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Home My WebLink AboutPermit Signage 2007-10-5 . \S~ 225 nmI STREIT . 5PRlNGfIELO, OR 97477 . PH,(541)726-3753 . FAlC (541)726-3689- J, ~ ~;~ ~ r e" "'rJj City Job Number CQcA.lte.o 07 - O( )"00 =!JOh Location ])y)'f 1- woo,f & v ~ u& ('.,/1' ) I . . !Cq 7D? ?~J~ ,-l-:>~n.c::> ~ Assessors Ma!,' '-.J .;> '- Tax Lot L-( ~ .~~ ~ j !~ Owner of Property J \ 'fV\ V OJ. ~ ,. \0 ') .. ~ Address, ;) D'H JIVJ t< , VI 5T ~~ '.lr:~$~~ IJ 3 e{ *o~ City CS'rJ 111\[, ~R lJ {)~. ~~~~J~\\e~,~y\Cd~~f>'(S~I-:;Y;B ~~ } r ~~~ - S ~ ~ ~v-- o\}~\ \ - ~ \~I;; ~O~6 . ~~.. A ContractorlInstallpr~. \. " ~. ~ ~~\e ce~\e . \ () \~~ \eS 0 \e\e?1 0.\\o~ . . ~~,\o. .J:['(\ {\/. .nQ . \";. r-,o'Q .' %:ne ~j)\\C . ~ \,\o\\\~?- <dS'2:~'3-'1 o'O\~. ~O\~\\~\\"r~llcllc)'\ . .~ Address ,~ 0 "ou ...,"'"-lonOl' ~~ ! '()()9\\~\~~ \~~~ \~e:' \"~\)\)' / ~ City ~~/t\~~~p.~ ,S . Zip\ .~ ~ a e; e; ; ~ ," I~ ~ ~ ctt4} ~ ~ I .~ ~ ~ Date of Application ~. a Issued By .,,~ '. ~ ~ I . ~~CObZOO7- ooyBJ CITY OF SPRINGFIELD, OREGON . Construction Contractors License # . J I 1 Description 5. x. t3 . \J ~ Y'l \J , Date of Installation q --- ~ S ~ 0 l Date of Removal ) IO-~-Ol j $161,75 including $100;00 Deposit and applicable feJ. . By signature, I state and agree t. hat I have carefully completed this application and h.e reby certli ~.~~ information herein is true and correct. I further agree and understand that the above dbSCU~~iMpI ~.b\9 removed within fourteen (14) days from the date listed as the date 9ft~latiOll ~t ~ ItM\ , removed within the timelinespecified, I will forfeit the $100.0~Q;M~~~~' t\)~]~~l" c'iat-. permit car:. be iss:.ied only once per calendar year per developme~~~("\ ~~ t~~"mspection line at 7~6-376? by the end of the 14th day to request an i.n~pectio~ to veJi.tr\tm'~0~~play. This inspection wIll begm the process to return the $100.00 deposIt If the dIsplay ~~\,~.. ,:.,_ft:: ,. ',t/, / '/. . ~~'{ '\ ~\) I Signaturf' h A..v1 C ~ \. J-/ ( Date 10 -- Lf""" 0 ') . I . 1 l Job# C 7 - / 5;CZ' Rectpt# j Amount Collected . <. '\ For Office Use , .' 10 /<> I~"" 7>7 127.b 5,?E JI 100 . u!!- rffJ lA. tI q b (i ~L/ laBS'- r8 30 C~fo>/'l I'll -. piLq<yt /[,;,V~ S'll J?tJ~ e( > S6tJ ~LJ~~) SO{IV)c,fl.~IJ, ~ /') " 7 )'{ ) 8 Shared Drive(T:)/Building Fonns Blimp_Pennants_BalloonsS-06.doc ;/ ~ CITY OF SPRINGFIELD , Status Finaled Building/Combination Permit PERMIT NO: COM2007-01508 ISSUED: 10/05/2007 APPLIED: 10/05/2007 EXPIRES: 04/05/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5094 MAIN ST ASSESSOR'S PARCEL NO.: 1702333203500 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner - REF:COD2007-00583 Owner: DRIFTWOOD BAR & GRILL Address: 5094 MAIN ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License Expiration Date Phone BU Wi'}t' N AiTENT\ON: iQ by the re rth #. of Units: foUoW r~'es adopte ftfti~lfdJaS are set ~1. Primary Occupancy Group: Notification cg~~g~1l1tNbtlgf\~~~~es bY Secondary Occupancy Group: \n OAR 952-0 obtallf!!OpfElStQUhe ~one Primary Construction Type 0090.. You m%nter~{Meter~ )8: te'~l~caUOft Secondary Construction Type: callIng tr~ the or~~~j~~\ # of Bedrooms: number 0 Sf" ~trr:' - Jr cent Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: / I DEVELOPMENT INFORMATION I Frontyard Setback:, Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: --tl~C. .:.."f' ~"f\'\E \HO"~ I P~~~~";ERM\'t \S;o, ~U'tHOR\W} uOR \5 ~B~NOo.t\iRv~m Type: COMMENCD~~ PER\OO. Downspouts/Drains: AN'l 160 REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description. Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 2 Status Finaled 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 Total Amount Paid Amount Paid $4.50 $2.25 $45.00 $51.75 Total Value of Project Fees Paid I I Plan Reviews I Date Paid 10/5/07 10/5/07 10/5/07 CIT'I OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2007-01508 ISSUED: 10/05/2007 APPLIED: 10/05/2007 EXPIRES: 04/05/2008 VALUE: Receipt Number 1200700000000001276 1200700000000001276 1200700000000001276 / 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 I / 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. Zf}~ Ow';er or Con;r fors Signature Pa2e 2 of2 If) - ~ -0 ") , , Date 225 Fifth Street Springfiel~, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200700000000001276 Date: 10/05/2007 Job/Journal Number Description COM2007 -01508 Banner Special Permit COM2007-01508 + 5% Technology Fee COM2007-01508 + 10% Administrative Fee Item Total: Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Cash BILL ROGERS djb In Person Change BILL ROGERS djb In Person Payment Total: Job/Journal Number Description COM2007-01508 Banner Special Permit COM2007 -01508 + 5% Technology Fee COM2007-01508 + 10% Administrative Fee Item Total: Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Cash BILL ROGERS djb In Person Change BILL ROGERS djb In Person Payment Total: cReceintl Page 1 of 1 9:29:14AM Amount Due 45.00 2.25 4.50 $51.75 Amount Paid $55.00 ($3.25) $51.75 Amount Due 45.00 2.25 4.50 $51.75 Amount Paid $55.00 ($3.25) $51.75 10/5/2007