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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 "~ CityJ.b Numb<, V '.:tJ Ir1 r1 cA'-/l ")ofl-1 ~I i Job Location ~ I "t.. ~ -;I 1 ~ Assessors Map ~I~ !~ Owner of Property C((:)ss.{i{.{... Wo(Jd D~tY<..C1Ch VVl,h,'S.}tl'GS "~~ ~ ."~1 , 11 " ~d Contractor/Installt'f '~ ~ Address ~~ '4,~ City ~ fl4} ~ ~J g Date of Installatiou QJ ."."". '."\1 :..,' ...,......J~ ...---:''1 ~ m1 ~ ~l !~ ~1 ai~ =~ .~~ ~ ~) ). ..c;.: ~. ell .; ry-41 , 11 ~) ;". .' \. CITY OF SPRINGFIELQ, OREGON ~~ ,~ ....~~ Tax Lot AddressQ&/1 ?-. rfh City C;(ld)'>'!tj.fJ.eIJ v ' '90- "3 C:/I ; Zip 4. 7L-/ 7 7 S-f. Phone State 0,/.... ~6Vl Phone State Zip Construction Contractors License # .:{+ Description C; YDIAY1d. Expires /' ~ Date of Remov( 1, ;O-6~ bcd/66 V1 q- ~\o- 07 $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 . P-: v 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 5.~ CityJobNumber ~~ I l~oO ..)~ C/::J~ v";'.;...j' Job Location >: 'j> ~~ Assessors Map ~:: r:L:1 ' CU.: Q. ',~.. ~: ~ I"'l. "),. ~' ~. ....,., ...... >.. ~~r ',~~) .; "O~' ~: ~t S 5! 0) r;r'\ "--11 , ,- .' L)' '.~ S ~' (j..) ~.I' ~ bi) .~ ~. (l) I .' r") ~: L' O. ~'I ~' H (j,)' ~. ~::t ~ CD. Q4" :2~{11 OwiIer s+ S-RfI'nqJ;'eIJ, 0 R., q '74 /1 Tax Lot / OwnerofProperty Cro95r:fe.. V00rJrL Ovt..J.(e.ach VVI.~t'-5#I"eS 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\ c; ~~ ~ >q 7 J Z. q7tf77 It: Phonf' State Zip Expire~ - ----- ------ , 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