HomeMy WebLinkAboutPermit Signage 2007-8-24
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A,.w t,maN: Oregon Jaw...... you to
follow rules adopted by the Oregon Utility
Notification Center. Those rut.. are set fortIt
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0090. You may obtain COplea. of.th..' ruIea by
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number for the Oregon Utility NotifIoatioII
State Center 1I1~-2344).
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Contractor
Addres"
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City
Construction Contractors License #
Expirf'''
DescriptioJl 3 i X ?5' ! 1\ A C{ /r {' fA -h 5 C{ (e i( h tit h n e ;---
Date of Installation <6 /;].S /0'7 Date of Remova 1 c:r /..).. 5 / 17 7
,
Permit Fee: $]61.75 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 time line
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
:~g:::: sign(s' as ~V:VAA C{ ~ _ Date It l~ if 07
;t: / ' r--
HIS PERMIT S Al~ ~PJRE IF TQ~e Use
A~TH9RJZE ~~ PERMIT IS N<(!' 7 - Of z- b J
Date of Ap~ABANooNEa-Mff
Issued By ANY 180 D ~D.
Amount Collected
Receipt #
/b/7r
Shared Drive (T:)/Building Forms/Banner]ortable Sign Permit CSD 8-06,doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01263
ISSUED: 08/24/2007
APPLIED: 08/24/2007
EXPIRES: 09/25/2007
VALUE:
SITE ADDRESS: 1873 PIONEER PARKWAY EAST Springfield
ASSESSOR'S PARCEL NO.: 1703262302301
TYPE OF WORK: Banner
PROJECT DESCRIPTION: Banner - install 082507 removal date 092507
TYPE OF USE: New
Commercial
Owner: PK SALE LLC
Address: PO BOX 131071
CARLSBAD CA 92013
Contractor Type
Sign
Contractor
OWNER
# 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:
Description
Type of Construction
I CONTRACTOR INFORMATION.
NOTICE: License Expiration Date Phone
.. ~ . I r.A ~~.I:.\. ~!tt~ II: ntr: wtml
B - - - ERMIT IS NOT
CQM~t1R~~ OR IS ABANDONEO FO~ot Size:
AliVe~.9U.f~WQD. 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:
Sprinkled Building: n/a Occupant Load:
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
,., IW\lI';t,-~:'
I PUBLIC IMPROVEMENT~AnON~ Of80:' b'1 \hI ()t89c:'se\~dt\
p." tu'e~q~IIq'\lilJ)p@:ru\es ar 902.-001-
1o\\~'II efoO cerW~~lf. th~Qt\ oAR ru'es b1
No\\1\c \ 2..ijD~j ;~\t\e ...hone
\0 o~R 95 aV ob\l ~e \e\et"~..~~nft
0090. '(ou rn centef. \l'lot~\\\\V Not\t\gatoIW"-
ca\\\09 r~: \he Ofe~.s32-i344).
nurnbe centef \$ 1
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01263
ISSUED: 08/24/2007
APPLIED: 08/24/2007
EXPIRES: 09/25/2007
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'
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
$14.50
$2.25
$45.00
$100.00
8/24/07
8/24/07
8/24/07
8/24/07
Receipt Number
2200700000000001347
2200700000000001347
2200700000000001347
2200700000000001347
Total Amount Paid
$161.75
I Plan Reviews,
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 .
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
times during construction.
Owp1t~a~~~
g/:J if (U7
,
Date
Pae:e 2 of 2
225. Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007 -01263
COM2007-01263
COM2007-01263
COM2007-01263
Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
Description
Deposit
Banner Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
FLIGHT OF THE PHOENIX
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001347
Date: 08/24/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
084673 In Person
Payment Total:
Page 1 of 1
1:33:46PM
Amount Due
100.00
45.00
2.25
14.50
$161.75
Amount Paid
$161.75
$161.75
8/24/2007