The URL can be used to link to this page

Home My WebLink AboutPermit Signage 2004-7-2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00807 ISSUED: 07/02/2004 APPLIED: 07/02/2004 EXPIRES: 01102/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeclion Line SITE ADDRESS: 3661 Olympic ASSESSOR'S PARCEL NO.: 1702300002103 Springfield TYPE OF WORK: Banner TYPE OF USE: PROJECT DESCRIPTION: Banner - install 070204 removal date 071604 New Commercial Owner: KA THRENS R J Address: PO BOX 17095 ATTN KEITH A UPKES PORTLAND OR 97217 .1 CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: ~iStories: Primary Oceupancy Group: ~,e'?; ~ \)ti~ of Structure Secondary Oceupaney Group: \~-tI ( o"e9JO s~ ~Heat: Primary Construction TYP~~eQP~ ~e ~eS ~e pe: Secondary Construe.!i~ e1Q\06 'o~s9 ~ o~ ~~ ype: # ofBedrooms~~' ~eS9! ~..t. ~ ~,~9J~ O\~'~tlth: ~ \$tII~ ^eJa"'S:J::J\Q co9\eS ....e\0w,. '/i'Building: t:n~ ...0\0'. _",\ _\(\. . _a \\. ,\ ~06;s.. 9~W~ ~~. ~ ~i\>>kV~PMENT INFORM A TION I '''' _nt\.-{O$ .- rib O,e9Jo...,~ (\\P" . ~4i\ '-' ,- ~e \~\I Front yard SetbaCK: ~"':'Oe'\r:J. ~ \t> Overlay Dist: Side I Setback: ~\)"- f;/JtI .# Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Soiar Setbacks: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a REQUIRED PARKING Street Improvements: Storm Sewer Available: Special Instruction: Total: Handicapped: Compact: >t\\J\\'t. r ~~~ ~ ~\j\ I PUBLIC IMPROVEMENTS I~i-'?\\\~ ~\\~\\ ~~\\ ..c.' S"~\.~I"- ,~8Th..~'l~ype: "\,,y' ~\\ ~\\J'--" Q,t-~ ~'l;} '?~~ ~\J \\\"R- \s ~DownspoutslDrains: ,,,\S ,,\j\\\'V x.'i) ~ \\\\J'i). ~\\\~~~~\~ '?~ \,~ " \'O~ ~~' I Valuation Descriotion I Notes: Deseription Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Vaiue Date Caiculatcd Total Value of Project Paee I of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00807 ISSUED: 07/02/2004 APPLIED: 07/02/2004 EXPIRES: 01/02/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Ff'f'~ Pair! , Fee Description + 10% Administrative Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $18.00 $80.00 $100.00 7/2104 7/2104 7/2104 1200400000000001026 1200400000000001026 1200400000000001026 Total Amount Paid $198.00 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. I Re()uirf'r!lnmf'ction~J 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 compieted application and do hereby certify that all information hereon is true and eorrect, and I further certify that any and all work performed shall be done in accordance with the Ordinanees 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 ofany structure without permission of the Community Serviees 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 eaeh 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. (:-? ~/ <- Owner or C~actors Signature 7/24Ll Date Palle 2 of2 225 Fifth Street Springfield, Oregon 97477 54l-726-3759 Phone . 8P~.~I_N.Q!I~. < ",'______ T... Wir' I.., ,1 ~"""-___R''''''''''' .-.-" . ~ of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 1200400000000001026 Date: 07/02/2004 Job/Journal Number Description COM2004-00807 + 10% Administrative Fee COM2004-00807 Deposit COM2004-00807 Banner Special Permit Item Total: Payments: Check Numher AuthoriZation 'Type of Payment Paid By Received By Batch Number Number How Received Cash HORlZON djb In Person CreditCard CODY PLANCHON djb 000429 002050 In Person Payment Total: Job/Journal Number Description COM2004-00807 + 10% Administrative Fee COM2004-00807 Deposit COM2004-00807 Banner Special Permit Item Total: Payments: (;heck Number Authorization Type of Payment Paid By Received By Batch Number Number How Reech-'ed Cash HORIZON djb In Person CreditCard CODY PLANCHON djb 000429 002050 In Person Payment Total: '. 7/2/2004 Page 1 of 1 10:03:30AM Amount Due 18.00 100.00 80.00 $198.00 Amount Paid $180.00 $18.00 $198.00 Amount Due 18.00 100.00 80.00 $198.00 Amount Paid $180.00 $18.00 $t98.00 225 FIrllI STREET 0 SrRINGFIELD, OR 97477 0 rH:(54I)726<H53 0 FAX: (541)726-3689 ~; OJ .,)~. r:.r;.; Banner Location .,~; . ~ Assessors Mar' ..)~, Owner ~i Owner of Property . . rf!J. ) ~ U; oOE ~ et?J1 ~J ~ -,) :-.--I~ ~j Hl ~\ g ~J 5r: , , , c , .'C j e; U IJ ~ .->~~ ~l ~ ~l $i-.tj Q1)) ~J ,;...Ii ~~ ~j ~l . SPRINGlFltslL.D o . /YVtA~OO({ ---c:rD 507 City Job Numbe............ . . , 3~_? ( O/YV1A!: ( I ./ 170Z3c)O 0 ")-\- Tax Lot 02-\03 Unr;ZDh (~Tff~~~ . -~\'g;.-i'''' . ___'i\\l\\$~ ~~ ~Of~- G\'a~ Address 3 t 6.1. of . ,,~~ _~'\nQC\fO~r.._.m,bnp ~\~~~. ~~9\iO~f1ii" ~~ City (" ,^r:^JI:~I) N~~GO-4..n$,\ ~o'l\M>~"ril . ~Ot5\ ~~ dO\tlI1t ~ot0: ~o W~f;~~\\gn COl/tractor/ll/staller ~J}. ~ 'ilQ ~.dl;O'l\ \.lU\\\'l.!'\./l.\ --? .-:::> ~\~ ~O V'''!'.:....'l!l.2..Z~,. ContractorF../.r<. hl(rff1lE~'rfl.~'! -t~~ .~ (101\"-" ( ("I.Ii ) 7L.fL{-l/lf q 7471> Zip Address tV.c~2A Phorp 7'1't:.-/~5F AtAo./ 57"N~ Cityy",,,y,,,-u. Zip '7 ?'I?? Expirl'o /1~3/t;7 <;;tate rr-/ Construction Contractors Registration # 15770</ , Descriptior 6('~~J () (' <~,")" DateofInstallation 7/1/01..\ Date of Removal '?/(~L.( Banner Permit Fee $80.00 + Required Deposit $100.00 + 1.!!-~~~t~e Fee ~ ",f:\' V"'''~ ~.. \~~, ~ c;,~~....(.9t .W~ r>Q'-f,~ By signature, I state and agree that I have carelb'H So(u\'P\t~~~p~lOn and hereby certify that all infonnation herein is true and correct. I furthe"1i ~iili~~~~inhat the above described banner(s) is not larger than 60 square feet, and will !;.~O~\l'(1~~~i4 days from the date listed above. If the banner(s) is not removed within the.ti~ I~t:\~cified, I will forfeit the $100.00 deposit. I also understand that this special permit can be issue only twice per calendar year per development area. I also agree to call the inspection line at 726-3769 by the end of the 14th day to request an inspection to verify the removal of the banner(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) has been removed. C;/ ILL 7~ ~'i Date of Application '/ C; r c. I ( Signaturp Datp 7/2/04 Issued By ~~ For o.ffice Use Job #U:JMZO:?lf -00 go/Receipt #--,,02-C; . t (30'" Amount Collected I <7 - Shared Drive (T:)JBuilding FonnslBanncr Pennit CSDI-03.doc