HomeMy WebLinkAboutPermit Signage 2007-8-14
;.:
Cj
~j
Q
...~j
...~
~
......--14
f11
~
~
~
_...~
.t:
~
~
~~
w.
.o~4
e~
~$
~
U
IJ
~
~~
~~ J~
~
~
.,,~
~
~
'I 1.of
. tp')~
I
~
'\' 14
i
~
~
~CO~ZO()7-00l/~~.
~~~
CITY OF SPRINGFIELD, OREGON
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
City Job Number Co 4AA -z....o 0 7 - 0 II <].S-
37'3g J11A-tlt(
Assessors Map , 7 02 ~ Ii.{ Z.
Job Location
c.S"J
Tax Lot
o 2-tto 6
Owner
AQ..J....\ ~ ~ (0
Owner of Property , 1-
<is II C",-,-,^- ~ c t iP Phone
ek&-t-Ne State O'~
Addres~
3 I..( lj ,.., $ S (J\:)
9740(
City
Zip
Contractor
, ---------- ..
Addres" ~~~~.
City . ~~%G~.a
~ ~......-~O Cjt! ','
Construction Contractors License # ~.DO,~., ~~
.0.... ~ ",",
. Description ?--~\k-j Y;'f'-' ~~:, , T5'if/ri7.i/~7
Date ofInstallation ' 81. It I ~ Date of Removal
/ ..
Permit Fee: $l61.75 inCluding $100.00 Deposit.
By signature, I state and agree that I hav~ 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 iarger than 60 square feet, and wiil 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
~~I~ ;i~~s~;:;n Wt::~; th; proces/} retu~ the $100.00 deposit if the ban;7:7
Signatufl' eh q ~ '" [)JI ?~-fi~ Date .'I1'fo 7
. . __' J..t...\I.~v..f:. ~J;,,*Pe Use ;',
DateofAP~~~~~~~~~~~\\C.I-O{1 'S-
, \~~ ~()~\tr:.~"~ .
Issued By ~~\ 'J'~J\rJr:. n. Amount Collected
. CQ"-l\\'.I\ ~~ -
\)..~i '\ ~\)
Receipt #
/61 ?L-
Shared Drive (T:}lBuilding Forms/Banner]ortable Sign Permit CSD 8-06,doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01195
ISSUED: 08/14/2007
APPLIED: 08/14/2007
EXPIRES: 09/11/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3738 MAIN ST
ASSESSOR'S PARCEL NO.: 1702314202406
Springfield
TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: REF:COD2007-00461. Portable sign permit of code compliance.
Install 081107 removal date 091107
Commercial
Owner: ARLIE & COMPANY
Address: 871 COUNTRY CLUB RD
EUGENE OR 97401
I CONTRACTOR INFORMATION.
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 INFORMATION I
# of Stories: ~ \0
Height of Struct~,et ~ U~\":'t\l'
Type of tb~~ ~e Ote~Oe6e\'$V
, ~~~~~~se~~~~:\e6'"
~~ ~'If~~~'~'u~tO~~~cJ.~e~~~:'
\0 ~",ca\\~~~ e' ~e ~o\~-
~O~ .~r ~~'1~_.P.A-" I~ j)\~"'.
\\ ~E fii'1~T, N
~e' \ot ~et \$
,,~ Ovetitr Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS.
Street Improvements:
Sidewalk Type:
Storm Sewer A vailable: a~'f,. Downspouts/Drains:
Special Instruction: ~t ~ ~Q"\
~~t \~ ~~ \~
Notes: \ i:. ~"t-.\.\.~\~ V~~~~ 'tO~
\\~ f ~~~({. ~~J",l' ",VJ~
\~\~ ~()~\1..~~ ~ O~ \~ ~~. I Valuation Description I
~\}\'"' ~\\C'€ V~
Descrl'ptl'on ('I~~~n~ t t' $ Per Sq Ft Square Footage V I
v p.~ t!':bns ruc Ion I' I' B'd A a ue
~~ . \ or mu tIp ler or I mount
Date Calculated
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01195
ISSUED: 08/14/2007
APPLIED: 08/14/2007
EXPIRES: 09/11/2008
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 8/14/07 2200700000000001286
$2.25 8/14/07 2200700000000001286
$45.00 8/14/07 2200700000000001286
$100.00 8/14/07 2200700000000001286
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.
I Reouired 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 ofany 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 c.ard is located at the;jnt of the property, and the approved. set of p.lans will remain on the site at all
tilliZ!];:7:.' [J/ScU~ 1; -Ii ~O;; .
Owner or Contractors Signature
Date
Pal!e 2 of 2
225~Fiftb Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01 ]95
COM2007-01195
COM2007-01 ]95
COM2007-0 I] 95
Payments:
Type of Payment
CreditCard .
cReceintl
RECEIPT #:
Description
Banner Special Permit
+ 5% Techno]ogy Fee
+ ] 0% Administrative Fee
Deposit
Paid By
CHARLIE WISDOM
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001286
Date: 08/14/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 097679 In Person
Payment Total:
Page] of]
IO:54:03AM
Amount Due
45,00
2,25
14,50
]00,00
$161.75
Amount Paid
$]61.75
$161.75
8/14/2007