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HomeMy WebLinkAboutPermit Signage 2007-9-29 ~ \ .\ , CITY OF SPRINGFIELD, OREGON ~ .~~~ 225 FIFTH STREET . SPRINGFIELD,OR97477 . PH:(541)726-3753 -FAX: (541)726-3689 ~~ 6) City Job Number .",~~ ."'~ Job Location ~ .0 T\;:d~ Assessors Map ~) ~.J ~. ~) .O~ ~~ '--~ ~ ~J .o~~ ~~ ~.~ ~;=~ ,..-- 4 ,,--4 ,,--4 ~4 ~ U 10 :~ .O!~~ ,,--4 ;;-~ ,-~ ~ ~~ , 'r;2-,~ ~~ ~i ~:@) .o~~ ~ <ai)) ,"--=11 ,~~ '~$ ) ~y, ~~ ~ e~ 11 ~ ~~ <ai)) ~;::.. ~ v-- ~ ''--~ ~~ ~~ M) tl'C\vn.e.- S\(.,\,('\ w/pril\KJ CC'\.I+\,JSR. ~~: \\ v / - ~// % 7 pr'{ c.e.<::: /F) ~ 9 /t; 7. / '. / $161.75 inCluding $100.00 Deposit. c7-/4Y7 S-Z;O '7 /14~J/lJ / 70?~?7?/ ( Owner Owner of Property UJa \~~GlS Address S 0.07 M A-\ tV 51 City S ~\"~\f\'::J-t~e'~ Contractor/Installer Contractor DWAJ?7C Addres" City Construction Contractors License # DescriptioI' 'A." Date of Installation Permit Fee: Tax Lot f) -;s 7 {}-O Phonl": 54/- 7~6 -Slf;)'3 Cf:74,-78' State OR Zi~ Phow' State Zip Expires Date of Removal 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) and/0r portable' sign(s) is pot 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 al~o 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 :~:::~~rrr~~-~--u- Date M h5/ a? . V '. / ! For Office Use Job # t~- I q,S, . Date of APPlicati09 I ;[S! 01 Issue~O\" mtJY:t?fiJ Receipt # / ( '1~ Amount Collected \ lO . Shared Drive (T:)/Building Forms/Banner _Portable Sign Permit CSD 8-06.doc 225 Fifth St,reet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01457 COM2007-01457 COM2007 -01457 COM2007-01457 Payments: Type of Payment Cash cReceintl RECEIPT #: Description Banner Special Permit Deposit + 5% Technology Fee + 10% Administrative Fee Paid By W ALGREENS City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001238 Date: 09/25/2007 3:14:04PM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 45.00 100.00 2.25 14.50 $161.75 Amount Paid dIm $161.75 $161.75 In Person Payment Total: Page 1 of 1 9/25/2007 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5807 Main St ASSESSOR'S PARCEL NO.: 1702334103700 Springfield PROJECT DESCRIPTION: Portable sign (sandwich board) Pal!e 1 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01457 ISSUED: 09/25/2007 APPLIED: 09/25/2007 EXPIRES: 03/25/2008 VALUE: TYPE OF WORK: Retail TYPE OF USE: use initials Commercial Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01457 ISSUED: 09/25/2007 APPLIED: 09/25/2007 EXPIRES: 03/25/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Owner: POWELL-MCMINNVILLE LLC Address: 737 MARKETS ST KIRKLAND W A 98033 Owner: POWELL-MCMINNVILLE LLC Address: 737 MARKETS ST KIRKLAND W A 98033 Owner: POWELL-MCMINNVILLE LLC Address: 737 MARKETS ST KIRKLAND W A 98033 Owner: POWELL-MCMINNVILLE LLC Address: 737 MARKETS ST KIRKLAND W A 98033 Owner: POWELL-MCMINNVILLE LLC Address: 737 MARKETS ST KIRKLAND W A 98033 Owner: PUTNAM RICHARD D DMD PC Address: 5892 MAIN ST STE 4 SPRINGFIELD OR 97478 Owner: HUGHES LAWRENCE DMD PC Address: 430 BANTON AVE EUGENE OR 97404 Owner: POWELL-MCMINNVILLE LLC Address: 737 MARKETS ST KIRKLAND W A 98033 Owner: POWELL-MCMINNVILLE LLC Address: 737 MARKETS ST KIRKLAND W A 98033 Owner: POWELL-MCMINNVILLE LLC Address: 737 MARKETS ST KIRKLAND W A 98033 Owner: SMILE INSTITUTE LLC Address: 497 OAKW A Y RD STE 200 EUGENE OR 97401 Owner: ESSENTIAL REAL ESTATE INC Address: 5811 MAIN ST STE E SPRINGFIELD OR 97478 Owner: POWELL-MCMINNVILLE LLC Address: 737 MARKETS ST KIRKLAND W A 98033 I CONTRACTOR INFORMATION' Contractor Type Contractor License Expiration Date Phone Pa!!:e 2 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line BUILDING INFORMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I DEVELOPMENT INFORMA nON I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project ~ Fee Description + 10% Administrative Fee + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid $14.50 $2.25 $45.00 $100.00 9/25/07 9/25/07 9/25/07 9/25/07 Total Amount Paid $161. 75 Pal!e 3 of 4 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01457 ISSUED: 09/25/2007 APPLIED: 09/25/2007 EXPIRES: 03/25/2008 VALUE: n/a 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: Value Date Calculated Receipt Number 1200700000000001238 1200700000000001238 1200700000000001238 1200700000000001238 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Plan Reviews I CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01457 ISSUED: 09/25/2007 APPLIED: 09/25/2007 EXPIRES: 03/25/2008 VALUE: 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_llurhl,g construction. E-i/' .. "'.. \--.0:2----- --.---.-. <:: .. .-......-.. ,-.......-. .. <( <--h _ -)~_ ". ~ '---"'" Owner or Contractors Signature Pa!.!e 4 of 4 07/2$ /07 Date ( I