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Home My WebLink AboutPermit Signage 2004-06-11CITY Building/Combination Permit PERMIT NO: COM2004-00695ISSUED: 0611112004APPLIEDz 0611112004 EXPIRESz 0111912005 VALUE: Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line r7032531 SITE ADDRESS:1667 ASSESSOR'S PARCEL NO. PROJECT DESCRIPTION: Banner for Superior Cuts and Tanning 6-12-200 4 throu gh 6-26-200 4 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial Owner: Address: /OAKLEAF INV 2350 OAKMONT WAY EUGENE OR 9740I Contractor Type Contractor License Expiration Date Phone CONTRACTOR INFORMATION # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARIilNG Total: Handicapped: Compact: nla $ Per Sq Ft or multiplier ANY Square Footage or Bid Amount Total Value of Project Paee 1 of2 DE PUBLIC IMPROVEMENTS Description Type of Construction Value Date Calculated L r ..! J ItulLl-rll\\, ll'l I IJI(IYIA I ltrl\ l '.ie Uregon Utilityjc rules are set fort'ough oAR 952-001 Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SPRIN Building/Combination Permit PERMIT NO: COM2004-00695ISSUED: 0611112004APPLIED: 06/1112004EXPIRES: 01/1912005 VALUE: Fee Description + l0oh Administrative Fee + l0oh Administrative Fee Banner Special Permit Deposit Total Amount Paid Amount Paid $8.00 $10.00 $80.00 $100.00 $198.00 Date Paid 6nu04 6nil04 6mt04 6mt04 Receipt Number 3200400000000000111 3200400000000000111 3200400000000000111 3200400000000000r11 Plan Reviews To Request an inspection call the 24 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. Reouired Insnect 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. Owner or Contractors Signature Date Pase2 of2 m\l TECLTATL] 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: COM2004-00695ISSUED: 0611112004APPLIEDz 0611112004EXPIRES: 01/1112005 VALUE: F SITE ADDRESS: 2O9O OLYMPIC ST A ASSESSOR'S PARCEL NO.: 1703253107701 Contractor Tvpe Contractor Springfield TYPE OF WORK: Banner PROJECT DESCRIPTION:Banner for Superior Cuts and Tanning 6-12-2004 through 6-26-2004 Owner: /OAKLEAF INV Address: 2350 OAKMONT WAY EUGENE OR 97401 Owner: KENTUCKY FRIED CHICKEN #333 Address: % PROP TAX 5214 STURDMNT AVE KLAMATH FALLS OR 97603 TYPE OF USE: New License Expiration Date Phone Commercial TION # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla REQUIRED PARKNG Total: Ilandicapped: Compact: street ImlflEnlffrhl U::ll No'es:ry,ffiffirffiffiffiffi cailing fio cenu, $*oic: d *rno_number tor tre &egon Utifify floUncamn CenH b t€00€32-iu4i Sidewalk Type: N 0Tl C E : Do*o.poutsfl)rains: Ti-ilS PrRl..,,1iT SHALL EXPIRE lF THE W0ti( Al.lTi'iriFl;ZiD Ui',]tLR TritS PElt[4iI lS f,it]i c0i.li;tliicEu 0ii rs i,Bafr.l,iirili Furi AirY luU ti/rY Pt-rlrjLt. DE\TELOPMENT INFORMATION PUBLIC IMPROVEMENTS Pase 1 of2 T.}. Llrt\ I' U I LI'I.I\ U T].\ I L,I(rYTryJ Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54l-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00695ISSUED: 0611112004APPLIED: 0611112004 EXPIRES: 01/1112005 VALUE: Description Type of Construction Fee Description + l0o/o Administrative Fee + l0Yo Administrative Fee Banner Special Permit Deposit Total Amount Paid Total Value of Project Date Paid 6nu04 6ny04 6nu04 6fiU04 Value Date Calculated Receipt Number 32004000000000001 I I 3200400000000000111 3200400000000000111 3200400000000000111 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $8.00 $10.00 $80.00 $100.00 $198.00 Tees Paid Plan Reviews 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. nsnections 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 I Owner or Pase2 of2 Valuation Description I times during 225 Fif.th Street Springfield, Oregon 97 477 541-726-3759 Phone ity of Springfield Official Receipt Development Services Department Public Works Department RECEIPT#: 3200400000000000111 Date: 0611112004 3:00:12PM Job/Journal Number coM2004-00695 coM2004-00695 coM2004-0069s coM2004-00695 Description Banner Special Permit Deposit + l0% Administrative Fee + l0% Administrative Fee Amount Due 80.00 100.00 10.00 8.00 Item Total:$198.00 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check SUPERIORCUTS lkw t2t2 In Person $198.00 Payment totat: -$i9iilT- 6ltt/2004 Page I of I ltrlll.tf,D 0r(- bqs 225 FIFIH STRXET r SPRINGFIELD, OR 97477 r PH:(541)726-3753 r FAX: (541)726-3689 City Job Number -{..Jrp{ (.A -''!?t-{ a.)!rl-r-{ L.)^r-a1a *7 / Job Owner of Property Address City Lot a Phone State zip zipC Address Phone 1q(-T5l Construction Contractors Registration # Expires Description Date of Installation Date of Removal a Permit Fee $80.00 * Required Deposit $100.00 + 10a/a Administrative Fee By signature, I state and agree that I have carefully completed this application and hereby certifii that all information herein is true and correct. I further agree and understand that the above described display will be removed within fourteen (14) days from the date listed as the date of installation above. If the display 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 once per calendar year per development arca- I also agree to call the inspection line at 726-3769 by the end of the l4'h day to request an inspection to verify the removal of the display. This inspection will begin the process to return the $i00.00 deposit if the display has been removed. Signature Date + ;:{'W. C} 1l!-l{(a ,d -&J *-.{ For Office Use l-t-.{ aiir&( -(H .-r-{. tqr'F{ Date of Application- Job#-Receipt# Icc1gd Bv Arnolrnt Collected aal-t-{ s$ s* Assessors Map Tax Shared Drive(T:)/Building Fonns/Blimp_PortableSigns_Balloonsl -03.doc