HomeMy WebLinkAboutPermit Signage 2007-8-13 (2)
225 FIITH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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CITY OF SPRINGFIELD, OREGON
SCANNED
Tax Lot
00703
OWI/er
Owner of Property (:;, ~.' O('l.~
4JD
Addres. LJ C:-f>
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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
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,
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
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Date of Removal
~ Co 'b2.OC>7 . ,
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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;:,.,
/ /
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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
~~~-
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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