HomeMy WebLinkAboutPermit Signage 2007-4-12
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00540
ISSUED: 04/12/2007
APPLIED: 04/1212007
EXPIRES: 05/11/2007
VALUE:
~
f
SITE ADDRESS: 2053 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364203900
Springfield
TYPE OF WORK: Banner
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Banner and portable signs. Install 041107 removal date 051107. REF:C0D2007-00540
Owner: V AJGERT WAYNE M
Address: 4355 SPRING BLVD
EUGENE OR 97405
Contractor Type
Sign
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
I CONTRACTOR INFORMATION I :f..
\\'t. ~Q?:
. J:#f,(lIS~"\ \"\~~n.ltion Date Phone
..~~'\\C~.:..,.-: ,:~t>..\.:,; ;\'!,c. ?'t.\\~ <'2~
BumorNG lNI\0RMl\ T10N1QQ~\:.v
, ", I .
, :ir\\.ll'\~- ClI'I;:l , ..
r>#\ob.~It~fs~C\ 9r.\\\ClC\. Lot Size:
lU1,ght 91\s.Vr'u'l:fure: Sq Ft 1st Floor:
1\}\/l'/, 6f1'ieat: Sq Ft 2nd Floor:
Water Type: Sq Ft B~sement:
Range Type: ,_ ~~rF.iiGarage/Carport
Energy Path: _'\ \~;'Il ',SIIJ;t,'O'ther{ ,:
Sprinkled Building: ~,.:t~J'ri/a'J \'i'0 Olcup.ant'!:,oad;)
.......'., )1'" _..""~\ v .., ,\,:,;, ~ ,. ('\......)_..\J
I DEVELOPMFf/;- ;;;.:v",,J[;\iieN "C"';~IlId\' U~:~~ (Il\a.~....
~O\\': \10';\ "'- '. _()~ ,:.l \"_,,\lI!;... 0\ )~F;QUlRED PARKING
. _'\\IC<l> ~z.,<;fJ' '&:1'(\ v'" . \\ltl .Il' II\'< ;:.\,:0"
OverlaylDist:,f\S-' ~~ 0'0\ ft-\OVJ.. '\" t,;r~tal:
, Ib'" . U ~'" \\'1". I: \)XIII" ~"
# Streel\Tree~,~qd: .. ..0'.' ','"l\' ,-i''lt:!and,capped:
Paved Dti~~R~dWr"\";~ :~ or~~,,'"l!.i'Jz." "Compact:
,..,,,,,,\\,,.., i"'~"\ '\ yV"
% of Lot Coverage:~ ' .' ,..' IS '
'(\...;.t'lV Qb\'itu\
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downsp~utslDrai'ns:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
.
.CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00540
ISSUED: 04/12/2007
APPLIED: 04/12/2007
EXPIRES: 05/11/2007
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
FpP.~ P3id I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
$14.50
$2.25
$45,00
$100.00
4/12/07
4/12/07
4/12/07
4/12/07
Receipt Number
1200700000000000407
1200700000000000407
1200700000000000407
1200700000000000407
Total Amount Paid
$161.75
I Plan Reviews ,
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.
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 althe 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
time~urin;:;;:n. y _ \ 7:-1
-
Owner or Contractors Signature
Date
Paee 2 of2
22.~ Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.~.~.....'
~-
C&of Springfield Official Receipt
.Iopment Services Department
Public Works Department
Job/Journal Number
COM2007-00540
COM2007-00540
COM2007-00540
COM2007-00540
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
+ 5% Technology Fee
+ 10% Administrative Fee
Deposit
Banner Special Permit
Paid By
EZPECUNIA INC
1200700000000000407
Date: 04/12/2007
lIem Total:
<":heck Number Authorization
Received By Batch Number Number How Received
djb
2476
In Person
Payment Total:
Page I of 1
2:56:37PM
Amount Due
2,25
14,50
100,00
45,00
$161.75
Amount Paid
$161.75
$161.75
4/12/2007
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225 FlFIli STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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Addreso
City
ConstrUction Contractors License #
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SPRINGFIELD Lh:"...:....: ':
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Tax Lot
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NOTICE:
THIS PERMIT 1:4 '_
MU I HORIZEO UN'di~ CM'IHE IF THE WORK
COMMF=^,f"cn ~- THISIl'PlO!1I>'IT I"
ANY 180 DAY P~~:g;BANDONED EnB IVU r
';tlite . 7,ip
Expirpc
Descriptio" I h A.~.....,--<-- __t:! ? 0 Y"'i--", ). l-- .J (. to..,J
"" , tIll, :U\..:)-
/ / - I 2:o!lc-Pr\!:n.~ ~';IO: ::!p.1/;"//{;:qUlres" '7 O~ PrLJ ~
Dateoflnstallatio" '-t _.,,'r' -_.u ,1)ate(ofRemoval .,~ {_
: WIIIIr.;aClon Center T ," 'v "''''[jcn ,
'~AR Q,.,,,, ~ . hose ~""'s "
permitt .eo: $'IM:'Y.~mC1.ilfij]1!!' <tl0 .00 n~posit..",,"
U '-.:in v_.. . rtJ1.l hi I.aO ""_....
-......u,\f.H.Jlalnr..... . _ ....ve:.-vu
By signature, I state and agree thaellliilv,e !Jl!fefu!,ly' comp.lefealthis'app.1ication and hereby certify that
(,4 'IIV';;"tf)r (mr:t ,- ""0'.:.')
all information herein is trUe and correctJtl.furtheljawee and unBetstaild.thatthe above described
banner(s) and/or portable sign(s) is not larg~;'ib~ 661rs't'Jfife.'f~6ihl1id>w.-ili'b~lrcmoved within 30 days
-oJ"l~, I~ ~~n., "1 . .........:tctJ.J
from the date listed above. rfthe banner(s) and/or portable'slgnis:-nbt,~emoved within the timeline
specified, r will forfeit the $100,00 deposit. I also understand that this special permit can be issued
only twice per calendar year per development area. r also agree to call the inspection line at 726-3769
by the end of the 30th day to request an inspection to yerify the removal of the banner(s) and/or portable
sign(s), This inspection will be in the process to return the $100.00 deposit if the banner(s) and/or
porta Ie sign(s) has been remo e .
Signatur
Date of Application
'-I jt-/o7
':p~
Issued By
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L..{-/->> -7
D~tp a.-
For Office Use
Job # ( 7-OC:>
Receipt #
/b/~
. Amount Collected
Shared Drive (T:)/Building FonnsIBanner]ortllblc Sign Permit eso 8"()6.doc