HomeMy WebLinkAboutPermit Signage 2008-6-18 (2)
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00890
ISSUED' 06/18/2008
APPLIED. 06/18/2008
EXPIRES 07/10/2008
VALUE
225 Flftb Street, Spnngfield, OR
541-726-3753 Pboue
541-726-3676 Fax
541-726-3769 InspectlOu LlOe
SITE ADDRESS 5790 MAIN ST
ASSESSOR'S PARCEL NO 1702334101900
Spnugfield TYPE OF WORK Bauuer
TYPE OF USE
New
Commercial
PROJECT DESCRIPTION Bauner - IOstall 061708 remove 071008
Owner
Address
POLEN DEVELOPMENT LLC
2197 OLYMPIC
SPRINGFIELD OR 97477
Contractor Type
SIgn
Contractor
OWNER
1 CONTRACTOR INFORMATION I
License EXPiration Date Phone
_ 10"" reC' mes you to
BUILDING INFORMATl6N~';~'~~';~rth
, , : \, w_ . -\ OAR 952-001-
",-_#j!CStiine'S\l1 0 tnroul~~ of the rules byLot SIze
UuJ~ HSlgbt<l\fS:fI\ilc'lltr~fe the telephone Sq Fl1st Flool
ca\\lifQ'piHllI::mift:e (on Utility NotificatIOn Sq Ft 2ud Floor
numtWale:t 1\'ypP _~00-332-2344). Sq FI Basemeut
Ra6g:il~p~ 1 Sq Ft Garage/Carport
Euergy Patb Sq Ft Otber
Spnukled BUlldmg n/a Occupant LOdd
# of VUlts
Pnmary Occupaucy Group
Secondary Occupaucy Group
Primary CouslructlOn Type
Secoudary ConstructIOn Type
# of Bedrooms
I DEVELOPMENT INFORMATION I
Froutyard Setback
SIde 1 Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
Haudlcapped
Compact
Sft eet Improvements
Storm Se"er AvaIlable
Spec13llustructlOu
I PUBLIC IMr~QVEMENTS I
~~S 'P'tRMlT SHAll EXP!\i\&*"~~~~~
AUTHORIZED UNDER THlflJ'~M.\TfJ<<ams
COMMENCED OR IS ABANDONtO
ANY 180 DAY PERIOD.
Notes
I ValuatIOn Descnotlon J
DescnptIon
Type of Construction
$ Per Sq Ft
or multiplIer
Square Footage
or Bid Amouut
Value
Date Calculated
Paee 1 of 2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED
APPLIED'
EXPIRES:
VALUE'
CO M2008-00890
06/18/2008
06/18/2008
07/10/2008
225 Flftb Street, Spnugfield, OR
541-726-3753 Pboue
541-726-3676 Fax
541-726-37691uspectlOn Line
Total Value of Project
F~es P~lll I
Fee DescriptIOn
+ 10% Admlnlstrallve Fee
+ 5% Technology Fee
Banner SpecIal PermIt
DepoSIt
Amouut PaId
Date PaId
ReceIpt Number
$1450
$225
$45 00
$10000
6/18/08
6/18/08
6/18/08
6/18/08
2200800000000000922
2200800000000000922
2200800000000000922
2200800000000000922
TOtdl Amount PaId
$161 75
I Plan RevIews I
To Request an mspectlon call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same workmg day, mspections requested after 7:00 a m. will be made the followmg
work day.
I ~leo,lIir~~ Insllectrons I
Bauner Removal To be requested the day followmg tbe explratlOu of tbe permIt If mspectlOu IS not requested,
tbe apphcant may forfiet tbe deposll
By s.guature, I state and agree, that I bave carefully exammed the completed apphcatlOu aud do hereby cerllfy tbat all
mformahou bereon IS true aud correct, aud I furlber cerllfy tbat any aud all work performed shall be doue m accordance WIth
tbe Ordmauces of tbe CIty of Sprmgfield aud tbe Laws of tbe Stdte of Oregon pertalnmg to the work descnbed berem, and
Ibat NO OCCUPANCY will be made of any structure WIthout permlsslOu of tbe CommuUlly ServIces DIVISIOU, BUlldmg Safety
I furtber cerhfy tbat ouly coutractors aud employees who are In comphance WIth ORS 701 005 will be used ou thIS project
I furtber agree to eUSure tbat all reqUired Inspecllons are requested at the proper lime, that each address IS readable from the
street, that the permIt card IS located at the front of the property, aud the approved set 01 plaus will remdln ou tbe sIte at all
times durmg constructIOn
---7
....-- "
~4-;'
.....
Owner or Contractors Signature
fhA'-__
~
[,-/1,- o<l
Date
Page 2 of2
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . fAX (541)726-3689
~ (0""" ZOO S'-oog'lO
~ CIty Job Number
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l~7 q 0
1701.s3.4 I
5+
VV!C<\o'J
Tax Lot
0,'00
Owner
Lar(~
Owner of Property 7
Pole",
Addre" J / q 7 O/y,-,PIC
City )0(' ''1 c.-h-e 1.1.
, /
)}
Phonp 1t./~ - ~ '7 b:)
ZI[ Q7'177
State--.t2t<
Contractor/Installer
Contractr.T
." 1 f':'I~ION OIQgon law requires you to
'. , , " . 1.>'0, adopted bv the OreQDnOiWltv
i\"JldlG3tlon Center Those rules are setlorth
~n_ ~~R, 952-001-00Wjj1Jo_u~~ ?~~_95~-O~171
VVQU IV.... llla.y v""'.'Jh'Jl'Ct.,...."'....)', .-1'... .J....~..Jy P
cailmg the center (Note the telephone
ConstructIOn Contractors License # number far the Drepon LJlllltv NnWll:.allonExplft>'
Center IS l-B00-332-2344\.
Addres'
City
DescnptlOn
Date of InstallatlOf
(0-/7-03
Date of Removal 7J; -10 - O~
Permit Fee: $161.75 includmg $100.00 DepOSit
By signature, I state and agree that I have carefully completed tins apphcatlOn and hereby certify that
all mformatlOn herem IS true and correct I further agree and understand that the above descnbed
banner(s) and/or portable slgn(s) IS not larger than 60 square feet, and wIll be removed Wlthm 30 days
from the date hsted above Ifthe b'Wm rrd/or portable Sign IS not removed Wlthm the tJmehne
speCified, I will forfeit the $ I 00 00 fRfg i also understand that tins speCial permit can be Issued
only twice per calendar year per deXtJ?m MlTeSH~bIs~ tp r~ ~~pectlOn lme at 726-3769
by the end of the 30th day to requeSC.ffi\ . @if6IJNDfihfflm.'PfWMrt~/1>N' banner(s) and/or portable
slgn(s) Tlus mspectlOn will begmlffl~ ffbq~~I!JOOI~B ff11fsl fthe banner(s) and/or
portable Slgn(S) has been removed 0 DAY PERIOD.
SlgnaturpO-<-z-~ ~~-
- ?
DatE' &,- /7-ofj
6-(7~Or
Date of ApphcatlOn
j)~
For Office Use
Job# LB - cg'70
Receipt #
/6 ( 7..[
922
Issued By
Amount Collected
Shared Dnve (T )/Bwldmg FonnsIBanner ]ortable Sign PermIt CSD 8~06 doc
225 FIfth Street
Spnngfield, Oregon 97477
541-7.26-3759 Phone
Job/Journal Number
COM2008-00890
COM2008-00890
COM2008-00890
COM2008-00890
Paymeuts
Type of Payment
CredltCard
cRecemtl
RECEIPT #.
Descnptlon
DepoSlI
Banner Special Penml
+ 5% Technology Fee
+ 10% Administrative Fee
PaId By
BENJAMIN ELEY
.Q.IUlfHGFlELD I
wa:.14
City of Sprmgfield OffiCial Receipt
Development Services Department
Public Works Department
2200800000000000922
Date. 06/18/2008
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
034418 In Person
Payment Total
Page I of 1
10 12 16AM
Amount Due
10000
4500
225
1450
$16175
Amount Paid
$16175
$16175
6/18/2008