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Home My WebLink AboutPermit Signage 2007-8-13 (2) 225 FIITH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~: C) 1/ ~ I ~ City Job Number COIAAZ'OC7- j '. ~f ~ 0 \. T . ,.~ Job Location I /1.{ PDt\! ~ ~ 7' "~ Assessors Mar f 70 > Z 700 ~1 '~J ~ ~) ..~~ ~ ~ City ~ ~, ,.~j Contractor gl: ~. :::1 ~( -1 -. -1 -1 e; U IJ I. '. ..~~ ~: r1 -1 ~ ~~ gl~ ~) -. 'r--J~ ~ ~ ../Q) ~ ~( ~ ~~ I!: -I I .-~ ~ .,~. ,. ~ . CITY OF SPRINGFIELD, OREGON SCANNED Tax Lot 00703 OWI/er Owner of Property (:;, ~.' O('l.~ 4JD Addres. LJ C:-f> ~+rA-,. ~~A-v--~ ~ } If- A _ /tV1:: Phor" State ~lTInN: ~ffill'n law rea~J~cilo( follow rules adop\ed by the Oregon lnllny Notification Center. Those rules are set farth In OAR 952-001-0010 through OAR 952-001, {"Inn v"". m'!jLObtflll'l (lOpies of the rules by 'Calling the canter. (Note: the telephone num~-!he Oregon UtIlity Notification Center 111"'U~--" Zip ~ b1\/e- , Contractor/Illstaller OWNBL NOTICE: Address.--nlT <,U" I ~DIDI: II: ~~ WORK I MI;) rLllr'i1 ,;JTT. (_to. :,--.- - dtUTHORIZED UNDER THIS PERMIT IS NOT C~IVIMl:...:.ai ~~ IS ,\BMlDSNg) ~0~ .. /lNV 1 RD DAY pERIOD. . CtJ'tt1;trumon'Confractors LIcense # State Expire< Description ~~~ It:: Sr4-v.. r/~1 ' Date of Removal ~ Co 'b2.OC>7 . , y/~ Date of Installation Permit Fee: $161.75 including $100.00 Deposit. 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 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 sign(s) has been removed. ,~~ -- ~ Signatur" ~ c-- ~- --- Datp ;jl;{7 Date of Application ;)7;:,., / / ~ For Office Use job#C7-0/( Receipt # '5 7r (- 10 'S ( Issued By Amount Collected Shared Drive (T:YIJuilding FonnsIBanner]ortable Sign Penml CSD 8-06.doc . Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3.676 Fax 541-726-3769 luspection Line SITE ADDRESS: 1940 DON ST STE 100 ASSESSOR'S PARCEL NO.: 1703270000903 Springfield . CITY OF ~rt(.jNGFIELD . Building/Combination Permit PERMIT NO: COM2007-01191 ISSUED: 08/13/2007 APPLIED: 08/13/2007 EXPIRES: 02/13/2008 VALUE: TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Ref:COD2007-00462. Portable sign permit for code compliance for Papa Smurph's dive shop Owner: STRAUSBAUGH GREGORY L & S L Address: 430 W 1ST AVE EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Sigu Contractor OWNER BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupaucy Group: Primary Construction Type Secondary Constructiou Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heal: Water Type: Rauge Type: Energy Path: Spriukled Building: License Expiration Date Phone uta Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: . Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot CIl.\:\lI'l\I:~; to ATTENTION: Oregon law requlIlllI ,.... ,_,,_... ...Iao, ..rlnnted by the Oregon UtlI~ Notification C'l,p~B~i5..iUJmJ ". 'u" In OAR 952-", . 0090. You may obtain copies of the f\I1e8 calling the center. (Note: the telephone number for the Oregon UtIlity Notification Center 18 1-800-332-2344). Streetlmprovemeuts: Storm Sewer Available: Speciallustructiou: Notes: I Valuation DescriDtion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amouut Tvpe of Coustruction Paee 1 of2 REQUIRED PARKING Total: Haudicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTICE: THIS PFRMIT ~14411 !:VDID!: Ie YIJ~ "'~ RK AUTHORIZED UNDER THIS PERMIT IS f\ 01 COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD Value t>ale Calculated . . CITY OF. ~rI(H~t.t<lJ<..LD Building/Combination Permit PERMIT NO: COM2007-01191 ISSUED: 08/13/2007 APPLIED: 08/13/2007 EXPIRES: 02/13/2008 VALUE: Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees tiLilU Fee Descriptiou + 100/0 Administrative Fee + 5% Techuology Fee Banner Special Permit Amouut Paid Date Paid $4.50 $2.25 $45.00 8/13/07 8/13/07 8/13/07 Receipt Number 1200700000000001031 1200700000000001031 1200700000000001031 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. By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all iuformation hereon is true aDd correct, aud 1 further certify that auy aDd all work performed shall be done in accordance with the Ordinances Df the City of Spriugfield aud the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of auy structure without permissiou of the Community Services Division, Building Safety. I further certify that only coutractors and employees WhD 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 froDt of the property, and the approved set of plans will remain on the site at all times during construction. -- -~ 8;/1/07 ~~~- ""'~~~. Owner or Contractors Signature .-/ Date Paee 2 of2 22_5 Fifib Street Sp~ingfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2007-01191 COM2007-01191 COM2007-01191 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description + 10% Administrative Fee Banner Special Permit + 5% Technology Fee Paid By DAMRON ENT ~.. Av of Springfield Official Receipt .velopment Services Department Public Works Department 1200700000000001031 Date: 08/13/2007 , Item Total: Check Number Authorization Received By Batch Number Number How Received djb 111910 In Person Payment Total: Page 1 of I 2:15:09PM Amount Due 4.50 45,00 2,25 $51.75 Amount Paid $51.75 $51.75 8/1312007