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HomeMy WebLinkAboutPermit Signage 2007-2-14 FEB-13-2007 11:19A FROM:GIANT 5417470B08 TO: 9426227 P.2'2 ..-' . . .sPRINGFlIIILD~-' ..! l.AL^ - .'''. . _ . :;~O'::'---.,,,,~"'i~r',",, ..~." .....1,......,. .......'1i.C...:~ f&' .~~;:.,.,. .....~...e... . ~;~ c.ThA\t~:..... ~ CITY OF SPRINGFIELD. OREGON L Vr. k (:":;,. ~c: Address~q 0 ~ Lo() i H. Phon.. 1 tJ 2... ']..'b -:J I -tity~1J[t (?Q6'-PC State ~f .nZip- 97'1"LV '='4'!.~~~\~i~~Wgi~" .,'.' .. Address_/J tJ. ~ b\~C~~e~n.. PhOf'D q t/'l .. :;2. t J / r.r ~$i.1 &0 Ui -City elll4)f 'C7nv1J "tate (JR. Zip CJJ'I'2V Constructio~ Contractors License # f1 76 9. .:au\,,,.iJ~::l~,, EXPire4 ~ /0 ..7 ~ 'Otego,,\~I. Otegv1'--,ot\1 Description .. IOt't t~.Ih..t"e \ ... -,,'l>Slilt ,,'\ ',;. e.ow.-\"osetUI"O~f\9S'l-vv , 0 ..!~; Date ofInstallation '2O'IJ.?/I'! ~"\~~.n~'D'im~1~dth'O. ~lHes'2. h 1/ 07 s: l'Y'M" 9S2...Q'J'-"~\ai"CO?\~ e\e\e?~o~\~" - - ~ p~~ _ ~1.~\~~m~~~tijl~Cl(\~~rposit. ~ By signature, I slate and agree ~~t'rmv\'G\lqnff~8~~il:lRtm'application and hereby certify that . all information h,!:rein is true and .~:r.m~ ttll_C;a~e and understand that the above described R banner(s) and/or portabl.e 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) andlor portable sign is not removed within the timeline ~ specified, I will forfeit the $]00.00 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 301h day to request . peetion to verify the removal of the banner(s) andlor portable ~ sign(s). This inspection will . the. ocess to return the $100.00 deposit if the banner(s) andlor -e portable sign(s) has been oved /' ~i Signatu- /--./ . Da.. ;).(('((: 1 ~ (. "'"=-'i' Date of Applieatiol' . Z J ~ :Q: ::::OC7-OC>ZO~ . t # \~~ 1<;; A' o. eeel7Pr -, ~~ ~I- ~ Issued By . Amount Collected m ~ 225 I'IITH S'TREE1' . SPRINGnELD, OR 97477 . PH:(541)726-5753 . FAX: (540726.3689 ~ C ....00.-,_00 ZDl.. ..~ CllYJobNumber~""" ,. ,.~ Job Location :J 7 {;, 0 (/J.c J"; S 1 Q~ \7D7- '"3 (lL 'Z- ~ssessors Map '"'\ O. I':;"~": ,';:!:' ,j ..~.. :, I . " . . . .. .... ! .:;. ' . \ : . ~ .' . , ~ ~ Owner of Property ~.~ W ~ ~~ ,-l . .<;;H?/JJ~ r: t /) ()~ C>IZO~ Tax Lot U ID Shared Driw (T:YBuildiaa FonDlIBllftnCl'_Porta.bto Sian !'emit CSO l-06.doQ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726.3769 Inspection Line . .11 l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00202 ISSUED: 02/14/2007 APPLIED: 02/14/2007 EXPIRES: 02/14/2007 VALUE: SITE ADDRESS: 3760 Main St ASSESSOR'S PARCEL NO.: 1702314201200 Springfield TYPE OF WORK: Banner PROJECT DESCRIPTION: Banner - code compliance ref:COD2007-00059 TYPE OF USE: New Commercial Phone Number: 541-942-2631 Owner: LUCK FIVE INC Address: 290 PALMER COTTAGE GROVE OR 97424 Contractor Type Sign Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Gro'up: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction I CONTRACTOR INFORMATION I License Expiration Date Phone BUILDING INFORMATION I n/a Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: N ~nergy Path: o }~er).,!kled Building: rl.J/~ ". ..I......t.- ItOEA(EL'OP.MENT INFORMATION I (,O!;f o,f,(EO -"Ii!.l E 4Nr ,~(4)~frJaX9)a[:Ii r~;If?EiF rl' o fP~Y~~'i:tf;~ IWl,S' PEtrA, 'iE WOf> Pavea'ff>~ \l6NOO 'Yllr IS iiI( % of Lot erage: 'NED FO/1 NOr REQUIRED PARKING Total: Handicapped: Compact: "l/Jj I PUBLIC IMPROVEMENTS I fOlIO ~ J 1I0/lJ' NOtif.. WrlJles .0regO' In O"l'CliItion C adOPted r, 'ClW re DownspoutslDrains: 0090 R9S<!..n"enter. h. bYtheo!fll/resy . YOu vv'-oo ''lOSe" 1'ego ou.lo '1 Calling th l7Iay ob1. ~o thrO{jg~/es are n Utility lJl7lbt:.~, "(:en..,. liIIf/Cn",- OAo_ Setf{l.... C '" (.'1... ;. n~1 . ;'- :flfle -.. '-00, enfe~;Wlftition~~...iPhofi""s b, uv(). I..yfll. .r;"vne- $ Per Sq F13<.i~~llJ:ltJ15l\otage or multiplier 'or Bid Amount Sidewalk Type: Date Calculated Value Paee I of2 . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00202 ISSUED: 02/14/2007 APPLIED: 02/14/2007 EXPIRES: 02/14/2007 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 L.Fp.p.s Paid I Fee Description + 100;0 Administrative Fee + 5% Technology Fee Banner Special Permit Amount Paid Date Paid $4.50 $2.25 $45.00 2/14/07 2/14/07 2/14/07 Receipt Number 2200700000000000199 2200700000000000199 2200700000000000199 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. By signature, 1 state and agree, that 1 have carefully examined the completed applicatiou and do hereby certify that all information hereon is true and correct, and 1 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 Oregnn pertaining to the wnrk described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 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. ~7lf5" Owner or Contracto~Signature ~ :0'~~7 .; Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . "ira'''' ..J'I....., Mtr'~7~':;'."~'\ 1 )'^'. , ,.1 _~.:'c .~. Cwf Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2007-00202 COM2007-00202 COM2007-00202 Payments: Type of Payment Check cReceintl RECEIPT #: Description + 5% Technology Fee + 10% Administrative Fee Banner Special Permit Paid By GIANT BURGER 2200700000000000199 Date: 02/14/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 10368 In Person Payment Total: Page 1 of 1 1I:25:IIAM Amount Due 2.25 4.50 45.00 $51.75 Amount Paid $51.75 $51.75 2/1412007