HomeMy WebLinkAboutPermit Signage 2007-8-31
225 FIITH STREET. SPRINGFIELD, OR 97W477 . PH:(541)726-3753 . FA.,'{: (541)726-3689
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CITY OF SPRINGFIELD, OREGON
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Tax Lot
Owner J { ,...I-, - ( +
Owner of property~ ~ J L...- 'J t n -5 ~,.(Yl P D 5
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State 00
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Contractor//;~staller
Contractor l":J:j \ ~
Addres~
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City
State
Zip
Construction Contractors License #
Expirec:
-
DescriptionC~ ;.,-
Date oflnstallation~
Date of Removal nlCA-.J
. Permit Fee: $161.75 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 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 inswection ill begin the process to return the $100.00 deposit if the banner(s) and/or
portable sifn(s) h en removed.
Signat~l il) Datp.
'----"""
Date of APPlication---2! 3\. 01
Issued By ~\~
For Office Use
Job # ~ f) .-- \~'W
Receipt# 1~-1I3'J
2..\~ .W .
Amount Collected
Shared Drive (T:)!Building FormslBanner]ortable Sign Permit CSD 8-06,doc
Status
Issued
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2007-01320
ISSUED: 08/31/2007
APPLIED: 08/31/2007
EXPIRES: 10/31/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 863 Main ST
ASSESSOR'S PARCEL NO.: 1703354206500
Springfield
TYPE OF WORK: Banner
TYPE OF USE: Addition
PROJECT DESCRIPTION: Banner Permit - Referred by Code Enforcement
Commercial
Owner: HUTCHINS IMPORTED MOTORS INC
Address: 863 MAIN ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION.
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
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:
Sprinkled Building:
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
Frontyard 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:
I PUBLIC IMPROVEMENTS'
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
Pae:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01320
ISSUED: 08/31/2007
APPLIED: 08/31/2007
EXPIRES: 10/31/2007
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 I
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
8/31/07
8/31/07
8/31/07
8/31/07
1200700000000001137
1200700000000001137
1200700000000001137
1200700000000001137
Total Amount Paid
$213.50
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 Insnections 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 ()f 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
~'d ing con,,:octY\j, (1_ < ~ t / ;; I/O 7
OW~' Cont'"cto" Sigoato," '--" If') Date I
Paj!e 2 of 2
225 Fift~ Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200700000000001137
Date: 08/31/2007
Job/Journal Number Description
COM2007-0 1320 Deposit
COM2007-01320 Banner Special Permit
COM2007-01320 + 5% Technology Fee
COM2007-01320 + 10% Administrative Fee
Item Total:
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Check LITHIA IIh 49304 In Person
Change LITHIA IIh 49304 In Person
Payment Total:
Job/Journal Number Description
COM2007-01320 Deposit
COM2007-01320 Banner Special Permit
COM2007-01320 + 5% Technology Fee
COM2007-01320 + 10% Administrative Fee
Item Total:
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Check LITHIA . IIh 49304 In Person
Change LITHIA IIh 49304 In Person
Payment Total:
cReceintl
Page 1 of 1
11 :22:59AM
Amount Due
100.00
90.00
4.50
19.00
$213.50
Amount Paid
$223.50
($10.00)
$213.50
Amount Due
100.00
90.00
4.50
19.00
$213.50
Amount Paid
$223.50
($10.00)
$213.50
8/31/2007