HomeMy WebLinkAboutPermit Signage 2007-4-24
22511ITHSTREET 0 SPRlNGI1ELD,OR97477 0 PH:(541)726-3753 o FAX: (541)726-3689
SJ City Job Number COfA.'\ 2007 -OD :;;9L./
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CITY OF SPRINGFIELD, OREGON
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Construction Contractors License #
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DateofR~~val '5'jCJ~ 10+
Description -D\\ '(\. \ \ )f' k" ~
Date ofInstallation Lj. /;:::) L\ I 0 -:r-
Permit Fee: $161. 7S including $100.00 Deposit.
By signature, I state and agree that I have carefully completed this application and hereby certify that
all information herein is true and correct. I further agree and understand that the above described
banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days
from the date listed above. If the banner(s) and/or portable sign is not removed within the timeline
specified, I will forfeit the $100.00 deposit. I also understand 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 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 remo~ \f."-- '\ '
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p~ Amount Collected I b I 7.!--
Issued By
Shared Drive (f:}lBuilding FonnslBanner_~ortable Sign Permit CSD 8-06.doc
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00594
ISSUED: 04/24/2007
APPLIED: 04/24/2007
EXPIRES: OS/24/2007
VALUE:
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4343 MAIN ST
ASSESSOR'S PARCEL NO,: 1702323104001
Springfield
TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner -Install 042407 removal date 052407
Owner: CORLISS CRAIG E
Address: 2120 LAW LN
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
E'xpiration Date Phone
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructioo Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Euergy Path:
1'''c. Sp"\il\'ee.itllJlli'fding:
>.In "I;. ~"OIQI= II .___
1\'1\5 I'H,MII :';EPhbIDVEI:.9PMENi)N~ORMATlON I
r>.\li\'lOR\2\:0 tl \s r>.BM-mUNt.U I ",.
Frontyard Setback: COMMH~C\:O OR 00 Overlay Dist:
Side I Setback: r>.N'i 1BO Or>.'/ 1'\:1'\' # StreetTrees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
Lot Size,
Sq Ft 1st Floor:
Sq Ft 20d Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Total:
Handicapped:
Compact:
--" .-
Street Improvements:
Storm Sewer Available:
Special Instruction:
l----....t.~~.\t.lr...:;__~
ATlENTION: 4'~UlelMP,RQN~I'irf' I
follow rules adul-""Th-' e rules are set 10nll
Notification Center. 1 0 t~~OU9h OAR 952-001-
in OAR 952-001-00. opies of the rules by
0090. You may obtaIn ~ote: the telephone
calling the center, (on Utility NotificatIon
number ~or !~~,?~~~nO_332-2344).
Sidewalk Type:
Downspoutsmrains:
Notes:
"""......-
I Valuation Descriotion I
Descriptioo
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
.
. CITY OF ~n~Jj'~lrI'IELD
Building/Combination Permit
PERMIT NO: COM2007-00594
ISSUED: 04/24/2007
APPLIED: 04/24/2007
EXPIRES: OS/24/2007
VALUE:
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L.Fp.p.s P3ilU
Fee Description
+ 100/0 Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
$14.50
$2.25
$45,00
$100,00
4/24/07
4/24/07
4/24/07
4/24/07
Receipt Number
1200700000000000458
1200700000000000458
1200700000000000458
1200700000000000458
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.
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Sign Final: After all required inspections are conducted and approved and tbe sign installation is completed.
By signature, I state aod agree, that I have carefully examined tbe completed application and do hereby certify that all
information hereon is true and correct, and I furtber 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 Oregoo pertaining to tbe work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I furtber certify tbat only contractors aod employees who are in compliance with ORS 701.005 will be used on this project, I
further agree to ensure tbat all required inspectioos are requested at the proper time, tbat eacb address is readable from the
I street, that tbe permit card is located at the front of the property, and tbe approved set of plans will remain on the site at all
~~~ction, ~ ^ ()4-~\t-D+,
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Owner or Contractors Signatur '-.....)
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2007-00594
COM2007-00594
COM2007-00594
I COM2007-00594
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
+ 5% Technology Fee
+ 10% Administrative Fee
Deposit
Banner Special Permit
Paid By
MCKENZIE FEED AND
SADDLERY
<A of Springfield Official Receipt
_Iopment Services Department
Public Works Department
1200700000000000458
Date: 04/24/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 202285 In Person
Payment Total:
Page I of I
3: !0:24PM
Amount Due
2,25
14.50
100,00
45,00
$161.75
Amount Paid
$161.75
$161.75
4/24/2007