HomeMy WebLinkAboutPermit Signage 2007-3-27
ZZ5 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(54])7Z6-3753 . FAX: (541)726-3689
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Contractor/Installer ,
Contractor SkeJJ oJ G odtl..c!-s, ,~'''l,,~\l'i~S:~~' "":
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Construction Contractors License # _ ,) '..,~,.. \\12 C . "'_.....,..,0 \ J ~1il!pin'.
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Description 70-'-41.,lcc 5'~~'''~- (~t? 'ic::>~ZOO*l- 001 z..~
Date ofInstallation '3;/ Z Y 0 ( Date of RemoVf I r 0 7
Permit Fee: $161.75 including $100,00 Deposit. . nV
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By ,signatu~e, I sta~e ~nd agree that I have cAl-!;'~lIr:CR~~15\C(~lfuis~pl!.rrca . m~S tl€reby ~ertify that
all mfonnatlOn herem IS true and correct. I further, agr~g:<4\d 009t~t'iIII.\PtR~ ~~ ~'?tWe descn bed
banner(s) and/or portable sign(s) is not larger t~a.ri6al$iihark \J!ffit\~Ml\)li~fJmoved within 30 days
from the date listed above, If the banner(s) ar\d/or\lj)b1\i:~i:\l~~i~!~'.iz~IW\t removed within the timeline
specified, I will forfeit the $100.00 deposit. I a~~?,'\In,<l.ersMrl'lthlimiis special pennit 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 ofthe 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 S100,OO deposit if the banner(s) and/or
portable sign(s) has been removed, . .
Signatu;#nda qLtUPcw.d -?:AePJ(Jr.iMt:du.ds Date 3h~/()7
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Issued By ~ '1 Amount Collected 5/ ?E.
City
Shared Drive (T:)IBuilding FormslBnnner]onable Sign Permit CSD 8.06,doc
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. LII i' OF ~r KI1'l/td' Il!,LD '
Building/Combination Permit
PERMIT NO: COM2007-00468
ISSUED: 03/30/2007
APPLIED: 03/30/2007
EXPIRES: 03/30/2007
VALUE:
Status
Issued
225 Fiftb Street, Spriugfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4124 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323201200
Springfield
TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Portable sigu. REF: COD2007-00125
Owuer:
Address:
SHELL OIL PRODUCTS US INC
PO BOX 4369
HOUSTON TX 77210
Contractor Type
Sigu
Contractor
OWNER
I CONTRACTOR INFORMATION I
I License Expiration Date Phone
A j t:.I'J; .......'...'-......~,J.ll~l\'V :-1~l.iljes l'
("lIr",., ..,,!,..(" ....."..:........,.....-.1 10... it.. _ __ .
# of Uuits:
Primary Occupaucy Group:
Secoudary Occupaucy Group:
Primary Constructiou Type
Secondary Coustnictiou Type:
# of Bedrooms:
. ~ -..... ~~......, \ooi I
BUlUDlNG(jNEORMATlON'I~ rule" ::r'e rr- "
w t.l w....( IJ.l
,n VAN l:J~:'::-UU1-001O ihrough OAR 9'>? 00'
JCIIJC!~S,t!'.rJe~':lc;V obtain copies of it:~L,~!,~~ei
I.!!:!g~!~t~tr't.<j~,~fj~. (Nottl, II . \..~fl'F!'1st Floor:
Type,o(.ijeat;. . ~ " . Ia ,e'~!Sq'Ft'2nd Floor:
1W~"t''''''''f.' ,VI ""I'! O.~f',"'n UI,',tvNo.'I'S'"'E't"B'
a er ,ype: ,.' ;'" q' ., asemeut:
, 'n".r Is" 8"" 33"
Range Tfpe:'<- ,. ,.v, ~-13.;~.) Sq Ft Garage/Carport
Energy Patb: Sq Ft Other:
Spriukled Buildiug: uta Occupaut Load:
Froutyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I
NOnCE'
T Rverl~y' Dist:
A ~~lree(!-NUsiR4i1lL EXPIRE IF THE W
Ipatle'dFbi'@~q?aER THI ORK
Cc.o,(.'o'i!1~t~l'iverage: S PERMIT IS NOT
ANY 1 SO DAY :t~:~~BANDONED FOR
I PUBLIC IMPROVEMENTS I
REQUIRED PARKING
Total:
Haudicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instructiou:
Sidewalk Type:
DowuspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Type of Coustruction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
.
. CITY OF SPRINL"'~LD
Building/Combination Permit
PERMIT NO: COM2007-00468
ISSUED: 03/30/2007
APPLIED: 03/30/2007
EXPIRES: 03/30/2007
VALUE:
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pboue
541-726-3676 Fax
541-726-3769Iuspection Line
Total Value of Project
~
Fee Descriptiou
+ 10% Administrative Fee
+ 5% Techuology Fee
Banner Special Permit
Amount Paid
Date Paid
$4,50
$2,25
$45,00
3/30/07
3/30/07
3/30/07
Receipt Number
3200700000000000186
3200700000000000186
, 3200700000000000186
Total Amount Paid
$51.75
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.
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By signature, I state aud agree, tbat I bave carefully examined tbe completed application and do bereby certify that all
information bereon is true aud correct, aud T furtber certify tbat auy aud all work performed sball be done in accordance with
tbe Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to tbe work described herein, and
tbat NO OCCUPANCY will be made or-any structure witbout permission of the Commuuity Services Divisiou, Building Safety,
, I furtber certify tbat only contractors and employees wbo are iu compliance witb ORS 701.005 will be used on tbis project. I
furtber agree to ensure that all required inspections are requested at the proper time, tbat eacb address is readable from the
street, tbat the permit card is located at the front of tbe property, and tbe approved set of plans will remain on tbe sile at all
times duriug coustructiou,
'of'nt:Ltt 0 {/ W cu.d-
3/30/07
,
Owuer or Coutractors Signature
Date
Paee 2 on
225 Fifth ,Shet
~
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00468
COM2007-00468
COM2007-00468
Payments:
Type of Payment
CreditCard
cReceintl
.
RECEIPT #:
Description
+ 5% Technology Fee
+ 10% Administrative Fee
Banner Special Permit
Paid By
LINDA GILLILAND
TI:~~;". .
Itit, ','
- _. -
.,. -0 ., __
~ of Springfield Official Receipt
.elopment Services Department
Public Works Department
3200700000000000186
Date: 03/30/2007
Item Tolal:
Check Number Authorization
Received By Batch Number Number How Received
djb 077241 In Person
Payment Total:
Page I of I
2:16:47PM
Amount Due
2,25
4.50
45,00
$51.75
Amount Paid
$51.75
$51.75
3/30/2007