HomeMy WebLinkAboutPermit Signage 2007-11-15
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ZZ5 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(54I)7Z6-3753 . FAX: (541)726-3689
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Tax Lot
Owner
Owner of Property
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Address '3 V =J
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AI fI:NTfON: Oregon law requires you to
follow rule~ Arlnpte:'!d b~1 th'-' f1reo"'" i I'iiil'ty
Notification Center. Those rules ar;'~at forth
In_ O!\~ 952-001-001 0 throu~fM1H 952-00 'I ~
uv~u'. TOU may OOtBm copIes of the rules by
calling the center. (Note: the te!e~1Q.ile
nlJmtar ror&li@:lOr~gon Utility ~Jotif(e1ib:1
Center is 1-800-332"2344),
Expire~
City 'Sf'('~j f,^e I j
Statp
r'Jte...
Contractor/Installer
Contractor
Address
City
Construction Contractors License #
Description
<7 jvj I (Ii f2/h 4.; ( w,'fv.
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Date of Installation
)1- /$- 01
Date of Removal
Zip
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/2-1,JJ-01
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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) 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 WS>T~stand that ~~ ~~ltJpmiWOF& be issued
only twice per calendar year per develo~ment ~ i100Mr1i~\?- ; ti~t~~ts>rNOi{e at 726-3769
b?, the end ~f!he 30~ day t.o req~est an mspect~~~tU~~~l ,1rM@i\}tPOft"(s) and/or portable
slgn(s). This mspectIOn wIll begm the process~~:Hi:€fUffl)i~6d~G\ eposlt lfthe banner(s) and/or
portable sign(s) has been removed. ANY 1 BO DAY PERiOO.
Signaturp ~f ~ I J9.--t~ cia.. - DatI" 1/ -I s- - c!) 9
For Office Use
Job # C7 _ol6f t?
1 /p~ 7
Date of Application ~ ,Y' 0
'bg
Issued By
Amount Collected
Receipt #
/b;~
Shared Drive (T:)lBuilding Forms/Banner_Portable Sign Permit CSD 8-06,doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 347 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353112000
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01688
ISSUED: 11/15/2007
APPLIED: 11/15/2007
EXPIRES: 12/18/2007
VALUE:
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Portable sign - install 111807 removal date 121807
Commercial
Owner: LENKANE LLC
Address: 525 HARLOW RD
SPRINGFIELD OR 97477
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
Type of Construction
I CONTRACTOR INFORMATION.
License
Expiration Date Phone
BUILDING INFORMATION I
# of Stories: ,Lot Size:
Height/~"'-St~titii~~: '":>re;qon law, ~eqU'~SF4;S1~~or:
T eof He~t: :";'~ dGJpied by tll~ Or t 111 oor:
J'Pt r'T1:t:,qll!On venter. Those rUles!ti~, ~~r t.
R a eln.R~f{ 952-001-001 0 through 0 A -tll5f2e/~. t
ang5cM&eyou may obtain copies of if&~ arpor
Ene.rgy c~ ~:; jh~_ center. (Note: the ,",~h.:rJHw/:
Spnnli~h ffiUWthe OregcR1'l\Jtility ~n-oad:
'" "\~IJ.I"L '" J-" -.;J.;J",-t.:,~~).
DEVELOPMENT INFORMATION
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
NOTICE: J>.Q~V~IlOY.t~w~
THIS PERMIT tsHALL EXPllit 'I" THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
t1I\IV 1 An nAY pJ:Rlon
r .
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726..:3759 Phone
Job/Journal Number
COM2007-01688
COM2007-01688
COM2007-01688
COM2007-01688
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Deposit
Banner Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
DMARIAS BEAUTY SALON
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001407
Date: 11/15/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1369 In Person
Payment Total:
Page 1 of 1
9:43:10AM
Amount Due
100.00
45.00
2.25
14.50
$161.75
Amount Paid
$161.75
$161.75
11/15/2007
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01688
ISSUED: 11/15/2007
APPLIED: 11/15/2007
EXPIRES: 12/18/2007
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
$14.50
$2.25
$45.00
$100.00
11/15/07
11/15/07
11/15/07
11/15/07
Receipt Number
1200700000000001407
1200700000000001407
1200700000000001407
1200700000000001407
Total Amount Paid
$161.75
I Plan Reviews,
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 ReQuired 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.
AvJ~ ~a.
I ,
Owner or Contractors Signature
/I-lr-LJ~
Date
Pa2e 2 of2