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Home My WebLink AboutPermit Signage 2008-4-16 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00529 ISSUED: 04/16/2008 APPLIED: 04/16/2008 EXPIRES: 10/16/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1623 21ST ST ASSESSOR'S PARCEL NO.: 1703250000801 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Portable sign - Caprice Day Spa install 041708 removal date 051708 Owner: MARSHALL FISHER LLC Address: 1623 21ST ST STE A SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Sign Contractor OWNER License I BUILDING INFORMATION I q >lrJ~' -, ','"'''''' '~'f! ~9guires you to # of Units: '-', '[v.1 by l~@t&t~&i~:Utility Primary Occupancy Group: ~(" "I.J:"',llll. rnuseI;I,Ijl~g~M~~~ne Secondary Occupancy ~roup,:, I '- _,~J-lJ01-()01 0 throUl:jP~~!"~001- Primary Construction T~p'~(). Yuu may obtain copW~wrtlll~Imles by Secondary Construction T~R~lng the center. (Note&$!ng({EII~pflone # of Bedrooms: number for the Oregon UUitl1!fYcJtifiretion Center is 1-800-3spaiitt~)I Building. n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ' Commercial Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: ~ffii1PROVEMENTr~RE If THE WORK tKIVlIl vnft\tL 10 rrraT AUTHORIZED UNDER THIS PEAM~"\V.9<.''''1l1'e: COMMENCED OR IS ABANDO~f~ts/Drains: ANY 180 DAY PERIOD. Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Paee 1 of2 Value Date Calculated Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00529 ISSUED: 04/16/2008 APPLIED: 04/16/2008 EXPIRES: 10/16/2008 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' 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 4/16/08 4/16/08 4/16/08 4/16/08 1200800000000000363 1200800000000000363 1200800000000000363 1200800000000000363 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 Reouired 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. ~ Y/;6/D? I .. / Owner or Contractors Signature Date Pa2e 2 of2 .... ~ 0, .,,~ 00; .~ ~ . ~, a r:J).l (j,j 0' . ........' 5::: (1) ~ ~ I~,',~, ) , . - ........' ~, ~' ~i 0) c_> I, ~ .S' t::' Cl): ~: ~ 00 .~~ r:/1 Cl) I n , c;3, t 0,: 01, ~ (1)' 8" ~ M, SI?'E'(jG!?<n~G=fl!5:o...0 /'-Jb, \l/ $-::1 .... -'-'~7 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH.(541)726-3753 . FAX: (541)726-3689 COKoo\ '0- c; - 00 ~ l- ( City Job Number ~ ~ ~ 1hZ ~ ;).) Jr- Spr,'rJ 'I r;t:CD (703 2-5D 0 Job Location o c::%6 ( Assessors Map Tax Lot Owner Owner of Property ~ In A(J J-iA-{{ CN (-c c. 1J/f'1 Sf A- Phon~ 7Y ~,- 003 '( Stat~ Df'.- Zip '9 7Y77 Addres~ /f.o2?, 2Jfr "{Jr'rJ!~l:'"'lO Ci~l _.~ -- Contractor/Installer Contractor ,f t"" I ('2..... . - -e~.ptJ,!i ' N' oregon '''''" "e Olegon u Il~ ~~;g ~dopte,.d ~~ ro\es ~~ ::~~,\. Phon~ ,0\'V~ ceo'leh gh U~f\ ~ 'oY Not\fica\\on 01-00'\0 thfOU. 01 \he (u\es City n~R 952-0 ab\&\n COP\e~hi~\>hone \f-Ogo. ~ou t{lci; ntet. tNo'le~ .t. No\\\\cauu"h o eaU~Jl \he ce egoO Ut\\\t'I ~ Construction Contractors r.;~~ffi~~r \he.0\-80Q..a32.-2.34~.. nU 1"9n\8f \s Description "?c.-4. \,/ t;' ~i '- I . Date of Installation r ! j /04 Permit Fee: $161.75 including $100.00 Deposit. Address Zip Expire" Date of Removal . )//~ ?~~ P I / 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 $100.00 deposit. I also understand that this special permi~an be issued only twice per calendar year per development area. I also agree to call tl' ~D>~ 'ne at 726-3769 by the end of the 30th day to request an inspecti<]J\a~e~fy thitt~~\ ~~) and/or portable sign(s). This inspection will begin the proce~Qd \l~~~tb~~~~ tbt\le'anner(s) and/or portable .Si~(S) has b removed. 1\,\\$ \,\Q~\l~n UN \$ ~~J\~t)O / ~U\ \'J\~~C~t) O~~\Ot). I /, Signaturp. /, (2,IIL.--' - ~~~ 1fJ~ Q1).~ p~ Dat~ '/L1./,/ OJ> / / For Office Use Date of Application ~/ (6jd t Job # (8" - O<<:>r Z , Issued By ~~ Receipt # 16/7,- Amount Collected Shared Dnve (T )lBwldmg FormsIBanner]ortable Sign Penmt eSD 8-06 doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00529 COM2008-00529 COM2008-00529 COM2008-00529 Payments: Type of Payment Check cRecemtl RECEIPT #: DescriptIOn Depostt Banner SpecIal PermIt + 5% Technology Fee + 10% Admmtstratlve Fee Paid By RON MARSHALL City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000000363 Date: 04/16/2008 Item Total: Check Number AuthorizatIOn ReceIVed By Batch Number Number How Received dJb 2801 In Person Payment Total: Page 1 of 1 2:04:59PM Amount Due 10000 4500 225 14.50 $161.75 Amount PaId $161 75 $161.75 4/16/2008