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Home My WebLink AboutPermit Signage 2007-9-4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4136 MAIN ST ASSESSOR'S PARCEL NO.: 1702323201400 Springfield CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01345 ISSUED: 09/04/2007 APPLIED: 09/04/2007 EXPIRES: 03/04/2008 VALUE: TYPE OF WORK: Banner TYPE OF USE: Addition PROJECT DESCRIPTION: Banner/Portable Sign permit per code enforcement Owner: Address: ROBERT GONZALES 801 WASHINGTON COTT AGE GROVE OR Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Commercial Phone Number: 541-543-4725 I CONTRACTOR INFORMATION I BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: License Expiration Date Phone n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION. Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Pa2e 1 of2 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Value Date Calculated Status Issued 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 Amount Paid Date Paid $4.50 $2.25 $45.00 9/4/07 9/4/07 9/4/07 Total Amount Paid $51.75 I Plan Reviews I CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01345 ISSUED: 09/04/2007 APPLIED: 09/04/2007 EXPIRES: 03/04/2008 VALUE: Receipt Number 1200700000000001153 1200700000000001153 1200700000000001153 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. 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 d~;Aon" /, Owner or€'61?t;.actors Signature tl Reouired InSDections I Pal?;e 2 of2 1~Lf -f)J ". '- Date 225 Fifth Street Spri,!gfiehf; Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 1345 COM2007-01345 COM2007-01345 Payments: Type of Payment Check cReceintl RECEIPT #: Description Banner Special Permit + 5% Technology Fee + 10% Administrative Fee Paid By ROBERT GONZALES City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001153 Date: 09/04/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received llh 1295 In Person Payment Total: Page 1 of 1 2:56:52PM Amount Due 45.00 2.25 4.50 $51.75 Amount Paid $51.75 $51.75 9/4/2007 ~ 225 FIITH STREET .. S~7iF:\~Lt~ PH:(541)726-3753 · FAX: (541)726-3689 e) City Job Number V l . ::i Job Location ~\IJJ\.o ~,l (\ ~ ~ .", ~ Assessors Map f1, ~' ~ ,~ .o~ > ~~ ~ ~ ~j ~ .o~~ ~~ !!1 I u In / I~ .o~ 19 ti ~l~ ~ ~ .o~~ ~ ~ ,< ).d :~ \~ ,~ f'. \, ~i': , ." , ,-~ ~ '''''- ~, ~ ~l . \ ' CITY OF SPRINGFIELD, OREGON ~ Tax Lot Owner f'L ~ ~ ~ ( 'f Owner of Property Ul\).O_\{ \ \'J\D(\-=7-.o..leS Address. SO\ \ill~~joO City~qf'. G.mv-e statDe... Contractor/I11f/Q;..ller ' - ,.,) Contractor \ V \ ,~ U Phonl': ~\. 54~4ll$ Zip 'Q-r1 L... 4- Addres~ Phonp City State Zip Construction Contractors License # Expire" Description VlW<.~k- ~q;x s ~~ q '4:lu 1 Date of Installation Date of Remov81 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 infonnation herein i~ true and correct. I further agree and understand that the above described banner(s) arid/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 penn it 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 inspection will begin the process to return the $100.00 deposit if the banner(s)'and/or portable s' (s) has been removed. . DatA For Office Use Dat f Ap'plication C{ 4 - 07 , ISSUedBY\_~ . Job # Receipt # 'of. I}o Amount Collected Shared Drive (T:)!Building FormslBanner ]ortable Sign Permit CSD 8-06.doc