HomeMy WebLinkAboutPermit Signage 2007-1-17
.
.
"CITY OF SPRiNGFIELD, OREGON ' .
ZZ5 FIITH STREET. SPRINGFIELD, OR 97477.. PH:(541)726-3753 . FAX: (541)726-3689
I~
..lI!!"4~
e
~
f:!'I\ "
~\
City Job Number COiMl.oo7-t:5""''':::;' 7'
JObLocationlJl4 GCL~ ~W ~Pd rf Q7411
U" I .
Assessors M' n I 7 t> 'J z- 'Z. 'Z 0 . Tax Lot O'Z I.( 1 0
1;....2
~~
~l
~)
...~(
'. 11
~~
~~
~
~4
~J
~
rtI11
.............
~j
~l'
~t
~
o
" II
" II
~J
~l
'-
(i{i)j
I~
~j
~t
ro'
~
~l
~~
~j
~
~
..............
~
ef
~l
..1~~
" 4
m
Owner of Property ,~reilt1, ~~lllL
Address ~,,~ 104 (..,n k~ l,OjD
City \ ~Y\ nq.fleJ ri
OW '" ~
Contractor/Installp.
Phone
Zip ql4-1l
State
oc
Address _ Phon~ ./
Cit:" , ,.,. State ------ZiP
Construction Contractors License # ~~~~ ~ 'D"J: ~, r'V"" n r' f.Tpires ,. --
..n;.N"N'A",~flIZ[D UNDfR THIS'PE'Rr:'1;T~I~'~~~
_/ L.UIVIIVitIH,tU Uli I~ AtJANlJONED FOR
Date ofInstaDation / -I ~ - O.NY7180 nAY FDate.ofRemoval "Z - / 2 - c 7
Description
$161.75 including $100.00 Deposit and applicable fees.
By signature, I state and agree that I have carefully ~26mpleted this application and hereby certify that all
information herein is e d correct. I furthei;agree and-understand that the above described display will be
removed within fourt en C. 4) days from the diltelisted.as the date .of installation above. .I(the display is not
removed within the eli:!e specified. I will:foifeit ,'!'.$10.9c09,g~posit..,Ials,? und~~g,that this special
permit can be issue only onc~'per calendar y,ey ,~r"q~xel~P1Po;p11\l'!',~.~t~J~p}gr,ee'f9 ci\\Ltl,le inspection line at
726-3769 by the e d oftl e 14 day to request ..;!,!Wp~ctio~ t9:X~tirx t~~:re~?r~l pfj~h; ~~~p!ay. This inspection
will begin the proess to ..turn the $100.00 eposit/if,the displaYrhas beenlremoved'lt,'" ',catia-
.IUII 1.1":'-\.;' ..;c; \../lvt;UII ,1.llIlV';:l ' .
Center is 1-8(111-'"'''' ~2~~;e i1D 10""1
Signature
Date of Application
1- (7-07
)~
Issued' By
For Office Use
Job#_ C7 -000"7"
Receipt# 070
f{.,/ ?.f
Amount Collecte.
Shared Drive(T:)/Building FonnsIBlimp ]ennants _ BalloonsS-06.doc
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00079
ISSUED: 01117/2007
APPLIED: 01117/2007
EXPIRES: 02/12/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1174 Gateway Lp
ASSESSOR'S PARCEL NO.: 1703222002410
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Pennants - 011207 removal date 021207
ref: CO 02007-00009
Owner: SHEILA S LLC
Address: 3194 GATEWAY LP
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
':/...
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUILDING'INFORMATlON I
4/J~'u fJf;R.
C. # ofStories:'/>- ^ Lot Size:
C' vl)'/.... I '-l,
Height of StructureL Sq Ftlst Floor:
'1IVi-Typt8(H~;;t(J;!tO;' L f;-!'p;. Sq Ft2nd Floor:
Wate!:;,r.y6~:7,)>;. ,)> {If;. 'flf; /F Sq Ft Basement:
Range TYPe~R S 484 S PEl? {Iff; l1~q Ft Garage/Carport
Energy Patb: /00. ;!tOo. lit/I;' sgr~t Other:
Sprinkled Building: Wtii'lal' S 40ccupant Load:
- rOD VI
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I
" '~I
IV. O//O~ V Ill,
if/ OtiltOq ,tltIQ~~rlaY.}?,~st:
0'0 0"/,,, tIOf/#,f'tr..~t,T" rees,Rqd:
;9. '791::- f ..('1. J 1';\. Ir"
a I. v<_()Paved,Drlve,R!ld:' '.
.. TO ,.., '~r.,.., ....'/.1 Ii ;4
Cq//i II fI1 .lloJooLW<'i~verag~:.... ""t
'11./ f/gtl) qy 'a Se;; Vte "'h
Il}Oe" {} ()n Obta;~ Il)to,,- I//e,,, Jlof/ I ,," ',-
'-(t"i':uin"I~l-MI\JiOY,EiMENq;S' .'set ;;ry
-, '" '&0 -'If- . '1/ $,?o r,
. 7'''0 f/ Uf.' ,'Ie te e tlt;. - Sidewalk Type:
'i." l/ity /elJl) es to
',7=\~)3. IvOtlf,. Ol/e' DownspoutslDralns:
'1<1.), CatiOf/
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00079
ISSUED: 01117/2007
APPLIED: 01117/2007
EXPIRES: 02/12/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fp.p.~~
Fee Description
+ 100/0 Administrative Fee
+ 5% Technology Fee
Blimp + Special Permit
Deposit
Amount Paid
Date Paid
$14.50
$2.25
$45.00
$100,00
1/17/07
1/17/07
1/17/07
1/17/07
Receipt Number
2200700000000000070
2200700000000000070
2200700000000000070
2200700000000000070
Total Amount Paid
$161.75
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
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 tbe completed application and do hereby certify that all
Information bereon Is true and correct, and I further certify tbat any and all work performed shall be done In accordance with
tbe Ordinances of tbe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made ofany structure without permission oftbe Community Services Division, Building Safety,
I furtber certify that only contractors and employees wbo are In compliance with ORS 701.005 will be used on this project.
I further agree to ensure tbat all required inspections are requested at tbe proper time, that each address Is readable from the
street, that tbe permit card Is located at the front of the property, and the approved set of plans will remain on the site at all
tl~:constructi~ / 1/7/07
UT!~m-
Owner or Contractors Signature Date
Pa~e 2 of 2
225 Fifth Street
Springfield, Oyegon 97477
541-726-3759 Phone
...iraQ"......
. -.".,-_..".._...,'
Wit," .....
I ' \
j' I
~'-', ")",)
_. _~'ou.' ""-
Cwf Springfield Official Receipt
~opment Services Department
Public Works Department
Job/Journal Number
COM2007-00079
COM2007-00079
COM2007-00079
COM2007-00079
Payments:
Type of Payment
Check
cRcceintl
RECEIPT #:
Description
Deposit
Blimp + Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
STERLING FURNITURE
2200700000000000070
Date: 01/17/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 34739 In Person
paymen't Total:
Page I of 1
1:44:0SPM
Amount Due
100,00
45,00
2,25
14,50
$161.75
Amount Paid
$161.75
$161.75
1/17/2007