HomeMy WebLinkAboutPermit Signage 2006-04-04Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2006-00395ISSUED: 0410412006APPLIED: 0410412006
EXPIRESz 0412812006
VALUE:
"'SITE ADDRESS: 103 S 2lST ST
ASSESSOR'SPARCELNO.: 1703364203600
PROJECT DESCRIPTION:
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Portable sign(s) for Prime Harvest - install 0327106 removal date 042806 - code
enforcement reference COD2006-00407
PhoneNumber: 541-954-4454
Commercial
Owner:
Address:
Contractor Type
Sign
MICHAEL MILLER
3330 HAYDEN BRIIiGE RI)
SPRINGFIELD OR 97477
7
Contractor
OWNER
License Expiration Date Phone
# of Stories:$$-# of Units:' Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
' Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
" Solar Setbacks:
" Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
H\S \S NB
h$1
c0'Building:nla Occupant Load:
N,01\0
1
$ Per Sq Ft
or multiplier
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
1 t0R
Sidewalk Type:
Downspouts/Drains:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
, Description Type of Construction
Page I of 2
Value
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Valuation Description
Date Calculated
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00395ISSUED: 0410412006APPLIEDz 0410412006
EXPIRESz 0412812006
VALUE:
Fee Description
+ l0%o Administrative Fee
Banner Special Permit
Deposit
Total Amount Paid
Amount Paid
$14.50
$45.00
$100.00
$1s9.s0
Total Value of Project
Date Paid
4t4t06
4t4t06
4t4t06
Receipt Number
1200600000000000400
1200600000000000400
1200600000000000400
Fees Paid
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
wiII 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.
Reouired fnsnections
" 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.
?-r'-eA
Owner or Contractors Signature
Pase2 of2
Date
-oo
225 FIFIH STREET . SPRINGFIELD, OR 97477 e PH:(541)726-375i\ o FAX: (541)726-[]689
City Job Number (9*t@ 6- o<>3?{
/*
Job Location
Assessors Map
Ontner
)o336qz Tax Lot o3600
fYL.r,c .Vrae.\ ?\[or)Owner of Property
Address bfrc \c Zc\Lb4D qD+-
State DPfidCity
Contructor/l nstaller
OContractor
S tate zipCity
Construction Contractors License #
7*.,lr.llsDescripti l.+
Date of Installation Date of Removal
Banner Permit Fee $45.00 * Required Deposit $100.00 + 10 Fee
By signaturer l state and agree that I have carefull v hereby certifli that
all information herein is true and correct.above descri bed
banner(s) and/or portable sign(s) is not be removed within 30 days
from the date listed above. If the banner(s)removed within the timeline
specified, I will forfeit the $ 100.00 deposit.at this special permit can be issued
only twice per calendar year per development I al5o agree to call the inspection line at726-3769
by the end of the 3oth day to request an 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) has removed.
o 6
For Offica Use
Date of Appli Cb -oo3 ) f Receipt #4 or>
Amount Collected trlr=Issued By >3
L Job #
Shared Drive (T:)/Building Fom/Banner-Portable Sigrt Permit CSD 8-05.doc
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225 Fifth Street
Springfbtd, Oregon 97 477
541-726-3759 Phone
^ity of Springfield Official Receipt
_ ;velopment Services Department
Public Works Department
RECEIPT #: 1200600000000000400 Date: 0410412006 11:02:32AM
Job/Journal Number
coM2006-0039s
coM2006-0039s
coM2006-00395
Description
+ l0o/o Administrative Fee
Deposit
Banner Special Permit
Item Total:
Payments:
Type ofPayment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Cash PRIMEHARVEST djb In Person $159.50
Payment Total:
-5T5156-
414/2006 Page I of I
strclE,&
Amount Due
14.s0
100.00
45.00
-$tse-5-
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