HomeMy WebLinkAboutPermit Signage 2008-5-2
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225 FIITH STREET. SPRINGFIELD, OR 97477 . PH.(541)726-3753 . FAX: (541)726-3689
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Owner
Owner of Property
Contractor/Installer
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Permit Fee: $161. 75 includ@~~eposit.
By signature, I state and agree that I have carefully comple~~s 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 ofthe 30th day to request an inspection to verify the removal ofthe 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 been removed.
Signature ~ ~ ____)
Construction Contractors License #
Description t? /hvN~
Datt' -S- 0;2 - o~
Date of Application
5/z/Dr
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For Office Use
Job# c.8 - b( cr
Receipt #
J 61 7}.:
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Issued By
Amount Collected
Shared Dnve (T )/Bmldmg Fonns/Banner _Portable SIgn PermIt CSD 8-06 doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00619
ISSUED: 05/0212008
APPLIED: 05/02/2008
EXPIRES: 06/02/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1537 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703253404300
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner - 050208 removal date 060208
Owner: VELAZCO ABRAHAM
Address: 898 32ND PL
SPRINGFIELD OR 97478
Contractor Type
Sign
Contractor
OWNER
I CONTRACTOR INFORMATION.
ATTENTION: dMi~w re~~~Date Phone
~ow rules adopted by the Oregon Utility
~t-'~~ nO&6IUltll) a.v ovl f",.lt.
BUlLDI..{7~through OAR 952-001.
~I You may obtain copies of the rules by
# of S On Ilt_~ center. (Note: the telef)twne
Height 0 ~Ii'ftffthe Oregon Utility NcP~cfib:)Or:
Type oMeaT: Center is 1-a00-332-23~4)ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building, nla Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
;UTlCE: I PUBLIC IMPROVEMENTS I
Street ImprovemeAYr!SHOPERRMrr SHAll EXPIRE IF "H
IZED UNDER ' I E WORK
Storm Sewer Ava(J(JMMENC THIS PERMIT IS
Special Instructi~NY 180 DAEyD OR IS ABANDONED FOR NOT
PERIOD.
Notes:
Sidewalk Type:
Downspouts/Drains:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00619
ISSUED: 05/02/2008
APPLIED: 05/02/2008
EXPIRES: 06/0212008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L Fees Paid J
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid Date Paid Receipt Number
$14.50 5/2/08 1200800000000000425
$2.25 512/08 1200800000000000425
$45.00 5/2/08 1200800000000000425
$100.00 5/2/08 1200800000000000425
Total Amount Paid
$161.75
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.
I Reouired Insnections I
Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested,
the applicant may forfiet the deposit.
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 wiJl 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 wiJl remain on the site at all
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Owner or Contractors Signature
S-D;L-L):8
Date
Pa2e 2 of2
225 Fifth s.treet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00619
COM2008-00619
COM2008-00619
COM2008-00619
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
DescriptIOn
Deposit
Banner Special Permit
+ 5% Technology Fee
+ 10% AdmInistrative Fee
Paid By
CALIENTE INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000425
Date: 05/02/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
2406
In Person
Payment Total:
Page 1 of 1
10:51:21AM
Amount Due
100 00
4500
225
1450
$161.75
Amount Paid
$161 75
$161.75
5/2/2008