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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: 3230 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703222002401 Springfield PROJECT DESCRIPTION: Banner permit per code enforcement Owner: Address: KFC % PROP TAX 5214 STURDIVANT AVE KLAMATH FALLS OR 97603 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01342 ISSUED: 09/04/2007 APPLIED: 09/04/2007 EXPIRES: 09/04/2007 VALUE: TYPE OF WORK: Banner TYPE OF USE: Addition Commercial I CONTRACTOR INFORMA nON I Contractor Type Contractor 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: 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 INFORMA nON I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid.Amount Type of Construction Page 1 of 2 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Value Date Calculated CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01342 ISSUED: 09/04/2007 APPLIED: 09/0412007 EXPIRES: 09/04/2007 VALUE: 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. Fee Description + 10% Administrative Fee + 5% Technology Fee Banner Special Permit Amount Paid Receipt Number Date Paid $4.50 $2.25 $45.00 9/4/07 9/4/07 9/4/07 2200700000000001386 2200700000000001386 2200700000000001386 Total Amount Paid $51. 75 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 v-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 of the property, and the approved set of plans will remain on the site at all times during construction. ~f ~~.c- /~ ~ ' / - - iwner or Contractors Signature 7~7 Date Pa2e 2 of2 225 Fifth Street Sprin.gfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200700000000001386 Date: 09/04/2007 Job/Journal Number Description COM2007-01342 + 5% Technology Fee COM2007-01342 + 10% Administrative Fee COM2007 -01342 Banner Special Permit Item Total: Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Cash LARIOT CORPORA nON llh In Person Change LARIOT CORPORA nON llh In Person Payment To)al: Job/Journal Number Description COM2007-0 1342 + 5% Technology Fee COM2007-01342 + 10% Administrative Fee COM2007-01342 Banner Special Permit Item Total: Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Cash LARIOT CORPORA nON llh In Person Change LARIOT CORPORA nON llh In Person Payment Total: cReceint 1 Page 1 of 1 1 :56:45PM Amount Due 2.25 4.50 45.00 $51.75 Amount Paid $52.00 ($0.25) $51.75 Amount Due 2.25 4.50 45.00 $51.75 Amount Paid $52.00 ($0.25) $51.75 9/4/2007 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 g1J () . I ~ ~1.-- eJ City Job Number. \. )1,/ , ~~~ ~ .6~~ Job Location ''"S2-30' (~.l~ ,v\ ~ .0 ~l Assessors Map eJl rJ:.f4J ~ (t)) ."~j ~ ~ ~ ~ .~:l ~. .,,~j . ~l =\-"; g .......~ .........~ '''-- j '''- j ......... j 'r-j (r-- j -4 e:> U ID :~ .,,~~ ~ rr-q x-j ,~j ~ ~'Iq ~j ~-f ~ '."~4 ~ <l1V) " -',j Yl) .~~ t~ ~i ~ ~~ ~ 't;;~:- e!'!lj ~) 1..-- j v-- j , . j ~1 ~'SJ) , ~t} ffll CITY OF SPRINGFIELD, OREGON ~~' ~.~ , "" Tax Lot Owner Owner of Property LA-1?' ~ t ;:; kh Phonp, 5' eI J -,<'I S - 5a 1 ~ q7~ tn iL ;') I /./ j A-( ~ Address '3 2 ;;Sf") Cl'ty' <.0i1J IA Do ,r; (i. ( d --I ' J 6JL- Statp Zip ContractorlInstaller Contractor Address Phonp City State Zip r- Construction 'Contractors License # Expire" Description, A..cA I ~...lIAA h},A/ Date of Installation lJ/ r //1 7 (., - (.., Date of Removal 9 J L/ 'J /) 7 l V.l 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 al~o 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 30t~ 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 sign(s) has been removed. Signaturf'/4/ ~> ~ Dat~ f/~ 7 For Office Use Date of Application q--~~ 0( Receipt # Job # C:.-.-:f,/ '~y-'Z- Issued By Amount Collected Shared Drive (T:)IBuilding FormslBanner]ortable Sign Permit CSD 8-06.doc