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Home My WebLink AboutPermit Signage 2007-11-13 d: o .,.,..;...q CLJ' .~ ;:> . ,. ,......( o 00, C1;) u . ,......( ;:> ~ ct) eLl ~ ~:_J, ., ,......(' d ~" S S: 0, U m ~ .~' ct) r'--t I 0' 0-0 . ,......( r/1' <t) ....-.4 (""') .--a t O. ~, ---.... ' ~' ct) d d (l\j' ~. 225 FIFTH STREET.. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 .. FAX: (541)726-3689 . ~O,..... ~-o7 -~ (b 7'1 CIty Job Number U Y...., ~ " ?)" / !A Y D !=N ,'r /L -e.~ 17D3Zb(L Job Location '-> c::> rOD Assessors Map Tax Lot Owner OwnerofProperty /)A)" H l/yJ~ Address S if 7 tl. 6- D ~ tJ 0 A) s h /><. e... 1) R... Phon~ 5''-1/" 7 '2 b - ~ 4 C{f9 Statt' (!) R. City S () /;.,..e Iv' e... I COlltractor/lnst~ contractor~lJC~ -.i J'fMh;r Address--39 <; !I r:t:/eM SNd8l"- f2J.. ~ f1v ~hooe 51t I ~ 796 ~ 405 I City r-<)~A "}1,l..D.'t~.u Dt < 0 R Zip q7 U 77 r\,nT~r'E" CD 7~lte- ATTENTION: Oregon 'law requires you to Co,\:tJ1, L...". ".c:;: r ~~tfnrHE WORK follow rules am~PY the Oregon Utility ~Wi~~rn,~!~WAt<t1 ~\IC' pCDhlilT I~ NOT NotltlCatlon 0emer Ynose rUles are set torm AU I HUKILi:U l:m'BCn m v ~- In U/>\11 ~~~-UU1-UU1U mrougn Vf-\" ~o,,-uu ,- D~mfm'Jt)NGl=n OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. ca!ling the center. (Note:.~he tel~~ho~e . 11_1 q .- D 7 number for th~r~ ~Iltty Notification Date of InstallatIOn Date of KemoveJtlnlei'fs '1.f800 862--2Z4-1). P~rmit Fee.~' ~c1UdiUg $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) 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 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 sigu(s) has beeu removed,/ J .~ Signature _ jtJAJh;'1 /~\ S Date /I, 13'07 c/ U For Office Use Dale of Application I ~) ~~ 7 lob # C 7 - 0/67 'l ~,< Z. 9'7/(06- Ip Issued By Receipt # /hlK Amount Collected Shared Drive (T:)/Building Fonns/Banner]ortable Sign Permit CSD 8-06,doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01674 ISSUED: 11/13/2007 APPLIED: 11/1312007 EXPIRES: 12/19/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 995 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703261200100 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner - install 111907 removal date 121907 Commercial Owner: WILKINSON WILLIAM H TE Address: 34725 DEVONSHIRE DR EUGENE OR 97405 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: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a NOTICE~ HAll EXl'lRE DAlXBMENT INFORMATION THIS PER~lri ~NDER THIS PERMIT I Frontyard ~lbh\;\P.RIZCED OR IS ABANDONED FIDRerlay Dist: Side 1 SetbaOOMMEN # Street Trees Rqd: " Side 2 SetbaA<<Y 180 DAY PERIOD. Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: ,,' , . :;: #' J'I. a.... -.-... '?urrDt1lllreS VOu to AI I ,j'L"V'~' 9'"',:"',-. . .. fon Utility . foll~~~ Il~~s=' e set forth !,!otificatl02n ~~~_0010'th;;U'gh-6AR 95~walk Type: In OAR 95 - . . of the rules by 0090. You may obtain c~~~~he telephBRlfnspoutslDrains: calling tfhe tChen~~~g(~n Utility Notification number or e 2344) Center is 1-800-332- . 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 of2 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01674 ISSUED: 11/1312007 APPLIED: 11/13/2007 EXPIRES: 12/19/2007 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 J 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 11/13/07 11/13/07 11/13/07 11/13/07 1200700000000001396 1200700000000001396 1200700000000001396 1200700000000001396 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 Reauired 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 eo~ h5S ' r . ,:,> '07 Owner or Contractors Signature Date Pae:e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01674 COM2007-01674 COM2007-01674 COM2007-0 1674 Payments: Type of Payment Check cReceint I RECEIPT #: Description Deposit Banner Special Permit + 5% Technology Fee + 10% Administrative Fee Paid By ANMOL IV INCORPORATED City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001396 Date: 11/13/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1576 In Person Payment Total: . ' Page I of 1 1 :50:46PM Amount Due 100.00 45,00 2.25 14.50 $161.75 Amount Paid $161.75 $161.75 11/13/2007