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HomeMy WebLinkAboutPermit Signage 2007-8-23 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-01255 ISSUED: 08/23/2007 APPLIED: 08/23/2007 EXPIRES: 10/23/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2073 OLYMPIC ST Springfield TYPE OF WORK: Banner ASSESSOR'S PARCEL NO.: 1703254201100 \,0 TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner - in~"d}~'7 removal date 102307 ~e'>>~~o~.... ,.~ r"'. ..t\, \,,",' ~!Q" e" !Ii" V.... Owner: SELCO COMMU~~~~'~ Address: PO BOX 7~~~\'! ~ o~"0~,,a ~~ EUGENE ~~~ oroe^~~rbd- ,.e~'&.~ .~~. .~~ t"cv ',P; r ~~ ~v rb ~v e" ~() \;. cPy,....' .,.... ~ ~:~e~ve~~'C.:~~~O~~~~TRACTOR INFORMATION' ~ ~~ #0 ~ ~ w..,e\' ~cF- ~ Contractor ~~~~~~W License Expiration Date Phone Sign ~~,.~. .~@.~~\'" ~I ~~e' tF I BUILDING INFORMATION I ~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # 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: ,,~Ft Other: Sprinkled Building: ~l\)~\ ~~upant Load: .", ~'~i'I. ~~J~ ,,~{~ I DEVELOPMENT INFO~.j' ~~'f.).> ~\. ~ c:; '0 ~ ~t~~-;o ~"\~~REQUlRED PARKING Overlay DJ~(\)~\\~~\. ~-;~~~~ ~~ .4~~ Total: # Str~i ~~'~...r:\ "\"\'t Handicapped: pa~~.'<< ~Ol'" Compact: %6\\&\t~ e: ~ C*~ i~ I PUBLIC IMPROVEMENTS I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01255 ISSUED: 08/2312007 APPLIED: 08/23/2007 EXPIRES: 10/23/2007 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 Receipt Number $19.00 $4.50 $90.00 $100.00 8/23/07 8/23/07 8/23/07 8/23/07 1200700000000001080 1200700000000001080 1200700000000001080 1200700000000001080 Total Amount Paid $213.50 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 ReQuired 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 times during construction. /JtW~f1Lu ;Jj IMJ n Date Owner or Contractors Signature Pa2e 2 of2 225 Fifth St.reet SpriIigfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0J255 COM2007-0J255 COM2007-0J255 COM2007-01255 Payments: Type of Payment Check cReceint 1 RECEIPT #: Description Deposit Banner Special Permit + J 0% Administrative Fee + 5% Technology Fee Paid By VICKI SCHOENLEBER City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001080 Date: 08/23/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 292 In Person Payment Total: Page J of I 1I:56:12AM Amount Due J 00.00 90.00 J9.00 4.50 $213.50 Amount Paid $2J3.50 $213.50 8/23/2007 , ' ~(P)U~JCL~@'j~:Jf.?:~Q) (~ ~i:_l1J u. 225 tIt ItI STREIT . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 M~ ,,~ ~ City .Job Number "H~.' .~ o,~: Job Location ~, r . 0, ~. Assessors Map a~ tz.dA: ~. C~ o.,~i~ ~ ~. ~.~. ~; r -/P' v"::.&" ~. ~~) '-- Q:,~, M......."; v~: ~. ~; C' q-.....,..j'; ~: ~ -"'1 ' 0; ~} .~.". ..~. P..;".": :1 ::-:--d '''~~: ~,~. dj: P"'; , ~J , - --i F'!' 'l'~~ t4f'J ,- '......".. / '\'~~ q2}, ~, " .: 'b' v '. .~. ~ ~ ---,!:'~ %~ Q. ~, ~' ~""=l', (j,J>i ~: ~: ~( t:LJ. . " COIAA t....oC7-C> /ZS- S- OlD1;3 ttu mni(0,S-1-. ~ [00 17C>3.Z'~l(L ~) V1nlhJd. (hL.. \ Tax Lot 0 (( 00 Owner Owner of Property ~ 1 r D Address lo-SO fh~h \.\-. P U {?mv 1t(~l /0 ( City . V"VlL State Phon~ ~ ~'::::::::c:t~~~ :b~ Address rp /) P7 rl ?D City ('I (ljy V~. t Us ')l( /. 0 ~~, 6~lD Z. q-=/L(o/. lp ~ [(l/ ' ,J 7' Phono ~~ ( D v/ /' State 6L / 1&0 . ).. 2.-1 ~ ql ?fX) Description ,,'lO%A-1IV1I'v-f/ r<.,1}......1'~l iiL ~LH_L V Date of Installation ~. ~? . Of Date of Removal Genmit}et" ~lOY.;S im.;;.nding $]00.00 DeposaL 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 removed. Signam!ia:~UJ{1tid1LJ Constructi'on Contractors License # ~ . Date of Application &/Z~;:'7 I . ~ For (~{tke Use Job # C 7- ty Z '5 r Issued By Amount Collected Zip Expirr<: 10 ( Z co#sGcJ .23'{)1- Dat~ fit tltfj tJ::(- Receipt # 10 fO ZI"J ~ Shared Drive (T:)lBuilding FonnslBanner ]ortable Sign Permit CSD 8-06.doc