HomeMy WebLinkAboutPermit Signage 2007-4-9
225 FIFTH STREET . SPRINGFIEL
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City Job Number CDvV'\. '2007 - 0 C>
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Owner of Propertyt
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Contractor
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Construction Contractors License #
Expir('~
Description ~ ~ ~ S\t, ....... ~~'COA'2~07 -oo/L('
Date OfInstallatiOn-i S;~'7 N~TlCf: Date of Removal
. TH'Ae.mML~ - -- -.
PermIt Fee: AU~~~~~tlJ.tf.~MfJ~">>rW(H~1(
By signature, I state and agree that I h~N-drir;f!Jle~fK~oa!SJN~d hereby certify that
all information herein is true and correctA~Dil~rpEtW~.u\~MQa&!B/]ffi(D/lPe above described
banner(s) and/or portable sign(s) is not larger than 60 sqilll'telfeet, 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 $100.00 deposit if the banner(s) and/or
portable sigri(S)tas been remove~
Slgnaturp~dL \-\~ ~ Dat~ 4...."-0,
Date of Application V/JIo -;
Issued By ~ _4
For Office Use
Tob#C7.00Sr6
Receipt #
S / ?;C
Amount Collected
Shared Drive (T:)lBuilding FormslBanner]ortable Sign Permit CSD 8-06.doc
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00516
ISSUED:
APPLIED: 04/09/2007
EXPIRES:
VALUE:
SITE ADDRESS: 201 42nd St'
ASSESSOR'S PARCEL NO.: 1702323201800
Springfield
TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Portable sign- REF:COD2007-00149
Owner: PERRY LES & SANDRA
Address: 2811 GAME FARM RD
SPRINGFIELD OR 97477
Contractor Type
Sign
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:.
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
Phone Number: 541-461-0586
I CONTRACTOR INFORMATION I
License
Expiration Date Phone
BUILDING INFORMATION I
# of Stories: Lot Size: ,<eS\,f,. .1'"
,I\h' . ,-, .\1 J
Height of Structure: Sg,Etil~st. Floo.,Jjn ",: ., , ' .~
Type ofHeat:....\,.;l~.)\ \Sg:Flt.,12.Q{FWio~ S6\\v~
'6' 1 ~';; ~ \C.~ ~\ c..1'l,OU
Water Type: __ _\~ "....1\ fjo'fN!J Sq,f~J};lsement':9"'~- t:
Range Type: ~\ \ \;:. If,\\o.$ ~ ~~~.'\'Sij, lFt)wa~tatg\~Bll:pOj,t3S
\ ~ \ V' C8'('W';;' ~.".!\ v'::'; \ \t\~ · 6
Energy Path: \O~\~ \\0"- '-OQ'\ rSq\ 1<t O$JJgF~ ~~"O"':
Sprinkled Building\\\Ca; nIQ'2.dir.Q' 'O~~.e[o'P~n.tw~a(I~\ ."~,-'J';~;.1J"f\
~... _II.'A ':I _....,' 0 t. /\\1n\tl..\ :1t>1:0\\.1:J
. I DEVELOPMENT INFQ:RMA\. T.jON~i~ csn~~~Qor.1 ~~:.istfA).
- Ce.\W'.t4>, 'O~"t~\Il'Jl."" ~. _oCUdRKQUlRED PARKING
o(,\)~~ . . &'\ \S \ .
Overlay Dist: \'\U\' oaf\\! Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
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I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Finaled
.ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00516
ISSUED:
APPLIED: 04/09/2007
EXPIRES:
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
Banner Special Permit
Amount Paid
Date Paid
$4.50
$2.25
$45.00
4/9/07
4/9/07
4/9/07
Receipt Number
1200700000000000377
1200700000000000377
1200700000000000377
Total Amount Paid
$51.75
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Reauired Insoections I
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times dur[) construction.\\ ~'
-il-CO$t ~~~2 '1- C'frDt
Owner or Contractors Signature Date
Pae:e 2 of2
225 Fi~t~ Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00516
COM2007-00516
COM2007-00516
Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
Description
+ 5% Technology Fee
+ 10% Administrative Fee
Banner Special Permit
Paid By
BURRITO BROTHERS INC
0.....- Qf Springfield Official Receipt
L Jopment Services Department
Public Works Department
1200700000000000377
Date: 04/09/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 035859 In Person
Payment Total:
Page I of I
12:11:50PM
Amount Due
2.25
4.50
45.00
$51.75
Amount Paid
$51.75
$51. 75
4/9/2007