HomeMy WebLinkAboutPermit Signage 2007-11-1
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ZZ5 FIITH STREET e SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689
City Job Number C () """" z.c:>o 7 -0/ b Z 7
Job Location }()qf" M/I/N sr, s-~r(,LJ~
Assessors Map 17 D 2. :5 5"3 If .1J',f .A-
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Tax Lot ' D 6 3/ (
Owner
Owner of Property ~ t+ c--> t-J A-M/Ii t'.--e..
Address i. .; 0 9. (- rn Ii I 'AI S j-
City ~ SPj-j"J)CI ~p /~/,
Phonp X SLrI- ~/7 -3o'7J--
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State
Zip
Contractor/Installer
Contractor Of)) Ivee.. -
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! . - \~. \ ',: 80 bY Hie \ are set 10ft"
. . ,vI "_ ~ .~,.\.. ",,'lOse rU as n952-00~ .
ConstructIOn Contractors LIcense if. ,J " ,I ~"il,CI. \. ...\....\0\ oAn -... pm""
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/ ~ <_Jr.I'" .JV'- ,optalll v.:lP'~ te'epnur~
Description 'J /f7v fi,.J ef- /"~ ~~.~at~r{ .t;MP\~~~~~ ~ot\flca\\On
~ / h / Ac~i~~/i~ the.orel~~-332-2344). ~
Date of Installation .aJL;rfW"? Oenter \& -bate of Removal
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Address 7IJq;5 ~/~
City Y/!/It/6 ~(EZ.O
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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 agree and understand that the above described
banner(s) and/or 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) and/or portable sign is not removed within the timeline
specified, I will forfeit the $100.00 deposit. I also u~'t1itthat this S?I\t\~iT~enWQ~ue. d
only twice per calendar year per development area. ~~pg~\tOSli~\'re' ~~RM\\h\BaNeI6-3769
by the end of the 30th day to request an inspection to 't\UWOR~-ijN1l~ OJiRI/or portable
sign(s). This inspection will begin the process to retL1EQtlilM~twE~~O t e banner(s) and/or
portable ~(s) has been removed. , ANY 180 DAY PERIO · / /
Signaturp !Zc.L 1//yI ,0- .. <; - 7:> r...o!L- Dat; II J / c 7
J
~
Date of Application ~
For Office Use
Job # C7 - Of b z. 7
Receipt #
/'7)
/bf -
Issued By
-::pe
Amount Collected
Shared Drive (T:)IBuilding FormslBanner]ortable Sign Permit CSD 8-06.doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01627
ISSUED: 11/01/2007
APPLIED: 11/01/2007
EXPIRES: 12/04/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7095 MAIN ST
ASSESSOR'S PARCEL NO.: 1702353406311
Springfield
TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner and portable signs - 110507 removal date 120407
Commercial
Owner: HAMMER JOHN
Address: PO BOX 2266
EUGENE OR 97402
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure: Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type:"., '-"n I . ~Ft Garage/Carport
,'I. ,.(.",'1 ,';\11 ieqUlres Y6li
Energy PatI,: ~, .'. ,'. "("'> '1'. . Other:
. '" " ",,0' '- I.c. .)Y tile Jregon
Spn~){!ed ~lpl.d,llnIF -:hc,se r8(~s are set o~Mnt Load:
,. ,I..' -'HI ,~I I " / ""n'I;.... UAH 8b2-001-
DEVELQPJ~1ENTrINEo.. ,.: 1:J. f the rules by
calling the center. (Note: the telephone REQUIRED PARKING
a~lA~~raRf.the. Oregon Utility Notification Total:
# Street f~~\Ef{~:1-800-332-2344). Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
"
Downspouts/Drains:
Description
Type of Construction
NOTICE: RE If THE WORK
THIS PERMlT SHNAOLElR~~~ PERM\i\S NOT
. UTHnOl71=O U . "'0 ene
n . 1_' OR \S A\:Sf\NU{,t'\.. n..
I V aluation Descri_~g~~ PERIOD.
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Value
Date Calculated
Notes:
Pa!!e 1 of 2
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01627
ISSUED: 11/0112007
APPLIED: 11/0112007
EXPIRES: 12104/2007
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 I
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
11/1/07
11/1/07
11/1/07
11/1/07
1200700000000001356
1200700000000001356
1200700000000001356
1200700000000001356
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
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, 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.
~~~
",
Ow~or Contractors ~nature
-D-1rJrCZ- ~y~
/ (-- /"'0 7
Date
Pal!e 2 of 2
225 Fifth Street
Springfield;Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01627
COM2007-0 1627
COM2007-01627
COM2007-0I627
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Deposit
Banner Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
RAJHARINC
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001356
Date: 11/0112007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
2954
In Person
Payment Total:
Page I of I
8:10:18AM
Amount Due
100.00
45.00
2.25
14.50
$161. 75
Amount Paid
$161.75
$161.75
11/1/2007