HomeMy WebLinkAboutPermit Signage 2002-6-19
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I Job# 02-00735-01 I
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Page 1 of 2
TRANS#:01-0009664
DATE:JUN 19 2002
AMi RECD:l $ 180,00
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
. City Of Springfield
Community Services Division
. Building Safety
Job Number: 02-00735-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 900 Beltline Rd Spr
Assessors Map#: 17031530
lot: Block: Addition:
Tax lot #: 01000
Subdivision:
Phone ~~~~541-741-6044
Cih1"'~eJf~~ Springfield, OR 97477
c.-&.~~~ ~~~\\' ~~\'o
Scope Of Work: Ban~er ~\,\,N.'{~~ ~ ~~~\) Value: $0
Sharis ~~. ~ ~~ ~~~ "\ ~~~~
Banner installed ~~~~~~~ &6~0.2
,\'(,.5 ~,,\. x..\) - ~~~-
Contractor Type Contractor ~~'\~~~~\;\)~ ~ Registration # Expiration Date ..,., Phone
Sign Contr Sharis RestaurantC<J ..J \ro~ _ '~.lI\El~ yOl~~'1-741-6044
h.~' ,"".'IV ,<.:l\.j Utility
900 Beltline Rd, Spnngfield, OR 97477 _' \' \0N:ui\::~l'.J'::' lne oregon i ct.n
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:"-"",\M ru\es G\UVt:~~\nose rU_1tJo" ~~95Z-001-
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Notiticatlon i_OOin'nroU~ ..t tnA rules 'I
\. QA.R 95Z-00 ta~nOJ(,~~lldm~f~ none
\n0090 You may O~epc,G!:!parl'CY tG rJt Pcition
6a\\\ng the cen oli~c~lSou\!~~~)'''''' .
,..umber tor th~.\~ Sq!,po"'ca~if.r: .
'I i"'nnte, ,~ 1
Owner:
Sharis Restaurant
Address:
900 Beltline Rd
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
land Use:
Zoning Code:
Bedrooms:
Range:
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.
Sign location
Final Sign
Required Inspections
I Sign
- To verify location of the proposed sign.
-After all required inspections are conducted and approved and the sign installation is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
'i
SIgn District:
-Sign Dimensions
Vertical:
Job# 02-00735-01
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
Plan Check Type
Checked By
Paid On Receipt# Value/Quantity Fee Amount
Sign
06/19/2002 9664 $80.00
06/19/2002 9664 $100.00
$180.00
$180.00
Date Completed Comment
Banner Permit
Deposit for Banner/Blimp/etc
Total Sign
Grand Total
Sign David Bowlsby 06/19/2002
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 calendaryear 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
bannpm.~I~~~ 6/;qhZ
Signaturfi I ~ /~ D~te I
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Cj~SHJ;~~~ ~ ':(;I
225 FIrfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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City Job Number (:) Z. -bar'J ) ,,- a \
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17031530
Tax Lot
O(0~a
Owner
Owner of Property _ S }/)/Ji{/ S- re'5tC\VUlfV\~
Addres,; qOO te\tl~WL \rd.
City SDV'W1j~eJd
Phoni":
501 - lil-60lfJ:::l
Zip q7 tt 77
Statf' Or.
'ContractorlInstaller
Contractor ~{~,e~vI0\JP? (/Ot..--Nf'.:;-r?
Addres1' C( OJ &\ ~1!\M.- r~.
City Spn1fl~\rA
€bP
Construction Contractors Registration #
Phonr 7 ~t '..~6 04 ~
. . .\"c<.,:,->'\. '.
S Olr " v 'N7'. /7'-7 f .177
tate t' ,'::) , <,:; - ~lp~/. T VI
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Description \D rOV\lI~oVa\ \pavW\~X5 ;"'~::;.:;:::;;,'~.?~:.'~f~~>"\~~..:':::~~~!r ~,':;..
1 J"'~:~ ~~';::." .. ,\ ';.\ "t-'" .r<C}-Y.",
Date of Installatioo B:~~ :~::t Fee $80.00"\~~!:~;::~:e::l:~!o OL ~~~
By signature, I state and agree that I have carefully completed this apP~~'O~~~:\erebY certify that
all information herein is true and correct. I further agree and under ~ ~ ~~ ove described
banner(s) is not larger than 60 square feet, and will be remov ~~~ 1 ~ the date listed
I also understand that this special permit can ~~ t ~~ calendar year per development
area. I also agree to call the inspection line at ~- l\ ~~CO~the 14th day to request an
inspection to verify the removal of the banner(s~ .. ~8n will begin the process to return the
$100.00 deposit ift4e ba~~).has2>een remove~~~" \'O~
Signatun~ C'lj~ Ui/!/?;r ~ Date ;-; l;a.'!7/O 7-
rJ VY - 1/
Date of Application
D6 ( '7 0 L
'bg:
Fol' Office Use
Job # oC: -0 cY73 J:=<:> \ Receipt #
160...0
c;g i
Issued By
Amount Collected
Shared Drive (T: )/Building Fonns/Banner Permit CSDl-02.doc
BLIMP, SPINNER, PENNANT, BALLOON, SEARCHLIGHT PERMIT
COMMUNITY SERVICES DIVISION
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3753
INSPECTION LINE: 726-3769
Location: q(X:) ~\-~
Assessors Map #: 11 . 0 3' IS, ~ 0
Owner of Property: a~
Tax Lot 0 f 00 c)
Address: C\ DO ~_d. {ll'AA..,U
. City: ~\.QJd
Contractor/Installer: 1'"1wVl ~ A
&.tt\;n L
~~
Phone #: (4 \ -toO+Y-
'Dv e~ trY\. Zip: <4, t-f ( \
State:
Address: ~ DO
Phone #:
r4 \-(0 nY- Lf
Zip: <=1"1 '-t (!
City: 5~
Construction Contractors Registration Number:
DescriPtio",*~~ \ S X. lS
Date of Installation: U \ 2/ l 0'")..
State: ~>
tl \J.j'-IA_ l,t ^
Expires:
Date of Removal:
lJ> \24\ C:>~
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 display will be
removed within ten (10) days from the date listed as the date of installation above. If the display is not removed
within the time line specified, I will forfeit the $100.00 deposit. I also understand that this special permit can be
issued only once per calendar year per development area. I also agree to call the inspection line at 726-3769 by the
end of the 10th day to request an inspection to verify the removal of the display. This inspection will begin the
process to return the $100.00 deposit if the display has been removed.
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OFFICE USE
2.[0: ~3IHS!j:i
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OO'OBl $ T:OJ3d lWlj
6003 1G Nnr:311jO
9B96000-10:#SNIj~1
Date of Application: fo -ril -..+6t) L--
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Job #: 02 - DO 73S-"L--Receipt #: <it, ~ (p _
. Amount Collected: $1 W) .
Issued By: