HomeMy WebLinkAboutPermit Signage 2007-8-14
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225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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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 remo~. I -. I ' 81, ~()~~
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Shared Drive (T:)/Building FonnslBanner]ortable Sign Permit CSD 8-06.doc
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2007-01200
ISSUED: 08/14/2007
APPLIED: 08/14/2007
EXPIRES: 02/14/2008
VALUE:
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2454 10TH ST
ASSESSOR'S PARCEL NO.: 1703261200100
Springfield
TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: REF:COD2007-00280. Permit for compliance, banner and portables.
Owner: WILKINSON BONNIE JEAN TE
Address: 34725 DEVONSHIRE DR
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
BUILDING INFORMATION I
# 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:
I Valuation Description ~
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa2e 1 of2
Commercial
Expiration Date Phone
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Value
Date Calculated
Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01200
ISSUED: 08/14/2007
APPLIED: 08/14/2007
EXPIRES: 02/14/2008
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 I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Amount Paid
Date Paid
Receipt Number
$4.50
$2.25
$45.00
8/14/07
8/14/07
8/14/07
2200700000000001290
2200700000000001290
2200700000000001290
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.
LReouired 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 during construction.
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Owner or Contractors Signature
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Paee 2 of 2
225. Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0]200
COM2007 -0] 200
COM2007-0]200
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Banner Special Permit
+ 5% Technology Fee
+ ] 0% Administrative Fee
Paid By
MMW INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001290
Date: 08/14/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
]605
In Person
Payment Total:
Page ] of]
2:28:29PM
Amount Due
45,00
2.25
4.50
$51.75
Amount Paid
$51.75
$51.75
8/1 4/2007