HomeMy WebLinkAboutPermit Signage 2008-2-12
225 FIITH STREET . SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
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CITY OF SPRINGFIELD, OREGON
Tax Lot
o f 2-00
Owner
JA.1b\.fet
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N~frtratl- - ter{ b ,~t~qulrA~ }~ t "1
in OAI19S" venter. Tho~e Ocregon Utili U
0090 " 2-001-0010 th rUles are set 4 ty
. rOu may rough OA 'Orth
calling the Obtain COPies f R 952-001
n".........:. C9ntAr. ,1..,_, 0 thA 4IIa ..
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Center is ;:s.~o,.n Utility NOtiCh~e
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.Zip
Contractor/Installer
Contractor / D t..o--lv'--L.
Address
City
State
Construction Contractors License #
Expirt'''
Description I3A-NNL-rL NDil(;f.
'Date oflnstallation Z /810 J' JifG/!-1i'8m1L z/r /of
I 7 - C OR/ZED UN l EXPIRt'F
Permit Fee: $161.75 i~~l~'H~~-!~S PEl~Ar,H~ WOR/(
. 13't1LJiJ.\I . .\, daAAlnnA''''~. T IS IVU r.
By signature, I state and agree that I have carefully complete\! ~lCarrCm"EltilDL1lfURY cmifY that
all information herein is true and correct. I further agree and underst~;dthat the above described
banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be remove-d \vithin 30 days
from the date listed above. If the banner(s) andlor 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 30; day to request an inspection to verifY the removal of the banner(s) and/or portable
sign(s). This inspe~'Yo~ will bFgin the7)ro ess to return the $100.00 deposit if the banner(s) and/or
portable si~n(~!- ~'~'S beer re1J1lried':)
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Signaturl' II i Date L../I 2-/z f(
/ /
Date of Application
2/~g
--py ,
For Office Use
Tob# C%-: 2(0
Receipt #
51 'l!:-
Issued By
Amount Collected
Shared Dnve (T )/Bmldmg Forms/Banner_~ortable SIgn Pennll CSD 8-06 doc
Status
Finaled
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00210
ISSUED: 02/12/2008
APPLIED: 02/12/2008
EXPIRES: 02/1212008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2422 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364101200
Springfield TYPE OF WORK: Banner
PROJECT DESCRIPTION: Banner - ref:COD2008-00068
TYPE OF USE: New
Commercial
Owner: FRED MENTZE
Address: 544 CONGER
EUGENE OR 97402
Contractor Type
Sign
A', I CONTRACTOR INFORMATION I
.. , '[..:/'/1'1.
'.), )'41.. ' Uhf. .
Contractor I\jvtlft ';-~!I:J$ O"9go License
OWNER !n OA;aYon Cc':.~OPt~ri :/aw fSrr",
V~&O. ~EDiNT n ! lf1~ W~LJ to
n,,:Zng the c Y Obta! .~ are Set J.'lify
er fOr thft~toriff?.pies 0 ~A 952 Orth
Cel1te ~g~)fU!f~M1'he rlJl -001..
'f ~ Mtt1it teleph es by
-3.':2" Y No/. r~. Ol1e
Water ype::-234 "'Catio
Range Type: 4). '1)
Energy Path:
Sprinkled Building
# 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
I DEVELOPMENT INFORMA nON I
Overlay Dist:
/II, # Street Trees Rqd:
7; Ol'ICt.. Paved Drive Rqd:
4 /iIS Ptp : % of Lot Coverage:
U//iO ry/i1l/
Cn~ 'R/~,.._ SJ./A.
4lvy J;EIvC(D ~~t~~OVEMENTS I
o D4y IS ;S p ,}.. '/it
PERIO/) 484IvDo%R/i1I/ /S WOIII(
. 'ED POIi NOr
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:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa2e 1 of 2
Value
Date Calculated
Status
Finaled
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00210
ISSUED: 02/12/2008
APPLIED: 02/12/2008
EXPIRES: 02/12/2008
VALUE:
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
Receipt Number
$4.50
$2.25
$45.00
2/12/08
2/12/08
2/12/08
2200800000000000187
2200800000000000187
2200800000000000187
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_L1.Reouired Insoections I
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 pertainmg 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 cer.l!ify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further ag~l e to ensure that all required inspections are requested at the proper time, that each address is readable from the
street., that t 'tP~rmit cari is located at the front of the property, and the approved set of plans will remain on the site at all
t:92ijjX1J\ K* ~;;~r
Owner or,tontractors Signature Date
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00210
COM2008-002 I 0
COM2008-002 I 0
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
DescriptIOn
Banner SpeCIal Permit
+ 5% Technology Fee
+ 10% Admmlstratlve Fee
Paid By
FM SHEET METAL INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000187
Date: 02/12/2008
Item Total:
Check Number AuthorizatIOn
ReceIVed By Batch Number Number How ReceIVed
dJb 034812 In Person
Payment Total:
Page I of I
8:21:33AM
Amount Due
4500
225
450
$51.75
Amount Paid
$5 I 75
$51. 7 5
211 2/2008