shared Drive (T:)/Building Forms/Banner Permit CSDl-02.doc