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HomeMy WebLinkAboutPermit Signage 2007-9-26 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01466 ISSUED: 09/26/2007 APPLIED: 09/26/2007 EXPIRES: 10/27/2007 VALUE: 225 Fifth Street, Springfield, OR. 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4155 Commercial Ave ASSESSOR'S PARCEL NO.: 1702320001300 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner Removal date 9-27-2007 to 10-27-2007 Owner: 42ND & COMMERCIAL LLC Address: 362 42ND ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type General Contractor OWNER License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Q:mstruction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMA TION ~ . 0 law requires you to AI I t:l'll N. re{eon by the Oregon Utility # of Stories: follow r~les adop ~8~~\~es are set forth Height of Struct.tW~ificatlon center'1 ToSOo l<t.ttt lJj~~~52-001. . OAR 952-001-00 mrOtl b Type of Heat: In obtai~~~i 9<bftbGltules Y Water Type: 0090. You may =hBttl8'~Phone calling the center. i '. ttfi.tM\.tl Range Type: b for the Ore rfVmitf<l~WiH'I"'9f\ Energy Path: nurn ercenter is 1- 3Zfl1&t4). Sprinkled Building: nla Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: ~aved Drive Rqd: NOTICE: Compact: Yo of Lot Coverage: THIS PERMIT SHAll EXPIRE IF THE WORK . ,\IITUnCI7I=n 11f\InFR THIS PERMIT IS NOT I PUBLIC IMPROVEMEN9MENCED OR IS ABANDONED FOH ANY 18Qi~~El1\9P. Street Improvements: Storm Sewer Available: Special Instruction: Down,sP.?u t~lI?.rains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01466 ISSUED: 09/26/2007 APPLIED: 09/26/2007 EXPIRES: 10/27/2007 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. 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 9/26/07 9/26/07 9/26/07 9/26/07 3200700000000000652 3200700000000000652 3200700000000000652 3200700000000000652 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. Reouired Insoections . 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 Date Pae:e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01466 COM2007 -01466 COM2007 -01466 COM2007 -01466 Payments: Type of Payment Cash cReceint 1 RECEIPT #: Description Banner Special Permit Deposit + 5% Technology Fee + 10% Administrative Fee Paid By DON MCCABE City of Springfield Official Receipt Development Services Department Public Works Department 3200700000000000652 Date: 09/26/2007 2:31 :49PM 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 njrn In Person Payment Total: $161.75 $161.75 Page 1 of 1 9/26/2007 225 FIITH STREET . SPRlNGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541 )726-3689 ~: Q' I) 1.,':~.'~( rJJ, '" ,.:~.r >,: Q A;::,:::rs Map co' (jjj~ <"Q. ."}~~ ~, ~i C:i), "7-'''' ~/~1. ~'. ~,) .o~: C; ~" S SI 0,1 Q '\ cJ l . . City Job Number 0\ CJO I --.. '-f~rp Job Location r7..53 G~A'Ye"-c~c ( . SfPO~Dr0nS::;;Ii""DE!L.I!:'~ ~,r(':'1/ ;;~U f),.- )! / r Owner of Property /Joe-, Ke-t2k. Address 36',,2 ~ V,;2d rrl- City Sj/~~u fi.~t;P State 17--- 1,< / Description ~:V\' ~, .-:o.A, Date of Installation ~.'...; , r _, r--- "\ ci) ~..I y w_ _... " ~: b1) .~ 00 (l;;) .j .r') dj: .~.~ 0; ~.,.':. ~; ;.....f (l) ~'. ~.' ~ m C ontractor/lnstctller Contractor ~ ~.e. Addres~ City State Construction Contractors License # d9h7~a -') / L- Date of Removal Tax Lot Phon~ Phow" 9 7V'7cP- 9/ z- 6/'/" ;7 9 7C/7c:P Zip Zip Expire8 /()/C:-7~() -;7 . ( v /' Permit Fee: $161.75 including S100.00 Deposit. 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 ag~_e,!:nd understand that th.e_abg;.y;€-fle.seri'Lcd --.... banner(s) and/or portable sign(s) is not larger th€ square fe~and will ~moved within 30 dq~ from the date listed above. If the banner(s) and/or portable SIgn is not removed withm the time line 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 beenremoved. signaturK t:]i1fIf) \ For Office Use DateofAPPliCation3/~&/OI Jo~# C7' O/<ftf& Issued Br 0 P70-~ Amount Collected ~ qhp~ 7 . I ' Recei pt # /& /. 75 Shared Drive (T:)/Building Forms/Banner_Portable Sign Permit CSD g.06.doc