HomeMy WebLinkAboutPermit Signage 2007-9-29
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CITY OF SPRINGFIELD, OREGON
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225 FIFTH STREET . SPRINGFIELD,OR97477 . PH:(541)726-3753 -FAX: (541)726-3689
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6) City Job Number
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$161.75 inCluding $100.00 Deposit.
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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
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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?
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For Office Use
Job # t~- I q,S, .
Date of APPlicati09 I ;[S! 01
Issue~O\" mtJY:t?fiJ
Receipt #
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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.
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Owner or Contractors Signature
Pa!.!e 4 of 4
07/2$ /07
Date ( I