HomeMy WebLinkAboutPermit Signage 2007-8-31
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01330
ISSUED: 08/31/2007
APPLIED: 08/31/2007
EXPIRES: 02/29/2908 C\ '12.."'\ 10\
VALUE: ~
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 942 28TH ST
ASSESSOR'S PARCEL NO.: 1703361109600
Springfield
TYPE OF WORK: Banner
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Balloon and Banner Permits
Owner: CROSSFIRE WORLD OUTREACH MINISTIRES
Address: 942 28TH ST
SPRINGFIELD OR 97477
Phone Number: 541-686-3473
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING ll'll' URMA TION 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:
Downspoutsillrains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Blimp + Special Permit
Deposit
Total Amount Paid
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01330
ISSUED: 08/31/2007
APPLIED: 08/31/2007
EXPIRES: 02/29/200-8
VALUE:
Total Value of Project
L Fees Paid I
Amount Paid Date Paid Receipt Number
$14.50 8/31/07 1200700000000001144
$4.50 8/31/07 1200700000000001144
$45.00 8/31/07 1200700000000001144
$45.00 8/31/07 1200700000000001144
$100.00 8/31/07 1200700000000001144
$209.00
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 Reouired 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa!!e 2 of 2
!~ 225 FIFTH STREET · SPRI~Gf\L~t?;;';4/~ · PH:(541)7Z6-3753 · FAX: (541)726-3689
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CITY OF SPRINGFIELQ, OREGON
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Tax Lot
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Construction Contractors License #
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Description C; YDIAY1d.
Expires
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Date of Remov( 1, ;O-6~
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$161.75 including $100.00 Deposit and applicable fees.
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 display will be
removed within fourteen (14) days from the date listed as the date of installation above. If the display 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 once 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 est an inspection to verify the removal of the display, This inspection
will begin the process to retu 0 .00 deposit if the display has been removed.
Signaturf'
Datt'
((- ;2q-07
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For Office Use
Date of Ap~i~a~on .
Issued By \.l.J n-)
Job#
Receipt#
, Amount Collected
Shared Drive(T:)/Building Fonns/Blimp ]ennants _ Balloons8-06.doc
$?~e;r.HriHG?B:EL~ ~
ZZ5 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726':3689
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Addr~~~ '1 '-/:z. :).,8 rh)"J
City )pVfn.~ /;-e/d
Contractor/Installer
Contractor
Addres.~
City
Construction Contractors License #
Description
<-I x& !Janner
Date of Installation q - [ - 200 7
Permit Fee:
Phone
Stat~ 0 fe-C;O V\
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Z. q7tf77
It:
Phonf'
State
Zip
Expire~
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Dale of ~Val q -;Uf- 2007
$J61.75 including $lOO.01)~I:)e.p.Qsit.
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 re ,est an inspection to verify the removal of the banner(s) and/or portable
sign(s). This inspection will egin the process to return the $100.00 deposit if the banner(s) and/or
portable sign(s) ~en oved.
Signaturf' /~ DatI" 9 - )"Q-C>7
Date of AP)lication~.~\.01
....
Issued By \.It::(). )
For Office Use
Job # ~5\. \~1j)
Recei pt #
Amount Collected
Shared Drive (T:)/Building Forms/Banner]ortable Sign Permit CSD 8-06.doc
225 Fifth Street
Springfi.eld, Oregon 97477
541-7i6-3759 Phone
Job/Journal Number
COM2007-01330
COM2007-01330
COM2007-0 1330
COM2007-0 1330
COM2007-01330
Payments:
Type of Payment
CreditCard
c Receint I
RECEIPT #:
Description
Deposit
Banner Special Permit
Blimp + Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
BENJAMIN ELEY
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001144
Date: 08/31/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ilh
043030
043030 In Person
Payment Total:
Page I of I
2:12:28PM
Amount Due
100.00
45.00
45.00
4.50
14.50
$209,00
Amount Paid
$209.00
$209,00
8/31/2007