HomeMy WebLinkAboutPermit Signage 2007-8-10
225 FIITH STREET. SPRlNGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689'
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Job Location
Assessors Map
OW1ler
Owner of Property
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Construction Contractors License #
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Description
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Date of Installation
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Date of Removal
J>ermitFee: $161.75 including $100.00 Deposit.
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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 agreeand 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 lineilt 7 ~~~ D1
by the end of the 30th day to request an inspection to verify the removal of the banner~~r ~~
sign(s). This inspection will begin the process to return the $100.00 de~~sit ift~",~~ ~iO~
portable sign(s) has been removed. ~Q~\C ~~~ CO ~~~~ "\ ~~O~
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Date of Application ~4\\)m Job # (';1. '2.!j3 Receipt #
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Issued By
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Shared Drive {T:)/Building Forms/Banner_Portable Sign Permit CSD 8.06.doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01273
ISSUED: 08/29/2007
APPLIED: 08/28/2007
EXPIRES: 02/29/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3340 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703222001900
SPRING FIE TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner for Cafe Yumm. Install 083007 removal date 100107
Commercial
Owner:
Address:
3346 GATEWAY LLC
840 BEL TUNE RD STE 202
SPRINGFIELD OR 97477
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Contractor ~O~. ~o9\e ~Ose' ~ Cl~~ o'(\e Expiration Date
IMAGE KING Il'\..('\"'~~\e. !o'(\\e" .o<<'~O~?~esl~i'~t9~,,~\\0'(\ 09/01/2008
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~~\t~~Mk)ure:
t\\)'<i'fpe 6f.)\t~~ t:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone
541-484-1482
Contractor Type
Sign
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handic:wped:
Paved Drive Rqd: C~~
% of Lot Coverage: ~ \~ ",,'to \CO ~(j \
... - . 9-t' ~~ 9t.~~~ "O~
I PUBLIC IMPR~~ ~~<;)~~\:~~<;)<;)W;.
"'\~~;\~()~\~~~t) ~t1elbrype:
~~()~~t.~ ~~~~spoutS/Drains:
C~'i \'O~ - .
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01273
ISSUED: 08/29/2007
APPLIED: 08/28/2007
EXPIRES: 02/29/2008
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
Deposit
Amount Paid
Date Paid
Receipt Number
$14.50
$2.25
$45.00
$100.00
8/29/07
8/29/07
8/29/07
8/29/07
1200700000000001114
1200700000000001114
1200700000000001114
1200700000000001114
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 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.
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Owner or Contractors Signature
Date
Pal!e 2 of 2
225 Fift~ Stteet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01273
COM2007-01273
COM2007-01273
COM2007-01273
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Deposit
Banner Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
IMAGE KING INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001114
Date: 08/29/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
09844
In Person
Payment Total:
Page 1 of 1
8:06:28AM
Amount Due
100.00
45.00
2.25
14.50
$161.75
Amount Paid
$161.75
$161.75
8/29/2007