HomeMy WebLinkAboutPermit Signage 2007-5-14
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. CITY OF ~nuNGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00683
ISSUED: 05/14/2007
APPLIED: 05/14/2007
EXPIRES: 1I/14/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2001 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254200500
Springfield
TYPE OF WORK: Blimp, Portable Sign, Etc.
TYPE OF USE: Addition Commercial
PROJECT DESCRIPTION: 5-14-2007 throngh 6-13-2007 Sandwich hoard for Perk City Code Enforcement ref#
2007-00212.
Owner: POLEN FUTURES L L C
Add'ress: 2197 OLYMPIC ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone
I BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Sethack:
Side I Set hack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
ATTENTION:Oregon law requlre~ YU\.PUBLIC IMPROVEl\mI'llI!S'I:'
!9l1ow rules adopted bylhe Oregon U, '. .,
\ftI[I'FU\WJli~tlf.~~~.'Those rules are set for THIS PERMr~itlFi"'I!!~ IX~~HE IF THE WORK
IrS(()Aii1~rll\.vRiOO>tc9through OAR 952-00 AUTHORIZE[D9l\1@fp~Ii!~WJtiil[~'1MIT IS NOT
OOOOlliVbl.$lJ1u.o.~i<l1I;)tain copies of the rules. COMMENCED OR IS ABANDONED FOR
calling the center. (Note:.t~e tele~ho~e ANY 180 DAY PERIOD
IMffiber for the Oregon Utility Notification .
. ~ '"'^I"l ""'~.."~AA.\
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e I of 2
.---e
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00683
ISSUED: 05/14/2007
APPLIED: 05/14/2007
EXPIRES: 1I/14/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Blimp + Special Permit
DepOsit
Amount Paid
Date Paid
$14.50
$2.25
$45.00
$100.00
5/14/07
5/14/07
5/14/07
5/14107
Receipt Number
2200700000000000741
2200700000000000741
2200700000000000741
2200700000000000741
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.
~redl~
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 herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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, that each address is readahle 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.
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ow~er or Contractors Signa~
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Date
Pa!!e 2 of 2
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225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(541)726'3753 . FAX: (541)726-3689
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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 ~U~~d
only twice per calendar year per development area. I also agree to call the inspection line at ~9
by the end of the 30th day to request an inspection to verify the removal of the banner(s) and/or po a Ie
sign(s). This inspection will begin the process tei return the $100.00 deposit if the banner(s) and/or
portable sign(s) has been removed.
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Tax Lot
()wner
Owner of Propert:'
Pole..-Vl. F~t(.l...('q \ ( c...
Addres.
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City
State
CO/ltractor/lm.taller
Contract'"
Ow(\
Addrl'O.
"horp
City
State
Construction Contractors License #
Description
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Date of Installation
Date of RemoVf 1
Permit Fee: $161.75 including $100.00 Deposit.
Signaturp
For Office Use
Date of Application
'71.&../0 I
Job #
Issued By
Amount Collected
~ 9147J
:Po-' K.. C:T"z:r
I~fo &,pCf&O
Zip ;7i7'l
7.ip
Expir~r
&L yf-dAt'J
Datp
5 / ID/O-:r
Receipt f.
Shared Drive (T:)lBuilding Fanns/Banner_Portable Sign Permit eSD S..o6.doc
223 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00683
COM2007-00683
COM2007-00683
COM2007-00683
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
.~~~
~
Description
Deposit
Blimp + Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
CASH CONNECTION
C.f Springfield Official Receipt
~opment Services Department
Public Works Department
2200700000000000741
Date: 05/14/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ikw 5188 In Person
Payment Total:
Page 1 of I
7:17:5IAM
Amount Due
100.00
45.00
2.25
14.50
$161.75
Amount Paid
$161.75
$161.75
5/22/2007