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HomeMy WebLinkAboutPermit Signage 2008-3-28 Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2008-00415 ISSUED: 03/28/2008 APPLIED: 03/27/2008 EXPIRES: 09/28/2008 VALUE: SITE ADDRESS: 4851 MAIN ST ASSESSOR'S PARCEL NO.: 1702320000901 Springfield TYPE OF WORK: Sign TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Portable sign - See COD2008-00070 Owner: SPRINGFIELD ASST LIV L TD LIABILITY Address: PO BOX 3006 SALEM OR 97302 Contractor ~taicense OWNER _ . .~_~ftt\\J\\\\\1. ~;:~~~ NO\\UCa\\O~.oo1~g~~ ru\e8 ~ \0 OAR:U (f\a'# otl\f'~~~ ~~\\Og ::e1:i~2344l- nurnbetcen\er \ft.!nge Type: Energy Path: Sprinkled Building: Contractor Type Sign # 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 CONTRACTOR INFORMATION I 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 REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: _ ""'t~"~ H(1 ,~. ~\. v-y\f\t i~lA\1 \5"\1\ DE~ 1~~~~ fOR "U,.",Ot\\lEO U~t\ \$ ~~~y~ COMMENCED Pi.R\6l)r'nspouts/Drains: ~'l1&O Ol\'i I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Value Date Calculated Pa!!:e 1 of2 Status Finaled CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2008-00415 ISSUED: 03/28/2008 APPLIED: 03/27/2008 EXPIRES: 09/28/2008 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 3/28/08 3/28/08 3/28/08 1200800000000000283 1200800000000000283 1200800000000000283 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. Reouired Insoections . 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. Owne{dn~~at~ 3:> / 2--'6-0 8' Date Pa!!:e 2 of2 ~.) ~~ .o~q ~q ~4 ,:;;;;;;l 'e~! , 4 ,,-4 , ,,-4 ~4 ,~ U I I In :~ ~~! ;.:--4 --4 ~ el.. ;~ ~9 ~~ ~{j)) .<>~4 ~ (llJ)) " -)4 ~) . c:r;Q~ ~ ~1 ~ ~~ ~~ (llJ)J ~ ~ ~ m " SIP~DINIGlFllElLfD) I -~ .~~~ CitvJobNumb.< CC#1Zoog :-CJ04\ S- wooctSIck- kst ~o\ \ \ui~ '-I <(, r:::; I n/)~ ~~ + riDz- '3 zerO Tax Lot 00 ~c:J( , \ CITY OF SPRINGFIELD, OREGON . Owner Owner of Property U ) DO Ii <; " de. L I I> Address 4<?5 I f1I1CLf'h S+/J/JJ;oreg,,"I'J).V-!A~fFJta) 7LI7-1C?~7 A l't~. <:T.' UfI'ty g-o VI' r1iA c-, '..e. J rt .fOI,I~~_~Ule~adoPte-2~I~~~~~~et,.~rthgJ Lf>i <6 F- 7-F-' ,-Juuh..,.;..lep. ...eState hOAR 95z.:tR,,- in OAR 952-001-0010 throug I b Contractor/Installer \ 0090. You maYfobtain copIes of the ru es y 1\ .--..-IJ. Il'n the center. (Note: the telephone Contractor \_1)() (f if.% C, [ r J) - I ~:'IIIL;, f;jf thr 0.o~nn Utilitv Notification . \ 1_____ _ Ce~ter is 1-800-332-2344fr~ , . I ('/'CJ 7 Addres~ Lf1csl MeLt VI <)Tf'-f:....1!- r Phon\2LI/ J I L/I- If lJ City 5-p rt'/1 jf7 ~ l rl State 0 f- Zip q I Lf I V ,ft) / AI I . Construction Contractors License # ~I/A I Expire" Description POYf-CLf;')e.. ?~15l1 - '-\ \PU YS '~CL~ l '--l LI Date of Installation \ 1- L 1-0 ( Date of Removal ~ - L S - 0 SS NOT\CE: P\RE \f iHE WOR" Permit Fee: $161.75 includ~\~1~2tWA\D~k~ EXT\..l. I!; PERM\T, \8 NOT , ur\l.~\ U l rm[R By signature, I state and agree that I have carefully conMQtett'tfirr~tmml' W\~I}h.B~OO~JeYt\fy that all information herein is true and correct. I further agree ~Gf\aA~~~ loo.above described banner(s) and/or portable sign(s) is not larger than 60 squaMUfeJ&Q i I e removed within 30 days from the date listed above. Ifthe banner(s) and/or portable sign is not removed within the timeline specified, I will forfeit the $lOO.OO,deposit. I also understa1'1d that this spec:ial permit can be issued only twice per calendar year per development area. l'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 bariner(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. Signatu",-fj1J1ty~.. AiNiVic;-h/"\'1or D~te ~-2S-(n ) c ~ For Office Use Date of Application :;/Z,/?>f Job # C.f;-004/) --:Pg r Issued By Receipt # 2' 4'.5 'S/7.:C Amount Collected Shared Dnve (T )/Bmldmg Forms/Banner_Portable SIgn PermIt CSD 8-06 doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200800000000000283 Date: 03/28/2008 Job/Journal Number DescriptIOn COM2008-00415 Banner SpecIal PermIt COM2008-00415 + 5% Technology Fee COM2008-00415 + 10% AdminIstratIve Fee Item Total: Payments: Check Number AuthOrization Type of Payment PaId By Received By Batch Number Number How Received Cash WOODSIDE ALF dJb In Person Change WOODSIDE ALF dJb In Person Payment Total: Job/Journal Number DescriptIOn COM2008-00415 Banner SpecIal PermIt COM2008-00415 + 5% Technology Fee COM2008-00415 + 10% AdminIstratIve Fee Item Total: Payments: Check Number AuthorizatIOn Type of Payment PaId By Received By Batch Number Number How ReceIved Cash WOODSIDE ALF dJb In Person Change WOODSIDE ALF dJb In Person Payment Total: c RecelOt I Page 1 of 1 10:30:40AM Amount Due 4500 225 450 $51.75 Amount PaId $52 00 ($0 25) $51.75 Amount Due 4500 225 450 $51. 75 Amount Paid $52 00 ($025) $51.75 3/28/2008