HomeMy WebLinkAboutPermit Signage 2007-8-13
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225 F1ITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 _ ~ 0;>~
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n Assessors Map
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CITY OF SPRlNGFfELD, OREGON
Tax Lot
oo?os
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City
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Phon~
~TIQN: Ol:Mon law rea~d~ctio(
follow rules adop'ed by the Oregon utilItY
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001.
gOgO. YO'I roilY obtain cooies of the rules by
calling the center. (Note: the telepho~e
numb~~e Oregon Utility NotificatIon
Center is 1-800~~-~).
Zip
State.
Contractor/I nstaller
o (...v' IV crt
NOTICE~ .
~CWfS'ffiMIT CH,\ll EX~I~J: n: THE WORK
dtUTHORIZED UNDER THIS PERMIT IS NOT
BOIVIlVlENCc5 5R 13 ABANDON~Q ~~P-,
ANY 1 RQ DAY PERIOD.
Cb'fi"stru~tlOn'Contractors License #
Contractor
State
Expire<:
Description
,'~.~.A~.~ I~ 5'4/1'\
~/I~i #
/ I
Date of Removal
~ Co 1::i2.00 7 ..
~/1~
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.
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Datp.
siT;:'"
I
Date of Application
SJ7 ;:."
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For Office Use
Job #C7-0 I (
Receipt #
" 7J-
.)( ~
/OS(
Issued By
Amount Collected
Shared Drive (T:)/Building FonnsIBanner]ortable Sign Permit CSD 8-06,doc
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-~676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1940 DON ST STE 100
ASSESSOR'S PARCEL NO.: 1703270000903
Springfield
CITY OF SPRINGFIELD.
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
Sign
Contractor
OWNER
BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
License
Expiration Date Phone
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot CfrYeJa2.e; to
ATTENTION: Oregon law requ r8& ygU .
f~II~.., ",an ft <<l>(,} Rrlnpted bv the Oregon Utility
Notification C IP1?PB:r.. ir . . ara
In OAR 952-00
0090. You may obtain copies of the rules V
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT ~~AII ~DID~'~ T~~ \\'( RK
AUTHORIZED UNDER THIS PERMIT IS ~ or
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD
Value bate Calculated
Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01191
ISSUED: 08/13/2007
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
Fees Paid J
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Amount Paid
Date Paid
Receipt Number
$4.50
$2.25
$45.00
8/13/07
8/13/07
8/13/07
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.
Reouired 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 re'quired 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 during construction.
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Owner or Contractors Signature
J
.~
&:)1/07
Date
Pal!e 2 of 2
225 Fifth Street
Springfield, 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
City of Springfield Official Receipt
Development 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 I of 1
2:15:09PM
Amount Due
4.50
45.00
2.25
$51.75
Amount Paid
$51.75
$51.75
8/13/2007