HomeMy WebLinkAboutPermit Signage 2003-7-18
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00640
ISSUED: 07/1812003
APPLIED: 07/18/2003
EXPIRES: 01118/2004
VALUE:
, ,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1807PIONEERPARKWAYEAS Springfield TYPE OF WORK: Banner
. ASSESSOR'S PARCEL NO.: 1703262302402
IpW~;LIf1)E~~R'fP1p,~: re,':!tl~ f:lS'y'OU K
follow rules aaopteaoytlie CJre~l\aanf,~y
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1 @,lffi"952-0lSHliR1lS'OR:sI',RIR6F1~iij}OC AUTHORIZED UNDER THIS PERMIT IS NO r
IOM~"fOti mOM~\Y:!l ~~l5q,q>!ffll ~~Wi~W CREEKSIDE PIOOlJ!!IllE~MIffi.:n~1 ABANDONED FOR
__"'__ o..,!liQQJl.or (l\lnto' tho tolonhnno AMY 1 Rn nAY D~Qlnn
number for the. Oregon Utility Notificatio~ CONTRACTOR INFORMATION'
Center IS 1-800-332-2344).
Contractor Type Contractor
General KARA THELIN
TYPE OF USE:
NOTICE:
TI-4IC: D~QMIT C:1-4 11 I I ~YDIQ~ I~ rue ,^,nov
New
Commercial
License
Expiration Date
Phone
541-747-8515
BUILDING INFO~A TION,
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Heigbt of Structure
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Bascment:
Sq Ft Garage/Carport
Sq Ft Othcr:
Impervious Surface Area:
A-3
SETBACKS
I DEVELOPMENT INFORMATION'
Front yard Setl!ack:
Side 1 Setback:
Side 2 Setback:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspoutsmrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee10f2
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00640
ISSUED: 07/18/2003
APPLIED: 07/18/2003
EXPIRES: 01118/2004
VALUE:
. j
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid'
Fee Description
+ 10% Administrative Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$16.00
$160.00
$100.00
7/18/03
7/18/03
7/18/03
1200200000000001786
1200200000000001786
1200200000000001786
Total Amount Paid
$276.00
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 Reouired fnsnediow
1 Sign Final: After all required inspections are conducted and approved and tbe sign installation is completed.
By signature, I state and agree, that I bave carefully examined the completed application and do hcreby certify tbat 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 tbe 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 wbo are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all r uired inspections are requested at the proper time, that each addrcss is rcadable from the
street, tbat tbe permit c d is 10 a ed at the front of tbe property, and the approved sct of plans will remain on thc site at all
times durin ons ruc n.
I
({ /,
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'-~
Owner or Contractors Signature
j/;yla~
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00640
COM2003-00640
COM2003-00640
Payments:
Type of Payment
Cash
Description
Banner Special Permit
+ 10% Administrative Fee
Deposit
Paid By
SHARlS MGMT CORP
--~""'~',,',,','i.
Wii!'
",I-~~ J
'.~ .... ."
Receipt #: 1200200000000001786
Received By
jmp
l.:beck Number
Batch Number Authorization Number
City of Springfield Officiallieceip~-
Development Services Department
Public Works Department
Date: 07/18/2003 10:58:04AM
Amount Paid
Item Total:
160.00
16.00
100.00
$276.00
How Received
Amount Paoid
In Person
Payment Total:
$276.00
$276.00
.
.
225 rnTH STREET. SrRINCmW, OR 97477 . rH:(54 1)726-:~753 . FAX: (541)726-3689
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. ,~ . . CITY OF SPRINGFIELD, OREGON "', :' ,
. ,
City Job Number CC>~2tt) 3. 06 bC\-O .
Banner Locatior \ <6D 1 -r "0 Y\e.f l' fOvfk.~ &<st--
Tax Lot
Owner
Owner of Property _ ~ Wr \ <)
Address 1~7 PtVlILUf
City ;::;()~j
I
1J~1IU~ (lIlY/).
~tuJ~ E,- - ~onp 7q7-5?'7 Ie;
. ~ate_[J If Zir en 47;
Contractor/lllstaller,~; , _
Contractor Kf)J( (J.. ,
r1tf'/~ (L:j{)
/'
Addr,...
Phonp
City
"'tate
'lip
Construction Contractors Registration #
Description / fJffbl1/1 1xt/l~r
Date oflnstallatio: 7./; qj {J 3> Date of Removal
Expir".
(JJ/'7/o~
Banner Pel'mit Fee $80.00 + 10% Administt'ative Fee -
Deposit Required $100.00
By signature, I state and agree 1hat I have carefully completed this application and hereby certify that
all infonnation herein is true and correct. I further agree and understand that the above described
banner(s) is not larger than 60 square feet, and will be removed within 14 days from the date listed
above. If the banner(s) is not removed within the timeline specified, I will forfeit the $100.00 deposit.
I also understand that this special pennit 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 14th day to request an
inspection to verify remo 10rt anner(s). This inspection will begin the process to return the
$100.00 d,9\e9S s0i if e ban (s) h een re,mpved. 7/'~ /
Signatuil:!h . 'A/ :---- Date--2.JJtj():3
Date of APPlicati~/ 0 '5
For o.ffice Use
Job #
Receipt I'
Issued By
Amount Collected
Shared Drive (T:)'Building FonnslBanocr Pcnnil CSDI-OJ.doc