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Home My WebLink AboutPermit Signage 2007-1-2 ZZ5 F1ITH STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689 ~: _ 0011 ~) CityJobNumberCO,,,,,,z,007 0 , -", ...--l~ . e. ~l Job Location .~ e. ,_I, Assessors Ma:--. ~l ~J ~ Owner of Property <'QJ ee~ ~, ~ Cit:, ~ ~, ...~I~ ~, ~4 ~' ~:1 ~4 ~, ,- ~ -, e?; U /, II I, " e'~l r' -, ~ f" j~ ~, ~, ~) -. 'r-1. ~ (i]:)) . '-'I~ .,.JQ) ~ ~( ~ ~j ~. Ii (i]:)) 81-. -. ~. ~ ~l ~ ~~~ /4C ( 1MA-\'2.~ 1703 Z~3] s-r Tax Lot 10004 "5H LLC Addre~o' /"J F.}- 0* \L ~ J e-u. &tr-N~- . 'lllnIWIll'P' r int' dT". 'Itll'I1'I':llljqll~;;,I'I'Ii'lill:11 :i:I"IW'illl'l;; 1": I: I T'l'" d' .11'1l:1l1: ,1;1111 l'jl jllH:il I' T I' :l;;I':II'!i:i.' ~I'l 1'!OHmer' l!!I:,,:I::\' ~l:~ 1 111!j'HIIIL!!j'I,,'i. I: . ;lllll<~,II\1 ,1 !tl'::,," '"l:,"\;. ~\'l;:!:,:,II; 'I::l!. II',I~: ';1:::1,:, 1,,1," ,{; ~. II...".... .tt. I. >,Ill 11.,1, ,t II.r." I ..1. ,I., . .. . l. .11../''/, '_1...1. ...,lIl.... " ,.,1 '.., ..dll, ., j." .... .., '>Il.l ..1. ., .' Phon" b;t Zir ~7<{O' State 'h'l . -... " "",' .1 1 ," 'il II""'; -JIll.' ,'" "I" " " I' "I'''' ',. :,"'j . ,-,. .1 II 'I . 1:IC,.l 1'1(11I11'('j' ,~T';"("'II.:.ld.II' 11;,.tl.(1 I...'. ":'.1"'''1\\ d,,; 1,1" ;1":1'; lJl' 'IH " '.i' 1:1'.1111'11' :11.1:: 'J ,011 rac orf.lnS a er':ll~l'l :1", 11,1' 1'1:\"',11, 'II "j'! "~I '!" 'f,,':' II ',' , :;it:" \.1 j II';"" ; I :;.:' l,dJ!!illl,",ljl ,11;1'" l.lP"!i'!.II]! ::t..-.L!:-, '~'j!';: .J:,,!. '.""j~:~: ,,; :"1,,',.: .II".:!I 'j'.' ~:II,;,: Contractor C::>WHt:.l . , 'JI'I!: ;:. ',' .,' ,! i, ~', I : 'r!!, Ii j;: I", I, t: . ;.';: '!. Addreso ~ City "~ 7:ip / Construction Contractors License # Expirf'o Description?--4..\, Ie::: S\.J..... ~ Date ofInstallation I k /zoo -, Date of Removal z./z./zoo-, r I I I Permit Fee~:~,~?1:!?~~ncIudi.I!g;,s100.00~I)l:P.9~tiu to By .signatu~e, I sta~e ~nd agree that I\h~i~;~~~I1M~R:'Wli('ffi.%t/U~iP.~ieirlB~}{2d hereby ~ertify that all mformahon herem IS true and cOITectJIIdfujj(h:~J(~gr4Jt.'<!J1.AIwm.1fi\l&1AIrtb~!ifo,bove deSCrIbed banner(s) and/~r portable sign(s) is nolllrar~e,ir:.tham69 s.ql11!f,'l.t~~}l.iW9f~UPa'e!;no~v~d with.in 3? days from the date listed above. If the banner(s~'liihSV0r~1>ortllble($lgrw~t!1QttL'iU111X.~'wlthm the hmelme specified, I will forfeit the $1 00.00 deposit1.1tIElilso-W1tIe1'St!g1d1bJ!ll~N~;'<J1lIi8rrmit can be issued only twice per calendar year per development ar€ii'.tel'iilsblli~e:tq'c<l!ilI.t;lJ~ inspection line at 726-3769 by the end of the 30th 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 return the $100.00 deposit if the banner(s) and/or portable sign(s) has been remove4-" Signatnrp ~/~~f-:-::';':;;;:. Dat" J-Z -0/ "',"I'I"!"""""II"'."""'I '''II''.'''I''I'.''~'''''1'.'.II.'''''.''... ....'....,.. ...'.."ill....'..'.. ,'.' .. ......'..'. .1 ,. I' 'I' .,:', ", ,,,' 1"11 I,,' .11 Ij'f . ""1 ". ',,,, "'Oli'''''....JrT.ho!.: ":"'. c. 1"11" , . , 'I' ."..., ",. . 1\1 I. j (';1"1111', :;; .,-,hll 'ill~!11 f~l ;1> 'l':;:~' :.; , rO~ ':JJ".ce o/"-'1lALlJ'E.kP."IR~I"'r "! li: :111; ItI:11 '11',1,;1.,";11 ':.: II "II" . . 1.'..,11111 .. ""1.1':'21 '7;'c)'" . !I!\!'!i HORI7f"";liAi~.~':.;I::. .' .' ~"r;'THe'WORK ..,,,,''', ", ,,' " . " Date of Application _./ . r.(Job\#"~c"l-::~(!)tt:%:iIIIIERMIIReceipt # ? ANY 1 so 'DAY :En :;:, A/JANDONED FO'V i ., r Issued By ~~ Amoun~~b'lIected 10- Shared Drive (T:)fBuiJding FonnsIBanner]ortable Sign Permit CSD 8-06.doc . ~ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-0001I ISSUED: 01102/2007 APPLIED: 01102/2007 EXPIRES: 02/0212007 VALUE: Status Iss u ed 225 Fifth Street, Spriugfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1401 Market St ASSESSOR'S PARCEL NO,: 1703253310004 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Portable sigus for Fitness by Design install 010207 removal date 020207 Commercial Owuer: BES LLC Address: 1385 OAK ST EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Sigu Contractor OWNER License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constrnctiou Type: # of Bedrooms: I BUlBDlNG,INFORMATlON ryu,res you 10 'U[f[fcation Ceme . - - J '"e: Oregon Utilit 'r< O/If!>!J~l.?'!(\f~\ -o~; Those rules are setfo~ize: J090fl~lgjt(1lLStJ;uctupethrough OAR 9S2~?,~t 1st Floor: CalTy"pe,of H~at,t>taJn COpies of the r I S,(Ft 2ud Floor: ... " ,"" "''''nte (N u N' /i' '(imWater Type: r. ote: the tele h -:;q Ft Basemeut: lit::. rn.r;."hpO P on='-'- Ra,ge t.yp~: regon Utility NotT .Sq Ft GaragelCarport , EuergfP'ltb: 1-pQO-332_2341.1\"CaflS/jlFtOtber: Spriukled Buildiug: n/a' Occupant Load: I DEVELOPMENT INFORMATION I Froutyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: NO JIi>/v<<;!!ay Dist: THIS # Street Trees Rqd: ~,[v'edlD,riveIR!ld: AUTH ",), f1I , r:'(PIR rzf.,~ttl!l {Joverage: E IF THE W COMMENCFn n~~~~ THIS PERMIT 1<: 2~: I PUBiiic ,iMPRON'EMENTS,JNED FOR . - , Sidewalk Type: Dowuspouts/Draius: REQUIRED PARKING Total: Haudicapped: Compact: Street Improvements: Storm Sewer Available: Special1ustructiou: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Iuspection Line Fee Description + 10% Admiuistrative Fee + 5% Techuology Fee Banner Special Permit Deposit Total Amount Paid . Total Value of Project r\ii~~ PIWJ Amount Paid Date Paid .L.ll i' VI:' :srKll~t.l:'l~LD Building/Combination Permit PERMIT NO: COM2007-00011 ISSUED: 01102/2007 APPLIED: 01102/2007 EXPIRES: 02/02/2007 VALUE: Receipt Number 2200700000000000002 2200700000000000002 2200700000000000002 2200700000000000002 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. $14.50 $2.25 $45.00 $100.00 1/2107 1/2107 1/2107 1/2107 Sign Final: After all required inspections are couducted aud approved and the sign installation is completed, $161.75 I Plan Reviews , ~lIirerll~ By siguature, I state and agree, tbat 1 have carefully examiued the completed application aud do bereby certify that all information hereou is true and correct, and 1 further certify that auy and all work performed shall be doue iu accordance with the Ordinances of the City of Spriugfield aud tbe Laws of the State of Oregou pertaiuiug to the work described berein, and that NO OCCUPANCY will be made of any structure without permission of the Commuuity Services Division, Buildiug Safety. 1 furtber certify that ouly coutractors and employees who are in compliance witb ORS 701.005 will be used on this project. I furtber agree to ensure that all required iuspections are requested at the proper time, that each address is readable from the street, that tbe permit card is located at tbe front of the property, aud the approved set of plans will remaiu ou the site at all times during construction. _~ ~~ Owneror~ -:::.------ Paee 2 of2 1-2-07 Date 225.Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00011 COM2007-00011 COM2007-00011 COM2007-00011 Payments: Type of Payment CreditCard cReceinl1 RECEIPT #: . ,..~..."......, I ~'~-'--"".""'"'',,',''' , I ' "''-'" J , , ;. i .-. j,.' - ..,~""'-~"..-.... -, Description Deposit Banner Special Permit + 5% Technology Fee + 10% Administrative Fee Paid By FITNESS BY DESIGN CYiMlf Springfield Official Receipt '-opment Services Department Public Works Department 2200700000000000002 Date: 01/02/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 023827 In Person Paymeut Total: Page I ofl 1:16:30PM Amount Due 100.00 45.00 2.25 14.50 $161.75 Amount Paid $16L75 $161.75 1/2/2007