HomeMy WebLinkAboutPermit Signage 2007-11-26
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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Owner
Owner of Property
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City State
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Construction Contractors License #
Expire~
Date of Installation
II-d~- 6::r
Date of Removal
/2 - z , -0 7
Permit Fee: $161.75 including $100.00 Deposit.
By signature, I state and agree that I have carefully completed this application and here~certify that
all information herein is true and correct. I further agree and understand th~t;.~vtcm~ ribed
banner(s) and/or portable sign(s) is not larger th~6~\ltl\iAre Ie &\~t! ~\m:~~aa~' 30 days
from the date listed above. If the banner(s) and/~.1R~{I~le~~ ~C~Fll~ ~ihe timeline
specified, I will forfeit the $100.00 deposit. I also ~~ij ~ ~{JJtJ:~ ermit can be issued
only twice per calendar year per development are{Q~~~gt ~the inspection line at 726-3769
by the end of the 30th day to request an inspection M~~ noval ofthe banner(s) and/or portable
sign(s). This inspection will begin t~rocess to r~ the $100.00 deposit if the banner(s) and/or
portable sign(s) has been remove .---.J / /
Signaturp ~ Datf' II/Z~/(I7
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I For Office Use
Date of Application ffIU;:'" Job# C7- 1730
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Issued By
Receipt #
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Amount Collected
Shared Drive (T:)/Building FormsIBanner]ortahle Sign Permit CSD 8-06.doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01730
ISSUED: 11/26/2007
APPLIED: 11/26/2007
EXPIRES: 12/26/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2090 OLYMPIC ST
ASSESSOR'S PARCEL NO,: 1703254201501
SPRINGFIETYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner - Gen X, Install 112607 removal date 122607
Owner: MCKAY INVESTMENT CO INC
Address: 2350 OAKMONT WAY SUITE 204
EUGENE OR 97401
I CONTRACTOR INFORMATION.
ContractoFifpl~'I::-;H:CJIWP~I~q'1. requires YOUUt,tl,Ot License
1',. ';e,i{'1 ": 'j' ,0,'". ad.on~n 0 the Oregon II Y
S' .i''-. ..." '. 'uW EU
Ign ~I-';~~,,~h.,', ("af,te> '''"'':'<.::(:> r!dA~ f,lr~ s~\ f9rth
in OAR D52-001-001 0 through OA~ lfffiEnlNG INFORMATION I
0090, You may obtain copies oftllv .!!ILv Ll
# of Units: calling, the center, (Note:,t,he tel~~h~O~efStories:
. p'~.~hl?!: ~fl Oregon Utility NOtlflc n
Pnmary Oc...upalk.r. ~ i 1-800-332-2344). eight of Structure
Secondary OccupanQr~~ J~: Type of Heat:
Primary Construction Type Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: . Energy Path:
Sprinkled Building: nla
I DEVELOPMENT INFORMATION.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
NonCE:
TI-I/C' ,...[
! . 'fHVI/ I oHA
AUTHORIZED U LL ~~~VEMENTS I
NDER 8[1r\
Street Improvemen~9MMENCED OR IS T PERMIT IS NOT
. ANY 180 D ABANDONE
Storm Sewer Available: AY PERIOD D FOR
Special Instruction: .
Commercial
Phone Number: 541-485-4711
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pal!e 1 of 2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01730
ISSUED: 11/26/2007
APPLIED: 11/26/2007
EXPIRES: 12/26/2007
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
11/26/07
11/26/07
11/26/07
11/26/07
2200700000000001736
2200700000000001736
2200700000000001736
2200700000000001736
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 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 aU 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 ofthe property, and the approved set of plans will remain on the site at all
times during construc ' n,'
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~A/
~ytontra~tors S~nature
Date
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0 1730
COM2007-0 1730
COM2007-01730
COM2007-01730
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Deposit
Banner Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
LUCKY TO YOU INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001736
Date: 11/26/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 447009 In Person
Payment Total:
Page I of I
2:49:35PM
Amount Due
100.00
45.00
2.25
14.50
$161.75
Amount Paid
$161.75
$161.75
11/26/2007