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.
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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.
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CitvJobNumb.< CC#1Zoog :-CJ04\ S- wooctSIck- kst ~o\ \ \ui~
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riDz- '3 zerO Tax Lot 00 ~c:J(
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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