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Home My WebLink AboutPermit Signage 2004-02-24Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line PERMIT NO: COM2004-00094ISSUED: 0212412004 APPLIEDz 0112212004 EXPIRESz 0812412004 VALUE: SITE ADDRESS: 119 21ST ST Springfield TYPE OF WORK: ASSESSOR'S PARCELNO.: 1703364202700 TYPE OF USE: PROJECT DESCRIPTION: Banner Dates January 22th through February 19th Contractor Type General Contractor ILO CONSTRUCTION Banner use initials Expiration Date 0sn212004 Phone 541-521-0114 Owner: Address: PARAMOUNT CENTERLLC PO BOX 26125 EUGENE OR 97402 License 82355 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS 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: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: ?-?_344' Street Improvements: Storm Sewer Available: Special Instruction: Notes: $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: Total Value of Project Pase I of2 DEVELOPMENT INFORMATION Description Type of Construction Value Date Calculated -1 L('I\ II(ALIUK rI\IU-ryJ ITULlJl-rll\t ll\ I iJIUYTA r rUNl Valuation Description I 225 Fifth Street Springfield, Oregon 97 477 541-72G3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department #:70 1:58:36PM coM2004-00094 coM2004-00094 Banner Special Permit + l0o/o Administrative Fee 80.00 8.00 Item Total:$88.00 Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check PARAMOUNT CENTERLLC IKW ttt4 In Person Payment Total: $88.00 $88.00 amaaaHS,,D Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00094ISSUED: 0212412004 APPLIEDz 0112212004 EXPIRESz 0812412004 VALUE: Fees Paid Fee Description + l0Yo Administrative Fee Banner Special Permit Deposit + l0%o Administrative Fee Banner Special Permit Total Amount Paid Amount Paid $10.00 $160.00 $r00.00 $8.00 $80.00 $358.00 Date Paid u22104 u22t04 U22t04 2t24t04 2t24t04 Receipt Number 1200400000000000093 1200400000000000093 1200400000000000093 2200400000000000170 2200400000000000170 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. 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. /1g>-fuo/a- Wsignature Date Pase 2 oI 2 Kequlreo truI}eguQlls l 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: COM2004-00094ISSUED: 0112212004 APPLIEDz 0112212004 EXPIRESz 0712212004 VALUE: SITE ADDRESS: 119 21ST ST Springfield TYPE OF WORJ(: Banner ASSESSOR'S PARCEL NO.: 1703364202700 TYPE OF USE: use initials PROJECT DESCRIPTION: Banner Dates January 22th through February 19th Owner: Address: PARAMOUNT CENTER LLC PO BOX 26125 EUGENE OR 97402 Contractor Type General Contractor ILO CONSTRUCTION Expiration Date 051t2t2004 Phone 541-521-01t4 License 82355 CONTRACTOR INFORMATION BUILDIN( # of Units: Primary Occupancy Group: Oregon law r Secondary Hblfs; Primary adopted by the THfuT Secondary Those # of Bedrooms: N OAR 952'001 -00 10 through n copies onemayobtai calling e SETBACI(S]MbET lor the ie 1-ROtar # of Stories: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: PEB[4'T SHALL Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: COMi OBIZED UNOER iifir::['mY#'""' REQUIRED PARIflNG Total: Handicapped: Compact: AUIH 'Jy 1 VIENCEO BO DAY OR,SA PEfi,OD $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Page 1 of2 Description Type of Construction Value Date Calculated [J Valuation Description I Status 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: COM2004-00094ISSUED: 0112212004APPLIEDz 0112212004EXPIRES: 0712212004 VALUE: Fee Description + l0Yo Administrative Fee Banner Special Permit Deposit Total Amount Paid Amount Paid $10.00 $160.00 $100.00 $270.00 Date Paid U22t04 u22t04 u22t04 Receipt Number 1200400000000000093 1200400000000000093 1200400000000000093 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII 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. 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 Springlield 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 Iocated at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Signature Date Pase 2 of 2 I'ees raro I *fu4\rv,u rultn+)* Kequrreo rnspecuons l 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Receipt #: 1200400000000000093 Date: 0112212004 1:43:53PM coM2004-00094 coM2004-00094 coM2004-00094 Banner Special Permit Deposit + l0%o Administrative Fee 160.00 100.00 10.00 Item Total:$270.00 Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check PARAMOI.]NT lkw 1093 In Person Payment Total:--Tmr-0-$270.00 @ 225 FIFTH STREET . SPRINGFIELD, OR 97 477 o PH:$a\726-3753 o F AX: $a\7 26- 3689 City Job Y1r 6", CClat't Z'> aI 1;()O 7 f Banner Location 11gN ?lstSrreet Assessors Map Owner t7033LLt z Tax Lot OZz o<} Owner of Property Pqtqtvrnrnrf Cenfer T T (- f-lF(crp{rl) r 1r( r 1:{ft m(J (.) rfi. h((J m Address PO Rox 26125 City Eugene State OR Contructor/Installer Phone ,j? I'l 17 Contractor TT.O Construction ht)r p{ r,tHFr+7)(:t t-.,!Ft1Hi:{ V Q -,h) r 1={(1tsF(h{ 6)L I {dd1s5s 1455 Chamhers St Phnne 571 Ol l4 City Frrgene 51a1s OR zip 97405 Construction Contractors Registration #82355 Descriotion Temrl vinyl sign Date of Installation unfll toot Date of S100.00 deposit if the begg?$)has been removed. For OfJice Use Date of O cc{-o<>Receipt # g1 c Banner Perm it r..6go.ooV6q uirea u.r,urit d oo.*oY 9. namini.tr"tioe r:** ilL + ttc /7{By signature, I state and agree that I have carefully completed this application and hereby certi$r that all information herein is true and correct. I further agree and understand that the above described banner(s) is not larger than 60 square feet, and will be removed within 14 days from the date listed above. If the banner(s) 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 14th day to request an inspection to veriff the removal of the banner(s). This inspection will begin the process to retum the Pi $'t(J,(1t*{?1tFfG m Amount CollectedIssued By -2 u -r\ \S Job # Shared Drive (T:)iBuilding Foms/Bmer Pemit CSDI-03.doc CITY OF SPRINGFIELD, OREGON 7ir O'7 tlA')