HomeMy WebLinkAboutPermit Signage 2007-5-15
.
Status
Issued
.ITY V.. ~rKlI...t."'J<.LD
Building/Combination Permit
PERMIT NO: COM2007-00690
ISSUED: 05/15/2007
APPLIED: 05/15/2007
EXPIRES: 11/15/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 500 MAIN ST .
ASSESSOR'S PARCEL NO.: 1703353108100
Springfield
TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner 5-16-2007 through 6-15-2007
Owner: EMERALD EMPIRE ART ASSN INC
Address: 500 MAIN ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Contractor
License
Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUILDING INFORMATION I
# of Stories: . . ATTENTION: (lJOI'~Siie:aW requires you. to
Height of Structure: 10110w rule~ adSq,'Ft!fstjFiooRregon Ulility h
Type of Heat: No\:1icalion Cer.~!I'.Fti2nd'FlO?f:' are set fort _
Water Type: in er!. ~~2-001 S,q:F,(;Qasem!;ntO~R 952-001
Range Type: 00":) Y\lU may ~%rJ.,9![~gc/.Garportrules by
Energy Path: Y . S9 Et Other:. the telephone
ct.n;nn the ce.d:;:r. \I~""'~"""
Sprinkled Building: '"nia f thOccup.ant\Load:, No.tification
'm.n'\her or e Ull.::tJUI .........1 .
I DEVELOPMENT INFORMATION' Cente\IS 1 tluu.oJoJ" "v~~J'
REQUIRED PARKING
Fronlyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
"..n....._
"", tll.lC. .
I PUBLIC IMPROVEMENTS II HIS PER'
. MUT. .Sidew~~;T~~e1LL EXPIRE IF THE W
C . ,;-'''LLU IJIVUER T aRK
,Oh'Do'""wiiSi!outS!Drains:H1S PERMIT /S NOT
. f Ny 180 DAY PER;~;/jANDONED FOR
Notes:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amouut
Value
Date Calculated
Paee I of2
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00690
ISSUED: 05/15/2007
APPLIED: 05/15/2007
EXPIRES: 11115/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F..... P1W
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
$14.50
$2.25
$45.00
$100.00
5/15/07
5/15/07
5/15/07
5/15/07
Receipt Number
2200700000000000749
2200700000000000749
2200700000000000749
2200700000000000749 .
Total Amount Paid
$161.75
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
By signature, 1 state and agree, that 1 have carefully examined tbe completed application and do hereby certify tbat all
information bereon is true and correct, and 1 furtber certify that any and all work performed sball be done in accordance witb
tbe Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1
further agree to ensnre that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during c7ruction.
) <;b- A ~ ~.:r.-1"':/?-~ /.$ - //"-7' :2-. en>?
Owner or Contractors Signature
Date
Paee 2 of2
ZZ5 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689
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CITY OF SPRINGFIELD, OREGON
City Job Number t. '7 - G, '7 D
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Job Location j 0 /' /d/"n
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Assessors Mar Tax Lot
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Addres~ S-OP ~;" ~ Vf:-J Phonp ?::<6-cP.J/Cr
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illll' i i Iii! ! 'Iii,! ill: II
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Contractrrr ----------
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City M j ~ "tate
Construction c~L #
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escnptlOn ,?/' ~ "4'''''-''1 I>.. /
Date of Installatior $ ~J ~ 7
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Addreso
Zip
Expirpo
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<30...- ";>",,,/?/,/~'7
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Date of Removal
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 $ I 00.00 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 inspection line at 726-3769
by the end of the 30th day to request an inspection to verify the removal of the banner(s) and/or portable
sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
portable sign(s) has)een removed. .-/
Signatur~ ~ ~ /..---<2-.F, ~.xr,4A Da'p j- ~Jh
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Date of APplication~F}- tP): () -, Job l:JJ ...- (J) :oq (J Receipt #
I",", By ~~L '\Q 'i<><YI Am"" C,II",", 110 I :1")
Shared Drive (T:)/Building FonnsIBanner_Ponnble Sign Permit CSD 8.06,doc
22.5 Flftb Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00690
COM2007-00690
COM2007-00690
COM2007-00690
Payments:
Type of Payment
Check
cReceintl
. 1J;~~. -. ~.'.'
Wit". ,
,;' \ ~
:. "-.<< ,,:
~', ...~ ",' ' .. .
C.f Springfield Official Receipt
~opment Services Department
Public Works Department
RECEIPT #:
Description
Banner Special Permit
Deposit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
EMERALD EMPIRE ARTS
2200700000000000749
Date: 05/15/2007
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
Ikw
1805
In Person
Payment Total:
Page 1 of 1
IO:37:05AM
Amount Due
45.00
100.00
2.25
14.50
$161.75
Amount Paid
$161.75
$161.75
5/15/2007