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Home My WebLink AboutPermit Signage 2003-7-18 ., Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00639 ISSUED: 07/18/2003 APPLIED: 07/18/2003 EXPIRES: 01118/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 900 BEL TLINE RD ASSESSOR'S PARCEL NO.: 1703153001000 Springfield TYPE OF WORK: TYPE OF USE: Owner: BROCKMAN PETER M & V T DOWD Address: 4150 SW DOSCH RD PORTLAND OR 97201 PROJECT DESCRIPTION: banner permit/ 7-19 thru August 15th PJ~T'':.'~: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED fOR ANY 180 DAY PERJOO. Owner: BROCKMAN PETER M & V T DOWD Address: 4150 SW DOSCH RD PORTLAND OR 97201 Owner: SHARI'S OF N SPRINGFIELD Address: % SHARIS MNGT CORP 8205 SW CREEKSIDE PL STE D REA VERTm 97008 1 CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone BUILDING INFORMATION I # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: . Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: 1 PUBLIC IMPROVEMENTS I . A Ii t:1\i I kJl~1d~OOR[y~~!eqUlres you ~o follow rules adopted by Yoe ~regon Utility Notification cdffl\lr.stm6~r~ are set fort In OAR 952-001-0010 through OAR 952-00 0090. You may obtain copies of the rules b calling the center. (Note: the te'~~ho~e - number for the Oregon Utility Notification Center is .1-Bon-332-2344). Notes: Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00639 ISSUED: 07/1812003 APPLIED: 07/18/2003 EXPIRES: 01118/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I . . $ Per Sq Ft Description ATT~y.qfl'5~?mte~g'r~dW raqutriRil1001u follow rules adopted by the Oregon Utility Notification Center. Those rules are ~\lMalue of Project in OAR 952-001-0010 throuah OAR 9S~-od 0090. You may obtain copies of UI'~ FeI~Paid~ calling the center. (Note: the te~t1J.1IIVIIt;:. number for the Oregon UtilHY~ ~o~fication Fee Description Center is 1-800W~~1f~~. + 10% Administrative Fee $16.00 Banner Special Permit $160.00 Deposit $100.00 Square Footage or Bid Amount Value Date Calculated Date Paid Receipt Number Total Amount Paid 7/18/03 2200200000000001273 7/18/03 2200200000000001273 7/18/03 2200200000000001273 NOTICE: . $276.00 THIS PERMIT SHALL E~PIRE IF THE WORK . AU ~HUtiILtU ul~ucA ~; ;;;::; ~'~n;.~lT Ie NOT Plan Revlew~"I1MENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 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. \ '. '[ Reouired Insnections I 1 Sign Final: After all required inspections are conducted and approved and the sign installation is completed. 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 ti ing construction. 1/;{WiALV-- ((rf/o~ Owner or Contractors Signature (f Date Pal!e 2 of 2 ",' . \ .' ~. O. .,...;,,( 00 .;~ > . V""""4.. ~"'."'.'....~........ .......'/..... ., 00 Q.) 0~ .;~ '..........,- ~ ~ "';'\ ~ 7""".. .. '1"-1.' ~. f,), .' .~. ~ ~,' S, 8; ~. v".,I.. U.~ . < , . . . i, I, ~=--, ._.~ E C1).. ~., ~; Cll). ,....,aq; ~~f Q; ~.~ ~i ZZ5 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 City Job Number Cern;;). ~u_3 -06 03 7 Banner Location Cioo ~l(~ ~o~d Assessors M~r Tax Lot Owner ;. 1)A r n ATTENTIOI\l:UregQh ~wA~qiW~ you tv (Utt.'- ~tW tJ.t1~~~n Iltili, '1 . j() V j) ~ NotifiCati.9f\}9.-EtQter. 1I)ose, n.ill lf9f ~re"set f6iiJ" j ir}\g&~~52tQfW001~~2-0@(D0-.( . 0090. ~' may obtain ~e~ of the rules I () cR~"mg~~ri~iftltel th61~leDhone State_ _ V number for the Orayon Utility Notification contra&hWWl\~-332-234~ Contractor \ ~ ato~ \ Phonf' 74-\ -loO~tf- zipQ74l/ NOTICE: JHIS(ll?a~[ ~~~@<PIRE IF THt \/.'.Jr~, AUT~j~~tJU~Q\tri I MI0 t'tKNlII IS I~li I COMMENCEDB,Q~ ls ABANDUNED FOR ANY HiO LiMY pl:WIUu. Addres" City State Construction Contractors Registration # Description l..()~_~Li ~LVl...k\.JU\ Date of Installation ~ . '1 ( I Y lO? Date of Remova 1 Banner Permit Fee $80.00 + 10% Administrative Fee - Zip Fxpirf''' ~II S(03 Deposit Required $100.00 By signature, I state and agree that I have carefully completed this application and hereby certify that all infonnation herein is true and correct. I further agree and understand that the above described banner(s) is not larger than 60 square feet, and will be removed within 14 days from the date listed above. If the banner(s) is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that this special pennit 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 14th day to request an inspection to verify the removal of the banner(s). This inspection will begin the process to return the $lOOJ0<Iepos if the banner(s) has been removed. Sig~Uf.~ ~y~ '-f} 1f1i!J7J1JLJr ~ Uor Office Use Job #&/77;)003 - D:::>cb.57Receipt # Amount Collected / 2:X < crU Date of APPlicatio;~/ / r:;/ ;;;J()():') Issued BfJ . rn achct ~ Date -t((?/o3 Shared Drive (T:)/Building Fonns/Banner Penn;t eSDI-03_doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00639 COM2003-00639 COM2003-00639 Payments: Type of Payment Cash Description Deposit Banner Special Permit + 10% Administrative Fee Paid By SHARI'S RESTAURANT Receipt #: 2200200000000001273 Received By nJrn Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 07/18/2003 7:51:32AM Amount Paid 100.00 160.00 16.00 $276.00 Item Total: How Received In Person Payment Total: Amount Paid $276.00 $276.00