HomeMy WebLinkAboutPermit Signage 2008-4-2
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, CITY OF SPRINGFIELD, OREGON
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ZZ5 FIFTI-I STREET - SPRlNGFIELD,OR97477 - PH (541)726-3753 -FAX (541)726-3689
Co '? C> o_oo'-fSl
City Job Number M c-O 0
. 52 D Ht\iC,.{o~
Job LocatiOn
\2-~
Assessors Map
Tax Lot
Owner ~",,(.t\O~~.. ,~~'t ~I ~
Owner of Property \-\ome.~-\(AO viLl OSL. M.o.nQ~ IY1.Lrt!-
Address" Q<.\ b\JJ'\~(lr ~. {>hollf~\-~~.S7-a .\\10)
City C:;9Ay.\-Qnbu...~ State ~ Zip ~C'\~OU .q~~
Contractorllnstaller
Contractor
OWNE~
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City '. :/ State' ", j "~~~ ",pt formip
)' .... r,lll i I II '-..~ I \\I..nJ ~R' -952001-
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Construction Contractors License # _, ',,:', ;.-),l.'.lJV \- '_ ",'on'" ni the rules ~pire~
(\('~liL You \llal{ UIJ'r:l.\l ;~~t~,- thp telep,hone
td~2~~t:~~ ~p~I~~y(~tesatlon
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Permit Fee: $161.75 including"$100.00 1J'eposiL -
Addres~
Description
Date ofInstallation
By signature, I state and agree that I, have carefully completed this application and hereby certify that
all information herein is true and correct. I further agree and understand that the above described
banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days
from the date listed above. If the banner(s) and/or portable sign is not removed within the timeline
I specified, I will forfeit the $100.00 deposit. I also understand that this special permit ~ be issued
only twice per calendar year per development area., I also agree to call the ins~i~ql~l\ at 726-3769
by the end of the 30th day to request an inspection to verify the removal ~'t.lli ~~~~ and/or portable
sign(s). This inspection will begin the process to]etum the $100~~\.~~~'tl~~r(s) and/or
portable sign~')ha?lfeen removed. __-/ - ~ - O\\C<f::. ~~ <O~~t.~ ,\\'\ ~~O~r:. /
. fj; I~/ ~ //_-- ~ ~S ~t.~ x.\) U~ \S t>-~~ __ __ ~/
Slgnatun> ,. fl,/IA r dkr~ ~ ,~ _\\~~SV ..<". a~ ,,,no Datp?f :2. () ()
.'J ' · - !6<'"' l~For~~v;~'?~.\"-- .
Date of Application 'I /z. ~ r Job # t:'f - 00 l/ 'f7
I /
-::V~
Issued By
Receipt #
5,7)
Amount Collected
Shared Dove (T )lBUlldmg Fonns/Banner_Portable Sign Penmt CSD 8-06 doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00457
ISSUED: 04/02/2008
APPLIED: 04/02/2008
EXPIRES: 10/0212008
VALUE:
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 520 HARLOW RD
ASSESSOR'S PARCEL NO.: 1703220002605
Springfield TYPE OF WORK: Banner
PROJECT DESCRIPTION: Ref: COD2008-00136
TYPE OF USE: New
Commercial
Owner: BREIESA PROPERTIES LLC
Address: 100 DUNBAR ST
SPARTANBURG SC 29306
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
," # of Stories:,! r-,~'''>vro:; 'nu to
t"" - \' ': Height of Structurec'vn Uul\ty
'~ ,- )'y,pe of,l{eat:nile:J are set iorth
l\Jdt." L' hOAR 952-001-
, OA~ 9 t.. _l;O'Y-l!:terOI1ype~Jg b
m ,l..J - ~~~mWe,,)les of the rules y
0090. You m ~ _ f,atlie' the telephone
callmg the mtt;g~ Ilta~hl Notification
numberi~~.~~~~~~~~~~~~44}. n/a
I DEVELOPMENT INFORMATION.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
...,..J.~""'" ~ --'>--
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
E. 1~~BlItS/Drains:
~~~\~ERM'1 S\-\~ll ~~\~~~~M\i \5 MOl
I\U1HORIZED U~~~; I\BAMDOMED fOR
!"r\IIAM~~,CED \"'0
u ~ - tJP\': t't;:l. u .
I ~Yu1~~n Description I
Notes:
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Pal!e 1 of 2
Value
Date Calculated
Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00457
ISSUED: 04/02/2008
APPLIED: 04/02/2008
EXPIRES: 10/02/2008
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
4/2/08
4/2108
4/2/08
2200800000000000397
2200800000000000397
2200800000000000397
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 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 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.
&h/ dfZ ~/. Lj:-;;2----o ~
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Owner or Contractors Signature "-- ./ Date
Pal!e 2 of 2
225 Fiftb Street
Sprjngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00457
COM2008-00457
COM2008-00457
Payments:
Type of Payment
CredltCard
cRecemll
RECEIPT #:
Description
Banner Special PermIt
+ 5% Technology Fee
+ 10% AdmInIstratIve Fee
PaId By
CROSSLANDS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000397
Date: 04/02/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 082950 In Person
Payment Total:
Page 1 of 1
1:10:22PM
Amount Due
4500
225
4,50
$51.75
Amount Paid
$51 75
$51.75
4/2/2008