HomeMy WebLinkAboutPermit Signage 2007-10-8
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225 FIrTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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Owner of Property ~ "'LIt, 't&ll1aJ r1
Address \11 1.;0 5-+Vl AVeYIUe,~lk_ Z211:LPhone -ZO~'1 D7.3-~'L93
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Construction Contractors License #
Contractor/Installei' .
ContractoL'N:> Lb
Address
City
Zip
Expirl"<::
Description--rP~[YarL/ t-hlluiau \~V1,ex-
Date of Installation f 0/ o8'fo "=J- \"'Date of Removal II/DB / D?
l I / I
Permit Fee: $161.75 including $100.00 Deposit.
By signature, I state and agree that I have carefully completed this application and hereb~~ertify that
all information herein is true and correct. I further agree and understand that the ~~ ~'Q~ed
banner(s) and/or portable sign(s) is not larger than 60 squat;/eet, and I'~a.. ~ \imm 30 days
from the date listed above. If the banner(s) and/or l\\~'ls~' . ~ 'n ~imeline
specified, I will forfeit the $100.00 deposit. I also u~nl ~~ e~\)4i.~ It can be issued
only twice per calendar year per development area. I ~ ~_ ~spection line at 726-3769
by the end of the 30th day to request an inspection to V~~rmi>vM~ 'the banner(s) and/or portable
sign(s). This ins ection will begin the process to returIf..~'$~~(y'DO deposit if the banner(s) and/or .
portable s' (s) has been rem ed. .
Dat~, lJ . nQ I 0 ~
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Signatu
For Offlce Use
Job # C. 7 -0 \ 51 r
Receipt #
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Date of Application 10/ l!>fi -7
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Issued By
Amount Collected
Shared Driw (T:)fBuilding FonnsfBanner]ortable Sign Permit CSD 8,06.doc
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01518
ISSUED: 10/08/2007
APPLIED: 10/08/2007
EXPIRES: 11/0812007
VALUE:
SITE ADDRESS: 3270 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703222002001
Springfield
TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner - 100807 removal date 110807
Owner: SPRINGFIELD V LLC
Address: 1420 FIFTH AVE STE 2200
SEA TTLE W A 98101
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
Tvpe of Construction
I CONTRACTOR INFORMATION I
,...
License
Expiration Date Phone
BUILDING INFORMATION I u \0
u\{eS iO\,}\\\\\'l
# of Stories: 00 \2.\f'J {e~te~on ~ \ot\IT,ot Size:
H.~ight~QfSfrf~~~~:\\\eu\eS ate S~2_00~q Ft 1st Floor:
~, "\\T~P't.oJ f.I'ea'f~ ' ,\\Ose t ~ o~~ Cd tu\eS ~ Ft 2nd Floor:
r ,IC'Water, ~~~ 0'\0 \\\tOU~s 0\ \\\e ~Ot\Q;q Ft Basement:
~o\\\~~i~lj}>\r~'o\a\n C~~~" \"e \e:~\c;e.\\l9\l Ft Garage/Carport
\n OEi~~~a:tb. ~et. ~~ U\\\\\'f~AJ\). Sq Ft Other:
oO~rlli.k1t~" 9~~~IQO~ 12...'\'l.-'AWA- Occupant Load:
:-~\\\t\g · \Q~ \"e .. ~u--
I DEV~~I'~fuRMATlON I
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
i Total:
Handicapped:
Compact:
,~~')Q.'k
I PUBLIC IMPROVEMENTS I \~t \~ ,~~ \S \,\0\
O~\C~..Si~f~'L\oR~\S ?t.~~~ ~O~
~\\\S ?~~t't1~~~~t)O~
~\f\~~t.~Ct.Q ~t.\\\O~.
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I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paf!e 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
$14.50
$2.25
$45.00
$100.00
Total Amount Paid
$161.75
Total Value of Project
Fees Paid I
I Plan Reviews I
Date Paid
10/8/07
10/8/07
10/8/07
10/8/07
CITY OF SPRINGFIELD
I
Building/C0mbination Permit
PERMIT NO: COM2007-01518
ISSUED: 10/08/2007
APPLIED: 10/08/2007
EXPIRES: 11/08/2007
VALUE:
Receipt Number
1200700000000001280
1200700000000001280
1200700000000001280
1200700000000001280
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.
LReouired Insoections ,
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, tha e permit card is located at the front of the property, and the approved set of plans will remain on the site at all
ti~ .dog c .~<eDM^
Pa2e 2 of2
ro/O'O/U1
I /
Date
225 Fifth Street
Springfi~ld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01518
COM2007-01518
COM2007-01518
COM2007-01518
Payments:
Type of Payment
CreditCard
cReceintJ
RECEIPT #:
Description
Deposit
Banner Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
MARLENA ZARGOZA
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001280
Date: 10/08/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 021993 In Person
Payment Total:
Page I of 1
2:32:26PM
Amount Due
100.00
45.00
2.25
14.50
$161.75
Amount Paid
$161.75
$161.75
10/8/2007