HomeMy WebLinkAboutPermit Signage 2007-9-24
CITY OF SPRINGFIELD ^
Building/Combination Permit
PERMIT NO: COM2007-01323
ISSUED: 09/24/2007
APPLIED: 08/31/2007
EXPIRES: 10/01/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 643 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353109600
. Springfield
TYPE OF WORK: Banner
TYPE OF USE: Addition
PROJECT DESCRIPTION: Banner for North Star Coin and Jewelry- 083107 removal date 100107
Owner: ZIMMERMAN J WAYNE TE
Address: 2418 N 16TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure:
Secondary Occupancy Group: Type of Heat:
Primary Construction Type Water Type:
Secondary Construction Type: Range !X6e:
# of Bedrooms: ~,,*D1l\'h:
~. c.'j..?\'r-.t. W 'SP;i,*~1iuilding: n/a
. f'l1:,r.\I:.. S\\ ~ \, t:. ~t.oM\ \
, \~~\S' ?t'r-.\'J\\~ UNOt'r-. \~~~OpMENT INFORMATION I
~U\\\Q'r-.\lt. to Q'r-. \S ~\j
Frontyard Setbaclt:,Q~\'J\t~~~'{ ?t'r-.\Q\). , Overlay Dist:
Side 1 Setback: ~~'{ "\ coO # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
ATTENTION: orere~~~~~~ENTS I
follow rules adop . ru es a Iv..l.
Street Improvements:NolificRtion Center, Those OAR 952-001-
, . 9h2-001-0010 through b
Storm Sewer A vailabl'e: OAR 0 btain copies of the rules Y
Special Instruction: 0090. You may Ot (Note' the telephone
calling the cenoer. n Utility Notification
, b r for the rego
Notes' flUm e , ~ 800-332-2344).
. Center IS 1-
Commercial
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Page 1 of2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01323
ISSUED: 09/24/2007
APPLIED: 08/31/2007
EXPIRES: 10/01/2007
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
Deposit
Amount Paid
Date Paid
Receipt Number
$14.50
$2.25
$45.00
$100.00
9/24/07
9/24/07
9/24/07
9/24/07
2200700000000001493
2200700000000001493
2200700000000001493
2200700000000001493
Total Amount Paid
$161.75
I Plan Reviews I
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
work day.
I Reouired Insoections I
Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested,
the applicant may forfiet the deposit.
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.
Owner or Contractors Signature
O/Llb-tNA.L 5l~/AA,ke- D~
Date
MfJL I'-^-,~/
~ ~rr
Page 2 of 2
225 Fifth Street
Spririgfiela; Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01323
CO M2007 -01323
COM2007-0 1323
COM2007-01323
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Deposit
Banner Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
NORTH STAR COIN AND
JEWELRY
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001493
Date: 09/24/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
4271
In Person
Payment Total:
Page I of 1
2:56:59PM
Amount Due
]00.00
45.00
2.25
14.50
$161.75
Amount Paid
$161.75
$161.75
9/24/2007
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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CITY OF SPRINGFIELD, OREGON
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Date of Installation
Date of Removal
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Permit Fee: $161.75 inch,lding $100.00 Deposit.
By signature, I sfate 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) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days
from the date listed above. If the banner(s) and/or portable sign 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 30th day to request an inspection to verify the 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 remov~
'IS, ignature-l.t )~..-p '<i,.... c9 DatI':
- / -, 0' For OffiC/ Use
Job# C 7-/52-J
Date of Application
1~0/7
ILl 53
Issued By
--:or;J
Amount Collected
Receipt #
/6/ 7 r
Shared Drive (T:}lBuilding FonnslBanner]ortable Sign Permit CSD 8.06,doc