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Home My WebLink AboutPermit Signage 2003-6-4 225 filTH STREET. SI'RINGfIELD, OR 97477 . FH:(541)726-3753 . FAX: (541)726<'689 ~i ~l eJ) .,)1"~~4 t?(1J Banner Location .'~.:; ~ Assessors Mop .,) ,.-j~ I(!'.. ~l #~ t?(1J ~ ~ ., =-41 ~ -~1 ~ ~ ~) l;_~ .,) 'r-I~ gll ~r-l ~l ~ El ~i e~i. ..-1 ..-1 ~j (Q) U Il l~ "~i :=: ~ f,!'\\' ~i ~j ~) ~j ~( e: ~j ~l '. .. . CITY OF SPRINGFIELD, OREGON '" ^/'A "'003 rOO 'i sLf City Job Numbe- (...A./vv, <- /7/'-1 f1~n Sfr,,~f, , J7D3.~b31 Tax Lot O/go OW1ler F-Ill.><,,, .x;.c.. db.<- Sfl ro'~ Ntlllma. [).... nn; hail; /"('o(.S. Owner ofProperty~" Addres< 1/ I l( ha; n l j'C!./ r~ : Phonp 12.~-l47:1 o,..:J Lj 7 1 City ~a.r; ....Cj-C. ;"II"'{ I ~ . ZiJ:' State On"()llJ"'l Contractor/Installer Contractor S' ~ I ,(:' Addre<< f.1. 6t..1 n Phonp ',14 S f r: r'l'J -t. "jcfJ IJJ refJtM. Zip CJ'lLf'?7 City State Construction Contractors Registration # /J)(.J- Expire< !J /A- Descriptio!' Date ofInstallation :];J' nl' r 2~~ 3'- Date ofRemov~l.1' t..<n e I "" Lao 3 , , r ~'*'- Banner Permit Fee $80.00 +J9-f",,~mil1istrative Fee ~ Deposit Required $100.00 " ,.,; ~~#<",~<<:- By signature, I state and a~~~af<t.~e carefully completed this application and he{@by certify that all information herein is t~~~'{';o~e~t. I further agree and understand that the abo,ye)dssbj].led . banner(s) is not larger tl3~~qy.a'fe feet, and will be removed within 14 days frwn't~e)q,~t2,ILSted above. If the b.'trWeR.~i~"b~~$ed within the timeline specified, I will forf9ittl[t~10QJ00) d.epbsit. I also under~'il'~~tJ.1~ ~'(l()@');ermit can be issued only twice per calel!..ga~~J~~"p@i-~Q~e)~~JP~eg!, area. I also~~"e \~!{..\tff~'\pection line at 726-3769 by the end oftheH,t~'aaitq,feq~esk,~ ~ inspection to V~~Q.'f~~oval of the banner(s). This inspection Wil!'B~gih~\1'€"'~J~~s~)!Bffe~ii'~ the $loo.~Ode osi i6l1~')Inner(s) hasf1remo ved. 0':>'" OO~'3<"':' <;;:)'S' CiO~ 0~'~~~' ~ Cd-. '~"" 0.~ r::,'If ~ 1:)'" .'" '>l~_\'~ n'":J :/ ' '"~ ~0 00 >S ~~ \"")1'': ~.r'?l;" ~ ::J Signa r ./9?uA. - &'L~.A1 ,o(,V ,\j - ")"Dat(;>' (a.<,~, -v ~ V . '?-' ~ '0' )oJ ~y ~'" 0~ >:;- , ~o ~ ~~ ",'If 0<:::' 0" 9:P r Fo/' Office Use.....O #v ~ OJ ,;;, \" '3 Ci 0 ": b{ (5 '3 ~oO'\>' 4,0{fr}'S' i,~ . Date of Application f ~ Job # COIM 2.00,0 -;<99..H ~... -R~ceipt # --"'7 \,J- v-,;;,~1t:v gCO Issued By U ~ Amount Collectea / 8 - Shared Drive (T:)/Building FonnslBanner I'enlli! CSDI..Q3.doc . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00454 ISSUED: 06/04/2003 APPLIED: 06/04/2003 EXPIRES: 12/04/2003 VALUE: $ 100.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1714 MAIN ST ASSESSOR'S PARCEL NO.: 1703363101800 Springfield TYPE OF WORK: Banner TYPE OF USE: PROJECT DESCRIPTION: Banner - call for inspection after banner is removed New Commercial Owner: SPIRITS Address: % ENLIVEN INC PO BOX 71433 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Owner Sign Contractor SPIRITS OWNER License Expiration Date Phone BUILDING INFORMATION I SETBACKS # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy !\,!!th: . \\:)q:. ~ ,"" ,C'\ ':1: ~.. I DEVEOOPMElWlNFORMATlON I , II 'II ~ '" ~y ~~ REQUIRED PARKING o~ ,,<3!'@!<'Y ,0'>> :&~~ , <.~ ,c.. '<()v'Hay Dist: Total: ,'~ ~' v.).,";;;'J~ c'U ~v..\O ~ ~ '\.,"' '{J.'Otreet Trees Rqd: o.Haodicapped:.;)c;) . <::,~"?'~<fJ:' ~"?'paved Drive Rqd: ~ \'li go?~pact~~'!: e'" '0' (.. ;<-, ~~ ~ ~. \\'0' :.<:-13 ~e"'/ ~ \~ '3 ~V'~~~ \:)~ ~ % of Lot Coverage: r:!J\)''O~~ \oV o'?':.<:-e :'<:-O<:<'O~ .'>.~'\"c.. ~<()~#,<S> ;\ ~<vq:. ..->.~,~(),e~~o~~o~r..", o\:"'0-e~~\c,~ , '\.~~'\.~~<v~ '\:)"1 PUBLIC IMPROVEMENTS I ,,\ ;13'" \}~",e~~,c;).~ c,O\0~~~~ ~~~. "?' \:)"'1" ,"v ,.v ,oV "v _,,- 'O..'?ii- ~o \j~ ~'?:J <J ~ \>" '$;o.:f. ,,~de~,alk Type:0"~ 0" n.":>'!: "?' ,0 . . c,i> o.~(; ""I>" _,,~ ..<13<:1) fY'J _\'o',$o~ ,pownspoutslDrams: n.1:'l ,~ .r" -.l,u':.<:-" '" '\,u . 0 . ~~ ~>':S' '{J .s- R)C?P ~<:< ~ \0 ",e' I:'l c,"":o0 C;?, ~,,, " B Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I DescriptIon Type of Construction $ Per Sq Ft Square Footaee Value Date Calculated Paee 1 of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00454 ISSUED: 06/04/2003 APPLIED: 06/04/2003 EXPIRES: 12/04/2003 VALUE: $ 100.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project I F....s P",id I Fee Description + 100/0 Administrative Fee Banner Special Permit Deposit Amount Paid Date Paid $8.00 $80.00 $100.00 6/4/03 6/4/03 6/4/03 Receipt Number 1200200000000001440 1200200000000001440 1200200000000001440 Total Amount Paid $188.00 I Plan Reviews I 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. ~uir..d lnsn..dions I I 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 bereby 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 tbe 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, tbat each address is readable from the street, that the permit card is located at the front of the property, and tbe approved set of plans will remain on the site at all times during construction. 0~ (2/H/J'1JA~ c/P-</-o3 Owne/or Contractors Signature Date Pace 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Development Services Departmentl Public Works Department Official Receipt: Receipt #: 1200200000000001440 Date: 06/04/2003 Job/Journal Number Description + 10% Administrative Fee Deposit Banner Special Permit Amount Paid COM2003-00454 COM2003-00454 COM2003-00454 Item Total: 8.00 100.00 80.00 $188.00 Payments: Type of Payment Check Paid 8y ENLIVEN INC Received 8y djb t.:heck Number <':onfirm No How Received In Person Payment Total: Amount Paid 188,00 $188.00 . . 6/4/2003 2:55:22PM Page loft cReceipt.rpt