HomeMy WebLinkAboutPermit Signage 2007-4-13
.
Status
Issued
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.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00547
ISSUED: 04/13/2007
APPLIED: 04/13/2007
EXPIRES: 05/03/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4851 MAIN ST
ASSESSOR'S PARCEL NO.: 1702320000901
Springfield
TYPE OF WORK: Banner
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Banner and portables- install 040307 removal date 050307. REF:C0D2007-00151
Owner: SPRINGFIELD ASST LlV LTD LIABILITY
Address: PO BOX 3006
SALEM OR 97302
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories: Lot Size: . ,,0.'&
Height of Structure: Sq.t!I~~'i<lD\lt:;t
Type of Heat: "~\~\5qWI.~,,d~~.
Water TJ;llt\\t,~'. ~~\.\. t:,.. ~q1liNBasffitnt:
Range TYtl~: '?t.~~\i ~ ~\lt.~ i~\~,~'l~hgeJCarport
Energy P~\~:~, \'Lr.\l Ij ~ ~~t>-t-'Sq'FjOther:
Sprinkled ~aillii'iiB..I't.'i) O?n~a(\'i). Occupant Load:
,.",tN.\,I _I'"Q\
I DEVELOPMENT"iNF6RMUibI.{',
r" . REQUIRED PARKING
Overlay Dist: Total:.:,',
# Street Trees Rqd: _ \_:',' H~.n~,i,~~pped: ..
Paved Drive Rqd: ,,'\ ... 1 .~~(;;ompact: ; .\
.' . -- \1''' , ::.'" ,.
% of Lot Coverage: ~ \'.,J"..;o':)\('~\ ~J ~u'''''"" '",\'\ "J .:.\.\. .'
r.."0t.- ,IC\!;~' \ t 'i~Cl" ~\, O. () (1'\1I\:> '
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I PUBLIC IMPROVEME'~is:,-\~~~~oCl'\-O~~;1" e,1V":\i'!I ~;,'''\~:~-~''':Ui\
O~\: ..~;) -,,\l ;) 1\,~Q\oe. '\'~ ~\lj) ,-
\(\ , ..-rO\Siaew,.al.k,\FYpe: \' \J~\\\ . ^ ~~)
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# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I on
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00547
ISSUED: 04/13/2007
APPLIED: 04/13/2007
EXPIRES: 05/03/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fe~~ P~W
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
$14.50
$2.25
$45.00
$100.00
4/13/07
4/13/07
4/13/07
4/13/07
Receipt Number
1200700000000000414
1200700000000000414
1200700000000000414
1200700000000000414
Total Amount Paid
$161.75
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m, will be made the same working day, inspections requested after 7:00 a,m. will be made the following
work day,
I ~m~l,irf'rll~
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
"mm'm.."~. . t1/AtrIwt.'e....- 'I /1'$ / 07
Owner or Contractors Signatu} Date I I
~
Paee 2 of2
225 Fifth Street
Sprin;field,'Oregon 97477
541-726-3759 Phone
'~.'.'''''D.....
. :~
Wic- -
CiliIi..of Springfield Official Receipt
.opment Services Department
Public Works Department
Job/Journal Number
COM2007-00547
COM2007-00547
COM2007-00547
COM2007-00547
Payments:
Type of Payment
Check
cReceint 1
RECEIPT #:
Description
+ 5% Technology Fee
+ 10% Administrative Fee
Deposit
Banner Special Permit
Paid By
WOODSIDE ASSISTED
LIVING
1200700000000000414
Date: 04/13/2007
Item Total:
t.:heck Number Authorization
Received By Batch Number Number How Received
djb
2225
In Person
Payment Total:
Page I of I
1:39:06PM
Amount Due
2.25
14.50
100.00
45,00
$161.75
Amount Paid.
$161.75
$161.75
4/13/2007
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04/10/2007 08:36
5033750589
SUNWEST
PAGE 02/03
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FAX: (541)7
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. ')Yff4s1:/lfO UNnJ:D T ./!zf IF THE WORIf
:tym~gNal;o OR IS AB~N"J~~HMIT IS NOT
A" ,8f1 n~v ""~I '. 'Dltplr"'r""'l
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l?xuu1 e.r tf- A- -lctx;u-d
Date of Installation t/ - .:> -0,
. Addre'.
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.....-'
City
Construction Contractors License #
Description
5;- 5-07
Date of Removal
Permit Fee: $16}Si5Ttii'~iudiiig;~1.I!.O~~~,~.ep.~l!.I!:
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By signature, I state and agree that I h8VM..~,W?'~%>mp}~~I~sappli~tjp!\'lD~ ~reby certifY that
all.information herein is true and correct. Irfurther ~\lind understand that the1aoove described
banner(s) and/or portable sign(s) is not larger~~60'i~feet:,lluid:iJiI~be~~ie(rwithin 30 days
from the date listed above. If the banner(s) ~d/or'POitable'sign,i5not.~~v'id~t1lilh:lie timeline
specified; I will forfeit the $100.00 deposit..iiij~~'uniieistimd~th~t'Flri~'~~i~~iWt"c:an be issued
only twice per calendar year per developmerie~'Il:~~~o'agr.e~~e,,~! fflN,!ffi.:~~)~ine at 726-3769
by the end of the 30th day to request an mspection to,verify. tl!e~?v81~o.f1l).e;biiiirier(!I) ~d1or portable
sign(s). This inspection will begin the process to return the $IOO~OOI-~poi;'jt:ifffie banner(s) and/or
portable sign(s) has been removed.
Signaw'p De+p
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Date of Application f'> 0 7 Job # Receipt #
Issued By ---y---,tS: Amount Collected /6;]r
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