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Home My WebLink AboutPermit Signage 2007-9-4 ,. CITY OF SPRINGFIELD, OREGON 225FIITHSTREET. SPRINGFIELD,OR97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~~ ' nn. \~. (Q) City Job Number V , .O~~ ~ \ W~ . ~ .0 ~~ Job Location ~ "\ .0 ~ Assessors M~r \ 7J ('52)0 ~ \ ') ~\ . , ~ Owner ~J ~' . (t)) ..:)~..I ~ ~~ ~ ~ ~,:~l) ~.~ .c~ , ~~ ~~ ~~. ~ ''-- ~ 'r-~ r-- ~ !~ ~~ ~ U In I~, ..~ . x--- ~ ,~~ ~ ~.I r ;:....L.~ ~~ ~::l ~ .o~~ ~ ~ '. "-'-:'4 ~ ..~~ ~~)~ ,-!.} ::.......~ ~ 'P'. , '~.1 ~ i~; ''-- ~ ' ~1 ,~ OO~ ~ Tax Lot r, (yyy'7Yr~ Owner of Property \! e..'16 11/ (~ 'Address J ,,/ bO V Y c;CjO n City ~~~ contractor~ns Ie .---- U Contractor i A )If' 0 v Address City Construction Contractors License # Description ~~u C\.\A\()\ Date of Installation Phon~ - State-.D\?_./ Phonf' State Date of Removal ~~ ~~~ b ~ \oOc) Zip q l4l,9) Zip Expire" C\,l4/01 .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. 1 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 Iwithin 30 days from the date listed above. Tfthe banner(s) and/or portable sign is not removed within the timeline specified, 1 will forfeit the $100.00 deposit. T also understand that this special permit can be issued only twice per calendar year per development area. 1 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 wil begin the process to return the $100.00 deposit if the banner(s) and/or' portable sign(s) has been oved. Signa~ ' ~~ Date of A~pliW'lion r q /4/ 0, Issued By ~ ~ ~ ') For Office Use Job # (\~ - I ,3t:>4' Amount Collected Datf: Receipt # \ fcj.Q)( 5\,n 1\1b Shared Drive (T:)/Building Forms/Banner]ortable Sign Permit CSD 8-06.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 321 MAIN ST ASSESSOR'S PARCEL NO.: 1703353112600 Springfield PROJECT DESCRIPTION: Banner Permit per Jackie Murdoch Owner: Address: BARRERA VERONICA 3460 OREGON AVE SPRINGFIELD OR 97478 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 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01334 ISSUED: 09/04/2007 APPLIED: 09/04/2007 EXPIRES: 09104/2007 VALUE: TYPE OF WORK: Banner TYPE OF USE: Addition Commercial 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 I 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 Pae:e 1 of2 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Value Date Calculated CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01334 ISSUED: 09/04/2007 APPLIED: 09/04/2007 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 J 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 1200700000000001146 1200700000000001146 1200700000000001146 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. l_Reouired InsDections 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. Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street . Spring~eld,~Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 1334 COM2007-01334 COM2007-01334 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: Description Banner Special Permit + 5% Technology Fee + 10% Administrative Fee Paid By LUIS MARTINEZ City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001146 Date: 09/04/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received llh 826322 In Person Payment Total: Page I of I 9:54:18AM Amount Due 45.00 2.25 4.50 $51. 75 Amount Paid $51.75 $51.75 9/4/2007