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Home My WebLink AboutPermit Signage 2008-11-21 Status Finaled CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01702 ISSUED: 11/21/2008 APPLIED: 11/21/2008 EXPIRES: 11/21/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1501 MOHAWK BLVD ASSESSOR'S PARCEL NO.' 1703253404401 Springfield TYPE OF WORK, Banner TYPE OF USE, New PROJECT DESCRIPTION, Banner - issued expired for code compliance. REF, COD2008-00642 Commercial Owner, JENKINS ROSETTA M TE Address: PO BOX 214 SPRINGFIELD OR ,97477 Owner, ROSETTA M JENKINS LIV TR Address, PO BOX 214 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Contra'ctor License oU\O ...~...\j t'1 I BUIJA)lN(llIN~A'~1' III , 11-,Ti t-li\O\'<. ~ \eO u~ . tu\eS [{, - 952.0 f>,"\I€ {uteS a.d~~~is~ln Of>,?< luteS '0'1 \01\Q~ \\0(1 ce(l :~il~\'\H' ol~~e ~O(l9 t-Io\i\\C~ 952.00\' 6\)'1f1\l6f .tlne \e~~~iCa.\iOt\ 'l'I9K 'IoU tl'Ia.'ie~81e,.l,lE~ W\\1~4)' 009 a.\\i(l9 \ne ~~:(j)~ lJ(i32"-- C :oel \01 dF\lIr~ ath, (lutl'l ce(l~ Spriukled Building: Expiration Date Phone # of Units, , Primary Occupancy Group, Secondary Occupancy Group, Primary Construction Type Secondary Construction Type, # of Bedrooms, Lot Size, Sq Ft ) st Floor: Sq Ft 2nd Floor, Sq Ft Basement' \ Sq Ft Garage/Carport .. Sq Ft Other: n/a -. Occupant Load: ~ ~,<",-". I DEVELOPMENT INFORMATION I ..~ REQUIRED PARKING Front yard Setback, Si\le I Setback, Side 2 Setback, Rearyard Setback: Solar Setbacks, Overlay Dist, Total, # Street Trees Rqd, lfitndicapped, Paved Drive Rqd, . ~ ~O~mpact' % of Lot Coverage, '\~ ,~~ ,~l\O~ ~~" ~~,\ _,"~'. _~~f>\1. "'Ie:. ~t; _~ ~('i~ llH' x.~.!.!,}! t.'1\ \ G~(,.~ I PUBLIC IWll;'J1.-1"'Y.',.;!;;Ili~. f>.'ot>,l\O r r "r\\,\LJ r\ ,':l t>,\}\ "u ~Ct.O u ~,C~pewalk Type, r\.~~t: 11,1 Vt: -.. Cu'" "\'01.) Or" . DownspoutslDrains, ~\\i Street Improvements, Storm Sewer Available, Special Instruction, Notes, ., Paee I of2 Status Finaled CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01702 ISSUED: 11/21/2008 APPLIED: 11/21/2008 EXPIRES: 1l!2l!2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description ~ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee Banner Special Permit Amount Paid Date Paid Receipt Number. $10.00. $5.00 $100.00 11/21/08 11/21/08 11121/08 1200800000000001167 1200800000000001167 1200800000000001t67 . Total Amount Paid $115.00 I Plan Reviews I To Request an inspection call the 24 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. Reouired Insne~tions I 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. ~ AJ&Jk ///sz//oZ) Date Paee 20f2 225 F\fth.Street Spcingfield, Oregon 97477 541-726-3759 Phone . Job/Journal,Number COM2008-0 1702 COM2008-01702 COM2008-0 1702 Payments, Type of Payment Check cReceiotl RECEIPT #: Description Banner Special Permit + 5% Technology Fee + 10% Administrative Fee Paid By FLUKE ENTERPRISES CORP City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000001167 2,OO,36PM. Date: 11/21/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 100.00 5.00 10.00 $11 5.00 Amount Paid djb $115.00 $115.00 5218 In Person .Payment Total, 'I. Page 1 of 1 11/21/2008 , :.~ 12cr=: (OhzoC\8'-OQ.6L{L SPRINGFIELD ZZ5 FIITH STREET 0 SPRINGFIEW;OR 97477 0 PH,(541)726-3753 0 FAX, (541)726-3689 ~: -.~ -.~ Job Location ~ ' ->1>._4 Q ~ Owner of Property -.~ >- Addres< ~- I, ~ ~ ~. ..:: ~~ .~ ~ .~ ,. ~. II I, >. -.~~ ~ ~ l~. ~ ~\, ,~~ ~j ~) -.~ ~ ,~ ~ I ~ ~ ~ I M CityJobN~mber co W'Z.Cag -0/70 Z . IS-O (iIf){ 0 H-A\.;'Ilc (70 (Z~"S. 13l1/0 Ot{40( City / ~ () / /fJ () 1/19;J;: phon" ~e'<j\O 6tJf&()); . . 'iT) r. CJJm ~teeo.\l~~\~\'l\ r--- 'j 9,0" ~aul~ se'\. e. '.",e. S~\~W''''',()()}- " "-f>'a,g"t:.~,%\ """".",', . .l",.V.'~.' -"M\;J. '..'l\l'~ .. \l"",;;"Rw;e...""",,(\ "0 [.,)(JI'.^ '1~"d)C)\~ _ ~nO\es 0, \e\e?n~"r\l\ , ~U"'. gb:(...';' o'Ow.... o\e., ,\,. ~O\I""-. $\ O",?- 'lO\lIll,a.'1 (\\el. \.~ $\\\\\'1 AM.. "",C\C). .he ce ",P.qO(\ p'lOJ.Z'3 l'ho'." .. "II '" . \(\" - o.\l\""" ca.. el \01 is ....u l\\l~'O cel\\el "tate Contract(lT Addres< Construction Contractors License # .~ ,"f' 7J/7-(}C2 JJ Zij: q7L; 77 / \ . ,...".,; Zip Expir"'< Descriptiop. -=;:>CN\...-+-.A-~)t- 51 <'" (S \ Date of Installation 10/2 't!o F" Date ofl~:em~Val'."""'~~ Y I . " . : ,. ~'C. ,t ' :t\~ \'< I Permit Fee: p15:OO1ilciuding_~lP!{lO D~t~Yst~~~. II J~ By signature, I sta,te and ,agree that I hav,e car, ~. ~~ \ ~~~__~}&~n and hereby certify that all information herein is true and correct. 1 fillth1 ~~ that the above described baimer(s) and/or portable sign(s) is not larger th ~R~dwil1 be removed within 30 days from the date listed above. If the banner(s) an(LIor ~1I>WSlgn is not removed within the timeline specified, I will forfeit the $100.00 deposit. 1 also derstand that this special permit can be issued only twice per calendar year per development area. I also.. agree to call the inspection line at 726-3769 by the end of the 30th day to request an inspection to verify the removal ofthe 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) hasCeg-emoved. , " SignatnT" ,/J./ ~ AJ eci! Dat", 11/;; lie V Date of Applicatiol' Job # Issued By j-R Amount Collected ~eceipt # Shared Drive (T:)lBuilding FormsIBanner...:Portable Sign Permit CSD 7-OB.doc