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
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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
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Contractor/Instoller
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Construction Contractors Eroire-
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Date of Installation Z-5-ZDoa Date of Removal -{;Doa
Permit Fee: $161.75 inclutling S100.0{) Deposit.
By signature,I state and agre4{&f fiftEve carefully completed this application and hereby certify that
all information herein is true an{Bqgrp6gtltftrthmtagnd ftilbbtWfiRKat the above described
banner(s) and/or portable sign(s\i911gghWTJ tbngFR {$+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.
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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
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