HomeMy WebLinkAboutPermit Signage 2007-12-13
225 FIfTH STRUT. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
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CITY OF SPRINGFIELD, OREGON
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I 3 I 0 M.~.(e.t'- -S"v- J;o,<('IAXhc:t1l I 0( ,
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1703'2-533 ,,\0 Tax Lot 08"360
\llles ~ v\ill\l\'!
wtJ le~le<dOl\ I \Olln
C' Ole~~~"lne alese oo~-
Owner of Property -~ ~"., :JiB'~f~c....t~ 9'5~- - ,,"
III =~~Scel\\el' ~~;;oll<dn 0\ Ine l~~~;e
Address {'3 (D 'L<~9~~ (}(\~<'~:i\n co?le~"" \e\e~,~~\PlUJn~
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CIty .....'iWVO,?g61-P . Q"p/3, '1''' cat' N"'~O~~_'2-'3~
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ContraqpT/InStall'!!--:2 ,,~ cel'l /'
Contractor - S ~ &- _ l=~......
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OWller
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Date o~\(\l~oval_ /
ConstructIOn Contractors LIcense #
DeSCriptIon
u.L<;'l""~G
Sl7A)~e
Il..-'- EJ?
7 - 08
Date of InstallatIOn
Permit Fee. $16175 mcludmg $100 00 DepOSit,
By sIgnature, 1 state and agree that I have carefully completed this applicatIon and hereby certify that
all mformatlOn herem IS true and correcl I further agree and understand that the above deSCribed
banner(s) and/or portable Slgn(S) IS not larger than 60 square feet, and will be removed wlthm 30 days
from the date hsted above If the banner(s) and/or portable sIgn IS not removed wlthm the tImehne
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 mspeCllon lme at 726-3769
by the end of the 30th day 10 requesl an mspectlon to verify the removal of (he banner(s) and/or portable
slgn(s) ThIs mspectlon wIll begm the process to return the $100 00 depOSit If the banner(s) and/or
portable slgn(s) has been removed ~
Slgnatl'r~/L ~,L_L'J D~tp IZ - 13 -07
/ For Offiw V~e
Job# C7 -OI5'tb
Date of ApphcatlOn
Ir~/
'~lS'
Amount Collected
Receipt # _t 8' b (
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Issued By
Shared Dnve (T YBwldmg FormslflannCf_Portablc SIgn PermIt C$D 8-06 doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2007-01866
ISSUED' 12119/2007
APPLIED' 12118/2007
EXPIRES: 01/07/2008
VALUE.
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LIDe
SITE ADDRESS 1310 MARKET ST
ASSESSOR'S PARCEL NO 1703253308300
Spl IDgfield TYPE OF WORK Bdnner
TYPE OF USE
PROJECT DESCRIPTION Portdhle sIgn - State farm Ins 120907 removal date 010708
Owner GOURLEY STUART E & JANIE D
Address 1310 MARKET ST
SPRINGFIELD OR 97477
Contractor Type
SIgn
I CONTRACTOR I~RMA TION ,
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Ie" ,,0\\ \~\\'
^ \'a,'ll Ole", se\ Ieense
<:],0" \X\e 'a,le 2-
OWNER r..I"I~ OI~\eO 'O'l,p, 11.\\6;' t>..,<,9'" ,IP,S 'O'l
~~'i:.\~~\es rJj~l DI~'1NktO~NmlN..
\0\\0~ 'a,\IO\\ oo\-'ul{; ~\\ \.;J, \\\11 ~o\(\tU!!
~O\\~~,<, 9~"2.- \1\'a,'l q/)~,s\Wl~\'\'\1?'c.c.l'
\\\ ~90' 'Iol.\\"e ce~'eJ!Il~\l~~eikflTre
00 Cd-\\I\\<:], \01 \"j\gl\~eat
u\1\'Oel Ce\\\~ater Type
\\ Range Type
Energy Path
SprIDkled BulldIDg
Contractor
# of UUltS
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary Construcilon Type
# of Bedrooms
New
Commercial
Phone Numher 541-747-4246
ExpiratIOn Date Phone
,
Lot SIZe
Sq Ft 1 sl Floor
Sq Ft 2nd FloO!
Sq Ft Bdsement
Sq Ft GaragelCarpo, t
Sq FI Olher
Occnpdnt LOdd
nla
I DEVELOPMENT INFORMATION'
REQ~~D PARKING
Overlay D,st I( \If<l>t'lt ~O\
# Street Trees Rqd ,.~,'?\~r.. '\ ~~'tfl~pped
Paved Dnve Rqd Co' ~\lo.\"\" '(:.'~\S \,'2 ~\t~ct
% of Lot co\\~&;",~~~ S ~'Vr..~ '\ \lo.~'V'\j\"
-<~\S \'~o\1X.'V \) ,,9, \'0 ~
I PUBLIC IMPROVE1I4i~~~C,'t.~ ~r..W\)t..
\.J~~'{ '\ <or;:, 'V SIdewalk Type
Downsponls/DraIDs
Front yard Setback
SIde 1 Selback
S,de 2 Setback
Rearyard Setbdck
Solar Setbacks
Street Improvements
Storm Sewer AvaIlable
Special InstrnctlOn
Notes
I ValuatIOn DescrmtlOn I
Description
$ Per Sq Ft
or mnlilphe.
Sqnare Footage
or BId Amount
Type of ConslrncllOn
Paee 1 of2
Valne
Ddte Cdlcnlated
-u;~'~
--..... I
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2007-01866
ISSUED' 12/19/2007
APPLIED' 12/18/2007
EXPIRES 01/07/2008
VALUE'
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Lme
Tolal Valne of Project
Fees Paid I
Fee DeSCriptIOn
+ 10% Admmlslratlve Fee
+ 5% Technology Fee
Banner Special Permll
DepOSIt
Amounl PaId
Date PaId
ReceIpt Number
$1450
$225
$45 00
$10000
12/19/07
12/19/07
12/19/07
12/19/07
2200700000000001861
2200700000000001861
2200700000000001861
2200700000000001861
Tolal Amounl PaId
$16175
I Plan ReViews I
To Request an mspectlOn call the 24 hour recordmg at 726-3769 All mspectlOns requested before 7 00
a,m, will be made the same workmg day, mspectlOns requested after 7:00 a,m, Will be made the followmg
work day
I ReoUlred Tnsnechon,s I
Banner Removal To be requested Ihe dJY followmg the expJrJtlolI oflhe permIt IfmspectlOn IS not requested,
the apphcant may forfiet the depOSIt
By SIgnature, 1 state and Jgree, that I have carefully exammed the completed apphcatlon and do hereby certIfy that all
mformahon hereon IS true and correct, and I further certify that any and all work performed shall be done In dccordance wIth
the Ordmances of the CIty ofSpnngfield and the Laws of the State of Oregon pertammg to the >lork descnbed herem, and
IhJI NO OCCUPANCY WIll be made of any structure wllhout permISSIon of the Commulllly ServIces DIVI"OIl, BuJldmg Salety
I further cerllfy that only contractors and employees who are 10 comphance wIth ORS 701 005 WIll be used on thIS project
1 further agree to ensure Ihat all reqlllred mspectlOns are requested atlhe proper tIme, thJt each Jddress IS I eadable from the
streel, that the permIt card IS located at the front 01 the properly, and the approved sel of plans WIll remam on Ihe Slle at all
times dunng constructIOn
Owner or Contractors Signature \.
C"",,4.~ 0""' A......""""r,o." )
mJ,.,/nJ / -:r><'
Date
/vr7
Page 2 of2
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0 1866
COM2007 -01866
COM2007 -01866
COM2007-0 1866
Payments
Type of Payment
Check
cReccrnl]
RECEIPT #,
DescriptIon
DeposIt
Banner SpecIal PermIt
+ 5% Technology Fee
+ 10% AdminIStratIve Fee
Paid By
STATE FARM INS
~:
City of Sprmgfield Official Receipt
Development Services Department
Public Works Department
2200700000000001861
Date, 12/19/2007
Item Total
Check Number AuthOrization
Received By Batch Number Number How Received
dJb
11364
In Person
Payment Total
Page 1 of I
957 17AM
Amount Due
10000
4500
225
1450
$16175
Amount PaId
$161 75
$16175
12/19/2007