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Home My WebLink AboutPermit Signage 2005-08-31Status: Issued 225 Fifth Street, Springfield, OR 541:7263753 Phone 541-726-3676Fax 541:7 26-37 69 I nspe ction Line Buildin g/Co mbination Permit PERMIT NO: COM2005-01190ISSUED: 08/31/2005APPLED: 08/31/2005E)PIRES: 10/0112005 VALUE: PRIN SITE ADDRESS: 200 S 32nd St ASSESSOR'S PARCEL NO.: 1702310000500 PROJECT DESCRIPTION: Portable sign. Installed Springfield TYPE OF Blimp, Portable Sign, Etc. New Commercial Phone Number: 541-741-2465 TYPE OF USE: date 100105 Owner: Address: BROADBASE PO BOX 328 SPRINGFIELD OR 97477 ao\ *s*il" Contractor Type t$ # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontlard Setback: Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Insfruction: Notes: License 145755 Expiration Date 06t30t2006 Phone 541-48s-5546 # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Sq Ft Sq nla Sidewalk Type: DownspoutVDrains REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Valuation Descrintion Description Tvpe of Construction lof2 Value Date Calculated ,t\+s" :r"9 ,S )a\ $$" I-,-r! v .u/IJ(Jrlvlrrl\ I I1\It t(lvlA Il(rl\ F PRIN Buildin glCombin atio n Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Ftx 541 :7 26-37 69 Inspe ction Line ' Fee Description + lloh Administrative Fee Blimp + Special Permit Deposit Total Amount Amount Paid $14.s0 $4s.00 $100.00 $1s9.50 Total Value of Project Date Paid 8/31/0s 8/31/05 8/31/0s Receipt Number 1200500000000001271 1200s00000000001271 1200500000000001271 To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will -be made the following work day. Sign Final: After all required inspections are conducted and approved and the sign installation is completed. By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that allinformation hereon is true and correct, and I further certiff that any and all woik performed shall be done in accordancewith the Ordinances of the City of Springfietd and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCT PANCY will be made of any structure without permission of the Community Services Division,Building Safety. I further certi$ 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 alt required inspections are requested at the proper time, that each address is readable fromthethatpermitis located at the front of the property, and the approved set of plans will remain on the siteat all ?[qt lor Owner or Signature Date 2of2 PERMIT NO: COM2005-01190ISSUED: 08/31/2005APPLIED: 08/31/2005E)?IRES: 10/0112005 VALUE: fi ees rard I 225 Fifth Street Springfield, Oregon 97 47 7 541-726-3759 Phone '8 of Springfield Oflicial Receipt uevelopment Services Departm ent Public Works Department RECEIPT#: 1200s00000000001271 Date:08/31/2005 9:36:37AM Job/Journal Number coM2005-01190 coM2005-01190 coM2005-01190 Description Blimp + Special Permit + l0% Administrative Fee Deposit Amount Due 45.00 14.50 100.00 Item Total:$159.50 Payments: Tlpe of Paynent Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard SIGN GROUP djb 031633 In Person $159.50 PaymentTotat: ffi I 8/31/200s lofl DIntEl|ILO 'I 22SFIFTHSTREET . SPRINGFIELD,OR97477 c PH:(541)726-3753 oFAX: (541)726-3689 cityJob *u,,,0". (cra,n eoo f - O //7O Job Location ho qv*L' fu4 CITY OF SPRTNGFIELD, OREGON )o (>o c) o t5cAssessors Otwttr Owner of Property Addre Tax Lot bdc,tz l?Tr9 7e7 Address (,OL City Construction Contractors License #Wello State of-,7 77 -(rsto State or Zip JTlor rC o t Date of Installation o5 Date of lo 0r Banner Permit !'ee 545.00 + Required Deposit Sltl0.00 + l$\% Adrninistrative Fee By signature, I state and agree that I have carefully completed this application and hereby certiSr 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 permit can be issued only twice per calendar year per development area. I also agree to call the inspection line at726-3769 by the end of the 30th day to request an inspection to veriff 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) fr'or 0/tirc bse Date ofAppl 3 6t-Cdu?eoj:- <>Receipt # Amount Collected t rTry qle Issued By Z .D3 Job # Sharcd Drive (T:)/Building Foms/Banncr_Po(able Sign Pemit CSD 8-05.doc I\zf an A^4rH/ v ou" tlu Io€ &t'f.ti*tbt*llrl.l, Report lD : SPRA103A Voucher lD : Handling Code : 00096171 RE -:City of Springfield Voucher BroadBase Programs, lnc. PO Box 328 Springfield, OR 97477 Description Blimp Deposit refund Fund 821 9gg SubClass BY 2006 Proi/Grant Accounting Date: Vendor Number: lnvoice Date : lnvoice # : Approver: Operator: Gross Amount: October/20/2005 0000010027 AugusU3l/2005 COm2005-01190 PUEN5597 wtLS5940 100.00 Amount 100.00 Account 21 5500 Comments: Q.oo 5. 32^-( *l"-"'q--