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HomeMy WebLinkAboutPermit Signage 2007-02-13FIELD Building/Combination Permit PERMIT NO: COM2007 -00194ISSUED: 0211312007APPLIED: 0211312007 EXPIRESz 0211312007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax S4l -7 26-37 69 Inspection Line SITE ADDRESS: 1623 21ST ST Springfield TYPE OF WORK: Banner ASSESSOR'S PARCEL NO.: 170325000080r TYPE OF USE: New PROJECT DESCRIPTION: Portable sign - compliance permit for COD2007-00045 Commercial Owner: Address: Contractor Type MARSHALL FISHER LLC 1623 2IST ST STE A SPRINGFTELD OR 97477 lulY.\.,iegul ES Expiration Date Phone in OAR9 0090 .You calting thr $ Per Sq Ft or multiplier Type: Range Type: Energy Path: Sprinkled Building: les b' thc telePhone Notilication nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: T H I s P E RUlJ.fl$ &9,, rxP l,R!l I .T.S.y I RK AUTHoRltffitdlDffi.ftfl& PERMIT ls NoT COM M E NtEBqMrc RBAilIDO NED FOR ANY 1 BO IfAS PEHfrtTTAgE: REQUIRED PARKING Total: Handicapped: Compact: N Sidewalk Type: Downspouts/Drains: Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 Value Date Calculated by number Valuation Description I D Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -00194ISSUED: 0211312007 APPLIEDz 0211312007 EXPIRESz 0211312007 VALUE: Fee Description + l0oh Administrative Fee + 57o Technology Fee Banner Special Permit Total Amount Paid Amount Paid $4.50 $2.25 $45.00 $51.75 Total Value of Project Date Paid 2n3t07 2n3t07 2lt3l07 Receipt Number 1200700000000000148 1200700000000000148 1200700000000000148 Plan Reviews To Request an inspection call tbe24 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. 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. z/rr/-,;;-r-TOwher or Contractors Signature Pase 2 of 2 I ees raro I t(eourreo lnspecilons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C;+v of Springfield Official Receipt elopment Services Department Public Works Department RECEIPT #: 1200700000000000148 Date: 0211312007 e:3e:30AM Job/Journal Number coM2007-00194 coM2007-00r94 coM2007-00194 Description Banner Special Permit + 5%o Technology Fee + l|Yo Administrative Fee Amount Due 45.00 2.25 4.50 Item Total $51.75 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check PARADISE DAY SPAS INC djb 1042 In Person Payment Total: $51.7s -ffi cReceintl Page I of I 2lt3/2007 *iFn$ffiFrlls p*t': Crr N 76o-? - oooc+ f 225 FIFIH STREET o SPRINCFIELD, OR 97477 r PH:(541)726-3753 o FAX: (541)726-3689 city Job 11r^6", Co nztZ<> 07 - & t q 7 Job Location Assessors Map z ET l7o3 Zto(> o( Tax Lot DogD\ Owner Owner of Property e-(t-{ C), l-.i(r),-{ ,., t.,< t-{ C,) (-)O t. v-( S-{() cr) >\-{..J ts{ -)-1 F{Ct) -F) H $-.t(.)e{ co.F(V) C) -c) CG{-) - l.-,L{ -q) -_{?-i(.1t-td lJ-{ "t t' (_ State oA-Zi *Oo Address City Contractor/Instoller U'/ N€tLContractor ul res y outo Address ATTEN llur\' fo '.Thoseru bsare setlortl City N 952{01 zip u may obtain copies otthe s ? Construction Contractors Eroire- l; DescriPti Co Date of Installation Z-5-ZDoa Date of Removal -{;Doa Permit Fee: $161.75 inclutling S100.0{) Deposit. By signature,I state and agre4{&f fiftEve carefully completed this application and hereby certify that all information herein is true an{Bqgrp6gtltftrthmtag&#4nd ftilbbtWfiRKat the above described banner(s) and/or portable sign(s\i911gghWTJ tbngFR {$+SPE€Hf,l4rl6W0[be removed within 30 days from the date listed above. If $ pgfiremoved within the timeline specified, I will forfeit the $100 that this special permit can be issued only twice per calendar year per aTea.agree to call the inspection line at 726-3769 by the end of the 3Oth 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 retum the $100.00 deposit if the banner(s) and/or portable sign(s)been removed. Si For Office LIse Date of App 2-t7- ?.>o-7 AvttZ-tZ>7' O O Receipt #iltr Amount Collected 5r"f ,LI .4rrvC€qfet)1-8 e Issued By >G Job # Shared Drive (T:)Duilding Foms/Banner_Portable Sigp Permit CSD 8-06.doc I)ate z/r:Zt