HomeMy WebLinkAboutPermit Signage 2007-10-19
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01569
ISSUED: 10/19/2007
APPLIED: 10/19/2007
EXPIRES: 11/19/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 509 Main St
ASSESSOR'S PARCEL NO.: 1703353110400
Springfield
TYPE OF WORK: Banner
PROJECT DESCRIPTION: Banner -101907 removal date 111907
TYPE OF USE: New
Commercial
Owner: ROYAL BUILDING LTD PARTNERSHIP
Address: PO BOX 24608
EUGENE OR 97402
I CONTRACTOR INFORMATION'
Contractor Type
Sign
License
Contractor
OWNER
BUILDING lJ'Il'uRMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure: to
ATTENTION: Or~18Il\H~et you .
follow rules adoP1V_.~~'t9reg~~~~%
Notification CentelR .~:~e 952-001-
in OAR 952-Q01.()Q;jii 'm Jh.1 rules by
0090. You may o~iWldl9~.mY,r~hon. n/a
:~ tho~. lNote: \lie. . "'"
numberc!:~;G'prON ,
w,~ U
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:
Expiration Date Phone
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:
NOTICE: ~,,~\(
1\-\\5 PERMIT S~~i~ 1\-\\5 PERM\l\S ~NO'T
AU1HOR\ZED U n \5 "BM-mONED FOR
COMMENCED On
nl"" 1 aD ~ ,~" PFR\OO.
I v aluati~~ Description I
Notes:
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Paee 1 of2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01569
ISSUED: 10/19/2007
APPLIED: 10/19/2007
EXPIRES: 11/19/2007
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
10/19/07
10/19/07
10/19/07
10/19/07
1200700000000001322
1200700000000001322
1200700000000001322
1200700000000001322
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.
L 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 ofany structure without permission ofthe 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 permi rd is located at the front of the property, and the approved set of plans will remain on the site at all
tim"duringcon PI / II/~ I 0 (er! Or
.-:1 v I I .I - - I
Owner or Cont 3"tors Signature Date
Paee 2 of 2
I)
SPiFUNG1i"'~IE:LD
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
CitYJobNumberCo~ 1...007- 0 I S6 e,
,C;D'\ J.IUk\ VL S-\-.
Assessors Map \1. r' D)"'- 3 ~ ,.-'6 1 T &.X Lot
~u'O
Owner gon 'a'll tequ"es n U\\\\\'I
P>l1Et<I"ION: i~~y \119 Ol.~. set 'ortt\
Owner of Property -S~ I) ( ~~~~I Qse ru\e~ ~~2.oo1.
'1), lL, / NO\i1i~01_0010\hrOU~~o'\hetu'esbY
Address ru r J/"f; -Z~ 0':-, '-1M~8i O~.P9B!lthe te'&ft\9!'!...
OO~u,. 1 the cen\'81. ~~~\\\\Y NOtUt~
(f:fJ W 1M 1./ ca\hng tor the ore9~2_i344l.
v~ r -~ l~rcen\u( p, !i.tl
Job Location
j, 0LfOD
lc)S1J\.j
69 t -~--tJ 20 X 12-(
City
Zir
Contractor/Installer
Contractor M9..N\, ~~
Address VD \} ~~ ~ Phonp 4~ - Vl{'\;~
City S~VV\,~M State Uf- Zip CV1 '-(,0-7
J .. ~~~~~
ConstructIOn Contractors LIcense # {1 -:s {i \ -\ct~ ~\. aP'~~~~~'~ ~O't
NO \ -,.<< S"'~ "'l1\~ pE~ -Oft
. "\'0 ytf\I'V\" u~Utl\ \1" O~~\J T 1\.
Description ~,\ ~ ~t\U1':';l)",\'Z.~t)u (,t\ \~ f\~~~t)
\ COW\t-At~CE ~ \'t.~\OO. .
Date ofInstallation to Lct, ,Q!1- ~\~a'Jt%Q,P~emov~l lD ~f.tJ [01-
Permit ,'Fee: $161.75 including $100.00 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 agree and understand that the above described
banner(s) andlor portable sign(s) is not larger than 60 square feet, and will be removed within 30 days
from the date listed above. If the banner(s) andlor portable sign is not removed within 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) andlor portable
sign(s). This inspectio will begin the process to return the $100.00 deposit if the banner(s) andlor
portable sign(s) e n emol
Signature V {i -"
Dale /;// ~
For Office Use
Date of APPlication~;/~A
Issued By ~ ~
e-.7 -ISb ,
Job #
Receipt #
/Y'lr
Amount Collected
225 FifthBtreet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0 1569
COM2007-01569
COM2007-01569
COM2007-01569
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Deposit
Banner Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
ST VINCENT DEPAUL
SOCIETY OF LC
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001322
Date: 10/19/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
25517
In Person
Payment Total:
Page 1 of 1
11:24:01AM
Amount Due
100.00
45.00
2.25
14.50
$161.75
Amount Paid
$161.75
$161.75
10/19/2007