HomeMy WebLinkAboutPermit Signage 2007-8-13
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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CITY OF SPRINGFIELD, OREGON
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Construction Contractors License #
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Description S..vt A LA_ CV.p I A.JA.J~ '61 tJ.u
Date ofInstallation ?~/bj1 . . Date of Rem ova!
Permit Fee: $161.75 including $100.00 Deposit.
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By signature, I state and agree that 1 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 squarefee't,and will be removed within 30 days
, from the date listed above. If the banner(s) and/or portabli~.fi~yWi.
specifie~, I will forfeit the $100.00 depostt. I ~lso under~~~~ . ~~~
, only tWIce per calendar year per development area. I al~~fi*tHlI1Jht\UWIGiJl_IfjJll!J9mff69
by the end of the 30th day to request an inspection to veritwlfh\R,~~kou€DQ'~~ble
sign(s). This inspection will begin the process to retun) tt)eSKIL~~~ft~~fufMlW
portable sign(s) ha~en removed.)~ celUng the center. (Note: the i8fephone
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For Office Use
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Receipt # '
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Amount Collected
Shared Drive (T)'Building FormslBanner]ortable Sign Pennit CSD 8-06,doc
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01204
ISSUED: 08/15/2007
APPLIED: 08/15/2007
EXPIRES: 09/11/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2155 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254201200
Springfield
TYPE OF WORK: Banner
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: REF:COD2007-00455. Portable sign permit for compliance. Install 081107 removal
date 091107
Owner: POLEN DEVELOPMENT LLC
Address: 2197 OLYMPIC
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
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:
Spri~l,~LRuitging:
'-'1" .aI'IU you ll'l .
"""'ON' ur .\! - -?'. ' '- - . ''111'
ATTE"" . (5)' MATION
tonow ru'e8 ado 2 .
Notif\~:~~~~10tt\r~~f:~\es bY
~o~~. You may obta\~~0t8~~t~~Cl,'N":
ca\\\ng the center~ \ on 1tJt\\\tcf ~\\tcrard:
number tor the18~loo5~verage:
oenter
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
. .:"u~"lm~[O on 10 ".ll.\lI~glJ~!l fOP
I Valuation DescriptAMYI180 DAY PERIOD.,
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01204
ISSUED: 08/1512007
APPLIED: 08/15/2007
EXPIRES: 09/11/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
LFees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid Date Paid Receipt Number
$14.50 8/15/07 2200700000000001294
$2.25 8/15/07 2200700000000001294
$45.00 8/15/07 2200700000000001294
$100.00 8/15/07 2200700000000001294
Total Amount Paid
$161.75
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.
L... Reauired Insoections I
Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested,
the applicant may forfiet the deposit.
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
tim4=tructionj~it-=
Own., 0' cont'"1" ::'n~'~"
1hrlD+
,
Date
Pae:e 2 of 2
225 Fifth street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01204
COM2007-01204
COM2007-01204
COM2007-01204
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Deposit
Banner Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
QUlZNOS SUB
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001294
Date: 08/15/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
3374
In Person
Payment Total:
Page I of I
1:18:34PM
Amount Due
100.00
45.00
2.25
14.50
$161.75
Amount Paid
$161.75
$161.75
8/15/2007