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Home My WebLink AboutPermit Signage 2007-8-13 ;J~/09/2{)U7 THU l~: UI1 FAX ~t,;l .:SU;": bb'!l KUl:ilSK LlWl:ilSL.LI!;K::i I..:U!\I::i:t'K ~': ~.\, ;~~ (:i"': ~~,\P~; ~r:',,: .~, ~~~~:~ C.:t ~~1> e[f~. (~; "elk ~'l'.!ttJ:. '''\;~~~.;) ~r.-- ~j ;;. .1'1-_ ~~, "'l.A~' ~:-r~~~ f~'!.~" (f;.~~;1 f.( .~ ~~ 1i;', ~)., . ~'~t~:~ " ,--~ "'b.~i I",..~~, ~d~[;4~: ~j.} .~J,~ ~f' ~:;;~~~.J ~f.~-~:: <t\~p \i",'<r' ff~t ~~~:\ ~UU.:l1 UU.:l Kc~!CDDZDo7-DO L(4~ SPlFll!NGRELP ";i;'!.,iC"i>:,"~;~"" .~ "-. . t~~ Z25FIFl'HSTREET e SPRINGFIELD,ORB7477 e PH:(541)726-3753 eFAX:(54I)726-3689 City Job Nu~ber c.c~ z..oo 7 - 0 l , , 0 Job Location /8/0 #J;iI.f/ (70 Z. :1"3 t{ l - ,// "falll f.J7 I D260 ( Ass~ssors Map Tax Lot Owner -- Owner of Property AlHlfOd d" ~/t, e . Address_3~9'Zq /I.P/!~rff c.r. City ;;;.tJl/lf C {} nfrac1tJr/l nstallet I ' , Contractor .~~1,~ /..t tJ. Address ,129~?' ~~~ ,~r I City ,('~ !jtl~ Phon,. 7t~ ....&79r Stat'" CJt,~ Zir; .tj7_~~ 1 . . 1\'\E WOl\1\ N01\Cf.~ tA\15~~tt ~\'\R~~~W\\l \S NOl ,.t\\S "::\1.EC 1 \NOER ,.\'\~ ~I=n Faa ~U1\1 ~-ORlP1'~K' d br- r.oW\ME~ ~ "0 77, " ^MY 18U .. . . Suite lJt..,& Zip 9.1~~~ Construction Contractors License # .. pJ" EXpire'.' II ~~ "-' 1/ I' I 'Ali n/ rr Description o/EU At!2III . ~~f,tJ!/I CfH(",tt//l:fn .J#//4.~~ Date ofInstillatio~ ~/ ~ '7 Date ofRemoVl" ~/ ~ Permit Fee: $161.75 iocluding-:!.luu.uo-DeJmsit. By signature, I state and agree that I have carefully completed this application and hereby certify that .a1l infonnation 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 sp~cified, 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 'n the process to return the -$100.00 deposit tithe banner(s) and/or portablesign(s) has e 00; Signa~ ~ I~.q~~ Datp. ~ - /J wt17 J7/07 I I ':1~ For OjJke Use Tob# C"7 - 0 If'O Receipt# All ~.-mQ~J~_~ ~~ requIres~ 1\.,11\1" .~~i~& Orego. . Notification Center. Those rules are eet forth In OAR 952.oo1..Q010through OAR 952-001- 0090. You m~ ~_copie~ of the rules by . call1ngsmraMtif.~__~fhWriJmnitcm 8-<l6.rloc . numbei' for the Oregon Utility Notification . . Center 18 1-100-332-2344). Date of Application Issued By ." CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: cOM2007-01190 ISSUED: 08/13/2007 APPLIED: 08/13/2007 EXPIRES: 02/13/2008 VALUE: Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 111 58TH ST ASSESSOR'S PARCEL NO.: 1702334102601 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Ref:COD2007-00448. Banner permit for code compliance Owner: AMIGOS III LLC Address: 32929 ROBERTS CRT COBURG OR 97408 I CONTRACTOR INFORMATION' Contractor Type Sign Contractor OWNER License BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: Height of Structure: Secondary Occupancy Group: Type of Heat: Primary Construction Type Water Type: Secondary Construction Type: Range Type: En~w'm ,e~ t1>'iIM1ft ~Jing: n/a - t:. -\. ~1O. ~I.\'r \. _ \,\0' \~~~W\\'t S"'~Q[:mll"i,",~U\ INFORMA TION , \~\~~O"'\l~O UN", \S'~\J Frontyard Setback: ~U \J\\J\~"Ct.O ~a\\OO. Overlay Dist: Side 1 Setback: CO "'SO t)l\'f # Street Trees Rqd: Side 2 Setback: ~~'{ \ Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: # of Bedrooms: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pal!e 1 of 2 Commercial Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Value Date Calculated Status Finaled CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01190 ISSUED: 08/1312007 APPLIED: 08/13/2007 EXPIRES: 02/13/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee Banner Special Permit Amount Paid Date Paid $4.50 $2.25 $45.00 8/13/07 8/13/07 8/13/07 Receipt Number 1200700000000001030 1200700000000001030 1200700000000001030 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. ReQuired Insoections . 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 ca . ocated at the front of the property, and the approved set of plans will remain on the site at all timeSdn,;.gconst.~~ d&~ ~J0~ Date Pal!e 2 of 2 225 Fifth Street S)Jrihgneld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01190 COM2007-01190 COM2007-01190 Payments: Type of Payment Check cReceintl RECEIPT #: Description Banner Special Permit + 5% Technology Fee + 10% Administrative Fee Paid By AMIGOS III LLC City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001030 Date: 08/13/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 10271 In Person Payment Total: Page 1 of 1 1 :50:39PM Amount Due 45.00 2.25 4.50 $51.75 Amount Paid $51.75 $51.75 811 3/2007