HomeMy WebLinkAboutPermit Signage 2001-4-19
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I Job# 01-00382-02 I
.----'.Page 1 of 2
TRANS#:Ol-0004999
DATE:APR 19 2001
AMT RECD:2 $ 160.00
CHANGE:
CASHIER:032
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00382-02
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection line: 726-3769
Location Of Proposed Site: 890 Beltline Rd Spr
Assessors Map#: 17031530
Lot: Block: Addition:
Tax Lot #: 00900
Subdivision:
Owner:
Sycan B Corp
3405 Baldy View Ln
Phone Number: 541-746-8444
Address:
City/State/Zip:
Springfield, OR 97477-9401
Value: $1,380
Scope Of Work: Sign
Burkhart Dental Supply
This is a copy with a new Sequence Number
New
Contractor Type
Sign Contr
Contractor Registration # Expiration Date Phone
Metro-Western Sign &Awning 541-746-3312
303 S. 5th Street, #175, Springfield, OR
97477
Quad Area: 1 CNW
# Of Units:
Constr. Type:
Water H~ater:
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.
Required Inspections
I Sign I'
J
Sign Footing/Attachment -Footing: After excavation and forms are in place, but prior to concrete.
Final Sign -After all required inspections are conducted and approved and the sign installation is complete,
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# Of Stories: Ar-t b'.; ~~i~htJ,f~:~t).:" . :31:JJ110N
Current Units: fOliO",! :'ut.RroB.o,s. -~9 U\n,it~i '-.'1" .,'\', .) I '.-(\' ,
V~. . _ ~- _. ~ _..... J' __ .. .. f " I _ . ~ .. ""i..... .1
Census Code: Doe~,m~l\II'C8R!tif Vd~i" /- .i'l)n~)t ;Jiu~:'ar~:~~t 't':!' _
In '- AR 952-U01-00'l\; lllTOugll O."\ri 952-00
OOtO:.:ou.ma~ll)btain ~opieE lithe rules G,
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number'ion1l.j 1:){d~P'; J:in'\.,-,\lotificatior
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Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main:
Accessory:
Total:
/
Sign District:
-Sign Dimensions
Vertical: 12"
Job# 01-00382-02 I
Community Comm Type of Sign: Wall Sign
Page 2 of 2
Face Type: Single Face
Horizontal: 6' 8"
Thickness:
Height (Above Grade): 12' 6"
Sqr. Footage: 7.
Illumination? D
Comments:
From Grade To Bottom: 11' 6"
Sign Material: Plex & Foam
Fee
Plan Check Type
Checked By
Paid On Receipt# Value/Quantity Fee Amount
Sign
04/19/2001 4999 1,380 $80.00
$80.00
$80.00
Date Completed Comment
Sign Permit - 0 - 35 Square Feet
Total Sign
Grand Total
Sign Kaye Wilson 04/16/2001
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further certify that only contractors and
employees who are in compliance with ORS 701.055 will be used on this project. I further agree to
ensure that all required inspections are requested at the proper time, that project 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 the installation of the sign(s).
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Signature '.)
If. (q ,D\
\
Date
r
I Job# 01-00382-01 I
Page 1 of 2
TRANS#:01-0004999
DATE:APR 19 2001
AMT RECD:2 $ 160.00
CHANGE:
CASHIER: 032
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00382-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 890 Beltline Rd Spr
Assessors Map#: 17031530
Lot: Block: Addition:
Tax Lot #: 00900
Subdivision:
Owner: Sycan B Corp
Address: 3405 Baldy View Ln
Scope Of Work: Sign
Burkhart Dental Supply
Phone Number: 541-746-8444
City/State/Zip: Springfield, OR 97477-9401
New Value: $1,380
Contractor Type
Sign Contr
Contractor Registration # Expiration Date
Metro-Western Sign &Awning
303 S. 5th Street, #175, Springfield, OR
97477
Phone
541-746-3312
Quad Area: 1 CNW
# 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.
Required Inspections
-n...~~:.,...,.( '..r..."......,.....,., ... ~':"I\' "'r< '. ..:...... I ,'~ ~ ::
I Sign ATII::..' . I , ,- .. r ....", ~r! Utn,,1
Sign Footing/Attachment - Footing: After excavation and forms a8rel'iA'plac'e;: bl]~ prior io:coricret~. ::T:-~ ;01 b~. :
Final Sign -After all required inspections are con'duitecfand appr6ved'and:~he~s'lg-n~installation is complete.
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I.. ",;:;J_ . '" ",;, . '){, ';'110 ml"='s o~
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c;l. i.:. . ,,~.N . - ., .,','. ,,\,)1i'1ication
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... . '; ,.. ..1 "1)
l._......".......; ;' .., " '. _..... ~ .' .....:o.ot .
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
~rQPllQshe.d.Units:
U'IlU ~\VIt::
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
~_~ . ___ __ I,,", 11.1"""\ ^ (\ U"'\r\l'\u:::n I:'no
\.tUIVIIVICI \!\Jt::u \..II I 1'-' ru.." u .~ ~, .--. --
Accessory:
Total:
ANY 180 DAY PERIOD.
Sign District:
-Sign Dimensions
Vertical: 30"
Job# 01-00382-01 I
Community Comm Type of Sign: Wall Sign
Page 2 of 2
Face Type: Single Face
Horizontal: 8' 8"
Thickness:
Height (Above Grade): 13'
Sqr. Footage: 22.
Illumination? D
Comments:
From Grade To Bottom: 10' 6"
Sign Material: Plex & Foam
Fee
Plan Check Type
Checked By
Paid On Receipt# Value/Quantity Fee Amount
Sign
04/19/2001 4999 1,380 $80.00
$80.00
$80.00
Date Completed Comment
Sign Permit - 0 - 35 Square Feet
Total Sign
Grand Total
Sign Kaye Wilson 04/16/2001
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further certify that only contractors and
employees who are in compliance with ORS 701.055 will be used on this project. I further agree to
ensure that all required inspections are requested at the proper time, that project 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 the installation of the sign(s):
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Lf\ l~.O\
Signature
Date
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