HomeMy WebLinkAboutPermit Signage 2007-9-28
ZZ5 TIfI1f STREIT . SPRINGTIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689
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Assessors Map
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Tax Lot
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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 fourteen (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
pennit 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 14th day to request an inspection to verify the removal of the display. This inspection
will begin the process to return the $100.00 deposit if the display has been removed.
SignaMe-0)i.L~;/1Aa~ Date )A~-?
Issued By
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For Office Use
Date of Applicatior
Job# C 7- d(C(7) Receipt# _
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Amount Collected - ORi
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1873 PIONEER P ARKW A Y EAST Springfield
ASSESSOR'S PARCEL NO,: 1703262302301
PROJECT DESCRIPTION: Blimp for Great Clips
Owner: PK SALE LLC
Address: PO BOX 131071
CARLSBAD CA 92013
Contractor Type
Sign
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01479
ISSUED: 09/28/2007
APPLIED: 09/.28/2007
EXPIRES: 10/15/2007
VALUE:
TYPE OF WORK: Blimp, Portable Sign, Etc,
TYPE OF USE: New
Commercial
I CONTRACTOR INFORMATION.
Licensfia
'''W requlf. yoU
. -I~~I' "t8Qnl' ICi . --e 1.11'\'"
~\\~ ' }?' M' F. u.L"l....~~. ttorth
. Notiiication iD&t1. ~Ps~ough 0 ,:~
In OAR 952. !~ copies of "I ru one
0090. You ~~Nti\~J1he~lftI\
calling ~~ "UtRl\Y
~t$f.
CMWle~ype: .
Energy Path:
Sprinkled Building: .
Expiration Date
Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
n/a".__' :.Occupant Load:
I DEVELOPMENT INFORMATION'
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
...
I PUBLIC IlpflMEN~ ~\'f~~1
,~\S PERtA~ U~tlf.R~~&S~~{fffOl'
~\)1"'OR\1.€EO O~ \S l~outs/Drains:
tOt/lt/lENoA'l PER\OO~
~N'l1 60
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Pal!e 1 of 2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01479
ISSUED: 09/28/2007
APPLIED: 09/28/2007
EXPIRES: 10/1512007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paidj
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Blimp + Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$14,50
$2.25
$45.00
$100,00
9/28/07
9/28/07
9/28/07
9/28/07
1200700000000001250
1200700000000001250
1200700000000001250
1200700000000001250
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
Sign Final: After all required inspections are conducted and approved and the sign installation is completed,
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,
~h~,AAabj--- 'i12-y/Oj
Ow~r or Contractors Signature Date
Pal!e 2 of 2
225 Fifth Street
S,pr,ingf.ield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0l479
COM2007-01479
COM2007-01479
COM2007-0l479
Payments:
Type of Payment
Check
cReceiotl
RECEIPT #:
Description
+ 5% Technology Fee
+ 10% Administrative Fee
Deposit
Blimp + Special Permit
Paid By
FLIGHT OF THE PHOENIX
INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001250
Date: 09/28/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1075
In Person
Payment Total:
Page I of I
12:07:03PM
Amount Due
2.25
14.50
100.00
45.00
$161.75
Amount Paid
$161.75
$161.75
9/28/2007