HomeMy WebLinkAboutPermit Signage 2008-4-29
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00603
ISSUED: 04/29/2008
APPLIED: 04/29/2008
EXPIRES: OS/29/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4343 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323104001
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner Permit April 29, 2008 thru May 29, 2008
Commercial
Owner: CORLISS CRAIG E
Address: 2120 LAW LN
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Tvpe
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMA nON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building'
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special 1~~1t.-Ntr0N: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notes: Notification Center. Those rules are set forth
in OAR 952-001-001 0 throuC?h QAI=l Q.I:i?-nn1.
0090. You may obtain copies of thl:: I ult::;) l.Jy
calling the center. (Note: the tele ation Descri
number for the Oregon Utility Notlflca Ion
Descrl'ptl'on Carltp8er ol&. t-08nOsnr-33~-2344). $ Per Sq Ft
TV it C ,1 ucfion It' I'
or mu IP ler
Downspouts/Drains:
NOTICE:
I I~ t"thlVIII ~HALL tAr-Iii!: IF Tric vvunl\
tiod\l THOR/ZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
Squa.r%~~~A DAY PERlVWue
or BI{rA~mounr
Date Calculated
Paee 1 of2
...-
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Deposit
Total Amount Paid
Total Value of Project
Fees Paid I
Amount Paid
Date Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00603
ISSUED: 04/29/2008
APPLIED: 04/29/2008
EXPIRES: OS/29/2008
VALUE:
Receipt Number
2200800000000000547
2200800000000000547
2200800000000000547
2200800000000000547
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.
$14.50
$2.25
$45.00
$100.00
4/29/08
4/29/08
4/29108
4/29/08
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 a e front ofthe property, and the approved set of plans will remain on the site at all
times during construction.
$161.75
I Plan Reviews I
Reouired Insoections I
~~v
Paee 2 of2
;C)l/ - Z-c;- 08,
Date
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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Tax Lot
Owner
Owner of Property GvLAJ\..l L(}I t \ <; ).
Addres~ t\QO \01 U \ Clh0
Cite, h1'\,e~~ Stat,
Phon~
O\L
Zip
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ContractorlInstaller
~~.~
Contractor
Addres~
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City
State
Zip
Construction Contractors License #
Expire~
Description Qn() ,\)-eyS.Cu<..-\ ~V\ \'VAr '\ Di.al ba...n fI t:.xS ~i'\ LloOVlS.
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Date of InstallatioD t)L/- - ;;; ~ - 0 5 Date of Removal S - ;;;L ~ - 0 ~
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. 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
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 30th day to request an inspection to verify the removal of the banner(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 bee~n r.emoved. ~~
c-~_ ~ \,. 'G C"\, C--
SignaturC---- ~ U V ~ ' Dat~ () L/ - ~ b . 05
Date of App,c~n~ ~.v ...C\..Q?J
Issued By \}.Ji V
For Office Use
Job # r 2j(rOS
Receipt # 22.DOOf Gt7
~ Hol.iS"
Amount Collected
Shared Dnve (T )/Bwldmg FormsIBanner ]ortable SIgn PerDu! CSD 8-06 doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00603
COM2008-00603
COM2008-00603
COM2008-00603
Payments:
Type of Payment
Check
cRecelOt I
RECEIPT #:
Descnption
DeposIt
Banner SpecIal PermIt
+ 5% Technology Fee
+ 10% AdmInIstratIve Fee
Paid By
MCKENZIE FEED &
SADDLERY
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000547
Date: 04/29/2008
Item Total:
Check Number Authonzation
Received By Batch Number Number How Received
ddk
203487
In Person
Payment Total:
Page I of I
11 :20:32AM
Amount Due
100 00
4500
225
1450
$161.75
Amount PaId
$161 75
$161.75
4/29/2008