HomeMy WebLinkAboutPermit Signage 2007-7-11
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01021
ISSUED: 07/11/2007
APPLIED: 07/11/2007
EXPIRES: 01/11/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 199 Q ST
ASSESSOR'S PARCEL NO.: 1703263102100
Springfield
TYPE OF WORK: Blimp, Portable Sign, Etc.
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Rife's portable signs July 5th through August 4th
Commercial
Owner: Q STREET PROPERTIES LLC
Address: %OCEAN CREST 192 NORMAN AVE APT 121
COOS BAY OR 97420
I CONTRACTOR INFORMATION.
Contractor Type
General
Contractor
RIFE'S FURNITURE
License
Expiration Date Phone
746-1957
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'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
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- W 'nk '1'4 -
I PUBLIC IMPROVEMENTS .N01tC~.. -r S\-\~\.\. E)\\-'\\'\~t~W\\1 \5 ~U'
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Street Improvements: ~,es you to . ~r\\Sid.e..WJl!E~~~D\:. Q I\~OO~t.O
\aV4 requ Uti\\\'I " rn'\U~\l- ('\~ \5 f\ur'\
Storm Sewer A vail~NT\ON: orego~ bY the oregon et tonh .-: ~DR~~~QW/fflAiltt}O.
Special Instructio~\ ,.. rules adopte ......ose rules are ~n..o01. \.:jw "00 D~'i Pt.",
tOt 0.... center. ". ho~RlJ''''~ p..~"{ \u
. Notii\ca\\On 01-0010 throu.9 01 the rules bY
Notes. OAR 952-0 taln cop,es e\ phone
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camng tne oregon ~~} I
number tor the,.. 1-&00- ~tron Description
center IV
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Description
Type of Construction
Value
Date Calculated
Pal.!:e 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01021
ISSUED: 07/11/2007
APPLIED: 07/11/2007
EXPIRES: 01/11/2008
VALUE:
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
+ 5% Technology Fee
Blimp + Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$14.50
$2.25
$45.00
$100.00
7/11/07
7/11/07
7/11/07
7/11/07
1200700000000000897
1200700000000000897
1200700000000000897
1200700000000000897
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.
I Reouired Insoections I
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 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
times dudng CO~ --
~ 7~ /1-07
ownerr~ Signature Date
Pa2e 2 of2
225 Fifth Street
, ,
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0102 1
COM2007-0l021
COM2007-0l02l
COM2007-0l021
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Deposit
Blimp + Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
RIFE'S FURNITURE
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000000897
Date: 07/11/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ikw 004610 In Person
Payment Total:
Page 1 of 1
10:21:28AM
Amount Due
100.00
45.00
2.25
14.50
$161.75
Amount Paid
$161.75
$161.75
7111/2007
, .
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
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Addres~
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City
Statf' - Zip
Contractor
Addres"
Phon""
City
State
_Zip
Construction Contractors License #
Description
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Date of Removal
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Date of Installation
Permit Fee: $161.75 including $100.00 Deposit.
Expire"
:7- (- Or:; -
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 time line
specified, I will forfeit the $100.00 deposit. I also understand that this special permit 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 30th day to request an inspection to verify the removal of the banner(s) and/or portable
sign(s). This inspection will begin the process to return the $100,00 deposit if the banner(s) and/or
portable sigri(s) ha:}~~:'- .
Signaturf' /// /-/ Datf' 7- 7- 0-7-
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Date of Applicatiop 1./ II /6"'1
Issued By Y{lVl J),J -
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ForO.tJiceUse
Job#.t1 ~OlO) I
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Receipt #
Amount Collected 111 (J / ../5
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Shared Drive (T:)fBuilding FonnsfBanner]ortable Sign Permit CSD 8-06.doc