HomeMy WebLinkAboutPermit Signage 2007-6-28
ZZ5 FIFTH STREET. SPRINGFIELD, OR 97477.. PH;(54I)7Z6-3753 · FAX: (541)7Z6-3689
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Iw~:S permit can be issued only once per calendar year per development area. I also agree to call the inspection line at
~~ 7~6-376? by the end of the 14th day to request an i.n~pectio~ to verify the removal of the display. This inspection
~~ Will begm the process to return the $100.00 deposIt if the display has been removed.
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Date of Installation '/ ~/ 07
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Date of Removal
$161.75 including $100.00 Deposit and applicable fees.
Date 10- :;> 1- () ~
For Office Use
b/Z,,-/07
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Amount Collected
NOTltE: EXP\RE \f lHE WOR\(
TH\S PERM1T S~~i~ 'TH\S PERMiT \S NOT
AUTHOR\ZED UOR \S ABANDONED fOR
COMMENCED 0
ANY 180 DAY PERlO. Shared Drive(T:)/Building FonnsIBlirnp]ennants_BalloonsS-06.doc
Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00969
ISSUED: 06/28/2007
APPLIED: 06/28/2007
EXPIRES: 06/28/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1510 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703253102300
Springfield
TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Balloon - ref:COD2007-00320
Owner: HARLOW GEORGE R & ARTIE M
Address: 2433 MARCOLA RD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
ATIENTIONO(tWeb~M1H"flquires you to
follow rules adopted by the Oregon Utility
l1iuli..ii.;:....l'J. \ ,I::u.u::.' , I' In" lunR
in OA lU ~1.
0090., You may obtain copies of the rulea.ewalk Type:
callmg the center. (Note: the telephone
number for the Oregon Utility Notiftcatloftownspouts/Drains:
Center is 1-800-332-2344). NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WO RK
AUTHORIZED UNDER THIS PERMIT IS N JT
IJUIVIIVll:NlItU un i~ i\bAi~'uiJIJ~;:; ~er.
ANY 180 DAY PERIOD.
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer A vaiJable:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00969
ISSUED: 06/28/2007
APPLIED: 06/28/2007
EXPIRES: 06/28/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
LFees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Blimp + Special Permit
Amount Paid
Date Paid
$4.50
$2.25
$45.00
6/28/07
6/28/07
6/28/07
Receipt Number
1200700000000000836
1200700000000000836
1200700000000000836
Total Amount Paid
$51.75
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.
Reouired InsDections I
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 at the 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
,;mdng const~nc,;on.
~f!1r/~ ./n~ /0 -,2%- 07
Owner or Contractors Signature Date
Paee 2 of2
22,5 fifth. Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00969
COM2007-00969
COM2007-00969
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
+ 5% Technology Fee
+ 10% Administrative Fee
Blimp + Special Permit
Paid By
PRACTICAL COMPUTERS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000000836
Date: 06/28/2007
Item Total:
Check Number Authorization
Receiyed By Batch Number Number How Received
djb 218252 In Person
Payment Total:
Page 1 of 1
10:25:52AM
Amount Due
2.25
4.50
45.00
$51.75
Amount Paid
$51.75
$51.75
6/28/2007