HomeMy WebLinkAboutPermit Signage 2008-4-28
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ZZ5 FlITH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX. (541)726-3689
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Job Location
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Description ?J;A--J../Alc=F\.
Date of Installation ;/Z s;k,f
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Permit Fee: $161.75 including $100.00 Deposit. ~~
By signature, I state and agree that I have carefully completed this apPlicat~~~\bY certify that
all information herein is true and correct. I further agree and understand~~t~~~~ described
banner(s) and/or portable sign(s) is not larger than 60 square feet, an~ls~~ed within 30 days
from the date listed above. If the banner(s) and/or porta~le Si~~~~~~thin the timeline
specified, I will forfeit the $100.00 deposit. I also ~~.t ~~~~Ial permit can be issued
only twice per calendar year per development ar~()r~~~1 ~1h~.inspection line at 726-3769
by the end of the 30th day to request an inspection t\lW~1i ~q~ of the banner(s) and/or portable
sign(s). This inspection will begin the process to re~~~ OO~O deposit if the banner(s) and/or
por1able sign(s) has ;;J!!)"OVed. C, ~~ '( /
Signature ..6t1J Date ~jt.1Gr
For Office Use
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Date of Application~/ ~ ;'100
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Date of Removal
Issued By
Receipt #
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Amount Collected
Shared Dnve (T )lBwldmg FormsIBanner]ortable Sign Penrut CSD 8-06 doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00591
ISSUED: 04/28/2008
APPLIED: 04/28/2008
EXPIRES: 10/28/2008
VALUE:
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 215 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353205700
Springfield TYPE OF WORK: Banner
PROJECT DESCRIPTION: Banner - ref:COD2008-00216
TYPE OF USE: New
Commercial
Owner: ZHU QI CHANG & WAN YI
Address: 215 MAIN ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: . all to Height of Structure
Secondary Occupancy GroW'~\N feC\\.l1{8S X \~'l\\lt'1 Type of Heat:
Primary CWlmeAAf.oG$fia b\f \\le crego ~p\ tOf\\l Water Type:
secondt.F'Ci~\tw~~6se lules a~ 952.-00,\-Range Type:
# of B~"h\\on cente\ 0 t\lfOl.lg\l Of\ {ules b~nergy Path:
,",,00\\ ~~ 952,-OQ1-0bOt in copIes 0' tt\~p\lone Sprinkled Building. nla
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009~\\\~~thecent~~'e~on 'U\\\iW ~~~'bivELOPMENT INFORMA nON I
C ber tor the. 4 -800-332.-2
C\urn r.en\er \& ,
Frontyard SetbacK: Overlay Dist:
Side 1 Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
Expiration Date Phone
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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
MOlICE! PUBLIC IMPROVEMENTe ~ORK
I'! I I\LL ~1t\1: II 11 \
THIS PERMIT SHt'\ ER 1HIS PERMIT IS NO'$idewalk Type:
AUTHORIZED UND,S ABANDONED FOR Downspouts/Drains:
COMMENCED OR
ANY 180 DAY PERIOD.
Notes:
I Valuation Description ~
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Paee 1 of 2
Value
Date Calculated
Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00591
ISSUED: 04/28/2008
APPLIED: 04128/2008
EXPIRES: 10/28/2008
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
4/28/08
4/28/08
4/28108
1200800000000000404
1200800000000000404
1200800000000000404
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
timos dn,;ng ,on"..,tion. ;:;jjj)
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Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth .street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00591
COM2008-00591
COM2008-00591
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
DescriptIOn
Banner Spec tal Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
HI TECH INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000404
Date: 04/28/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 3042 In Person
Payment Total:
Page I of 1
8:29:09AM
Amount Due
4500
225
450
$51. 75
Amount Paid
$51 75
$51. 7 5
4/28/2008