HomeMy WebLinkAboutPermit Signage 2003-5-19
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00337
ISSUED: 05/19/2003
APPLIED: 05/05/2003
EXPIRES: 11/19/2003
VALUE: $ 3,800.00
:-'
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2001 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254200500
Springfield TYPE OF WORK: Sign
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Sign - freestanding sign.>> Owner/sign contractor to have field welds inspected by
state certified special inspector and supply results to citys building inspector.
Owner: POLEN FUTURES L L C
Address: 2197 OLYMPIC ST SPRINGFIELD OR 97477
Contractor Type
Owner
Sign
_".' · '-''II 1 IVI'l.Vit:YUil law reqUIres you to
I CONTRACTOR INFVf<.1\,li-\:J?I(i)N:ladopted by the Oregon Utility
~ 'IIvLlI~"'aLlulI venter. Those rules are set forti
Contractor In o.hiCenSe001-Eij)irl~;ti..OJlJQ~~~R ff:1!Qmh
POLEN FUTURES L L C 009?:.,vou may obtain copies of the rules b\
METRO WESTERN SIGN & AWNING cc1285,86he center. Q~6!.~g.09~a tAll=m~~,ln~6~3312
BUILDING INFORMATIONY ror the. O_regon Utility Notification
Centent H3Q0-332-2344).
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Impervious Surface Area:
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
I DEVELOPMENT INFORMATION I
N . REQUIRED PARKING
. OTleE'
Overlay Dlst.~. Total:
# Street Trees l~: PERMIT SHALL EXPIRE IfH'JlPi!iOJWm'k
Paved Drive fHOR/ZED UNDER THIS PEFfMrr~~WOT
% of Lot cov~"3M~ENCED OR IS ABANDONED FOR
j-\IH 180 DAY PERIOD.
Front yard 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:
Notes:
Pal!:e 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00337
ISSUED: 05/19/2003
APPLIED: 05/05/2003
EXPIRES: 11/19/2003
VALUE: $ 3,800.00
,-'
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Sie:n
Type of Construction
Use Bid Amount
$ Per Sq Ft
$1.00
Square Footae:e
3,800.00
Value
$3,800.00
$3,800.00
Date Calculated
05/15/2003
Total Value of Project
I Fees Paid I
Fee Description
Sign Plan Review
+ 10% Administrative Fee
Sign 61-100 Square Feet
Amount Paid
Date Paid
$40.00
$14.00
$140.00
5/5/03
5/19/03
5/19/03
Receipt Number
1200200000000001125
2200200000000000872
2200200000000000872
Total Amount Paid
$194.00
I Plan Reviews I
Sie:n Review
05/15/2003
05/15/2003
APP DJB
Called contractor, requested
attachment details to complete
review
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 InsDections I
1 Sign Location: To verify the location of the proposed sign.
2 Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds.
3 Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
4 Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector.
By signature, I state and agree, that I have carefuny examined the completed application and do hereby certify that an
information hereon is true and correct, and I further certify that any and an 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.
dd~
Owner or Co~ctors Signat~
iJ/
,
Vl~ / I ~ . J {JO '3
I
Date
Pae:e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00337
COM2003-00337
Payments:
'Type of Payment
Check
5/19/2003
Paid By
PERK CITY
10:18:43AM
City of Springfield
Development Services Departmeru
Public Works Department
.
Official Receipt
Reccipt#:2200200000000000872
Date: 05/1912003
Description
Sign 61-100 Square Feet
+ 10% Administrative Fee
Amount Paid
140.00
14.00
$154.00
Item Total:
Received By
ddk
Check Number Confirm No
1114
How Received
In Person
Payment Total:
Amount Paid
154.00
$154.00
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