HomeMy WebLinkAboutPermit Signage 2007-12-19
SPRINGFIELD '
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225 F1ITH STREET 0 SPRlNGFlEID,OR97477 0 PH (541)726-3753 o FAX (541)726-3689
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Tax Lot
Owner
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/'\ I AttENTION: Oregon raw requires you to
_<:P~1~8d!JOted by the Oregon Utility
~ ~otifIcation Center. Those rules are sel tonR
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calling the center. (Note: the telephone
P.1Imtler for tIlf GI:illpon Utility NotillcatlQ!1p
Center 18 1-800-332-2344).
Addres<
CIty
ConstructIOn Contractors LIcense #
Descnptw'-
ExpIrpO
1~/dl~/01 Date~~~emovaL-1;yo/ nR
PermIt Fee: $161.75 includmg $100 00 DepOSit.
Date of InstallatIOn
By signature, I state and agree that I have carefully completed thIS applicatIOn and hereby certIfy that
all mformatlOn herem IS true and correct I further agree and understand that the above descnbed
banner(s) andJor portable SIgn(S) IS not larger than 60 square feet, and WIll be removed Wlthm 30 days
from the date listed above If the banner(s) andJor portable SIgn IS not removed Wlthm the trmelme
speCIfied, I WIll forfeIt the $100 00 depoSIt I also understand that tlus speCial permIt can be Issued
only tWIce per calendar year per development area I also agree to call the mspectIon Ime at 726-3769
by the end of the 30th day to request an mspectlOn to venfy the removal of the banner(s) andJor portable
sIgn(s) ThIs mspectlOn WIll begm the process to return the $100 00 depOSIt If the b~er(s) andJor
portable sIgn/V!;S) b%moved~ Cl!:. RE \f llIE WO /
iT\ 10. 'rl"ll ~?, WI\i \S
Slgnatur"JI ~ 1'"IS PER~ ~"\OfR 1\'1\S ;OE~~VO@ /0; /07
~ u ~1J1'rlO"'\/.(..'" oR IS "B~\'lU '
I / ~~PER\OO.
Date of ApplicatIOn 12 II ~ / l> 7 J~ # (7 - 0 ( 9 P-- 0
, I
Issued By
~T<
Amount Collected
ReceIpt #
I hi ZE
Shared Dnve (T yBwfdmg FormsIBanner_Portable Sign Penmt CSD 8-06 doc
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED.
APPLIED'
EXPIRES.
VALUE
COM2007-01880
12/19/2007
12/19/2007 -
01/22/2008
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 3161 Gateway St
ASSESSOR'S PARCEL NO 1703222003100
Springfield TYPE OF WORK Banner
TYPE OF USE
PROJECT DESCRIPTION Portable SIgns and banners - 122207 removal date 012208
New
Commercial
Owner BENTON PROPERTIES L TD
Address 980 WILLAMETTE ST
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor
OWm:R:NTION r'O~M .-.,. ::~.I..w,
TallOW rules "~'1I''811ll4''mu...li)iii~i&ON ~
Notlf,callonCentu III" I"l,r"l ,
In OAR ' .. v~" u es are set forth
# ofUmts 0090 y~~2-001-0010tf1lrf'M!Jk,iMR952-o01.
Primary Occupancy Group cali,n th~ay obtain ~$ "ftDauu~by
Secondary Occupancy GrOulllUmb~ for t:n~r. (~fie tM-taIephone
Primary ConstructIOn Type Center Is ;~~~Iflcatlon
Seconddry ConstructIOn Type 'RllI1 >
# of Bedrooms Energy Path
Sprinkled BUlldmg
Contractor Type
Sign
LIcense
ExpiratIOn Date Phone
Lot SIze
Sq FI I st Floor
Sq FI 2nd Floor
Sq Ft Basement
Sq Ft Gdl dge/Cdl port
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback
Side I Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay DISI
# Slreet Trees Rqd
Pa\ed Dllve Rqd,
% of Lot Coverdge
REQUIRED PARKING
Totdl
Hdndlcapped
Compdct
Slreellmprovements
Storm Sewer AvaIlable
SpecIal InstructIOn
~~U 114PUBLIC IMPRQYI;:~tE~Ul" ORK
THIS ...lntill. """I-I~~ ~ W
AUTHORIZED UNDER THIS PERMIT IS t-rolJ'ewalk Type
COMMENCED OR IS ABANDONED FOR DownspoutslOrams
ANY 180 DAY PERIOD.
Notes
I ValuatIOn DescrmtlOn I
DeSCriptIOn
Type of ConstructIOn
$ Per Sq Ft
or multlpher
Square Footage
or B,d Amounl
Value
Date Calculdted
Page I 01 2
-:
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO. COM2007-01880
ISSUED: 12/19/2007
APPLIED 12/19/2007
EXPIRES. 01/22/2008
VALUE'
225 Flfth'Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total V dlue of ProJect
Fees PaId I
Fee DeSCrIptIOn
+ 10% AdmmlStratIve Fee
+ 5% Technology Fee
Banner Spec131 Permit
DepOSIt
Amount PaId
Date Paid
ReceIpt Number
$14 50
$225
$45 00
$10000
12/19/07
12/19/07
12/19/07
12/19/07
2200700000000001865
2200700000000001865
2200700000000001865
2200700000000001865
Total Amounl PaId
$16175
I Plan ReViews I
To Request an mspectlOn call the 24 hour recordmg at 726-3769. All inspections requested before 7:00
a.m. will be made the same workmg day, inspectIOns requested after 7 00 a m. will be made the followmg
work day.
I Reolllred Insnechons I
Banner Removal To be requested the day followmg the explrallOn of the perm II If mspectlOn IS not requested,
the applIcant may forfiet the depOSIt
By sIgnature, I state dud agree, that I have carefully exammcd the completed application dud do hereby certify that all
mformatlOn hereon IS true and correct, dnd I further certIly thdt any dnd all work pel formed shdll be done 10 accol dance with
the Ordmances of the CIty of Springfield and the Laws of the State of Oregon pertdmmg to the work descrIbed herem, and
that NO OCCUPANCY Will be made of any structure without permISsIOn of the CommunIty ServIces DIVISIOn, BUlldmg Safety
I further certIfy that only contractors and employees who are m comphance wIth ORS 701 005 WIll be used on thIS ploJect
I further agree to ensure that dll reqUIred mspectIons dre requested at the proper lime, that each address IS readable from the
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Owner or Contr{.,tors SI~~ture'Y Date I'
Pa2e 2 of 2
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0 1880
COM2007-0 1880
COM2007-01880
COM2007-0/880
Payments
Type of Payment
Check
cRu"elOtl
RECEIPT #.
DescriptIOn
Deposit
Banner Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
PaId By
CALI GALS INC
City of Sprmgfield OffiCial Receipt
Development Services Department
Pubhc Works Department
2200700000000001865
Date' 12/19/2007
Item Total
Check Number AuthOrization
Received By Batch Number Number How Received
dJb 1004 In Person
Paymenl Tolal
Page I of I
3 13 OIPM
Amount Due
10000
4500
225
1450
$16175
Amount Paid
$161 75
$16175
12119/2007