HomeMy WebLinkAboutPermit Signage 2008-6-26
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r-' _..,~ [IJ 00," Permit Fee:~1.7S mcludmg ~ 00 Deposlt-' 51? "'~--f
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~t, By slguature, I state and agree that I have carefully completed thIs appltcatlon and hereby certify that
~ -- all mformatlOn herem IS true and correct I further agree and understand that the above desCrIbed
~j banner(s) andlor portable slgn(s) IS not larger than 60 square feet, and WIll be removed wlthm 30 days
~{i>J from the date Itsted above If the banner(s) andlor portable sign IS not removed wlthm the tlmelme
~ speCified, I Will forfeIt the $ I 00 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 mspe<?t\\~~e at 726-3769
~ by the end of the 30th day to request an mspectlon to verIfy the removal of~Nl\ ~ andlor portable
: ~ slgn(s) ThIS mspectlOn Will begm the process to return the $1 00 ~~f.\~?iA~ nner(s) andlor
~l portable slgn(s) has been removed ~\C~:. S~~\.\. ,~\S ~~ ~t.'i) ~\)\\
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CITY OF SPRINGFIELD, OREGON
SPRINGFIELD"
"~
225 TIFTI! STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (54t)726-3689
CO~ z...OC 8- - erC:::. '1-:ICf
CIty Job Numb.<
ff)./S trla.i^- Si-. !;ol-:~~..f;,IcI. 'tJiC
Assessors M~r I 7 0 Z '3 Z 3 L Tax Lot 0 ( '10 <::->
Job LocatIon
Owner
Own:rlfProperty Od'"'-&..Id q V, .; C! i..;-.;
{'(D trIffc..c ;J:""'VFJ'Tm(h.r (.2~4/f:J
Address 3f).~ ll1a,'"" .('+.
CIty ~;'>ri il\.j Ii, /J Stat~
Plei+e'r
Phonp ~ cfJ'J - 900 I
oR. ZIp '3 7v7?
/
Phonp
ZIp
Explre<
Receipt #
5/ 7..[
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Shared Dnve (T }lBUlldmg Fonns/Banner ]ortable Sign Permit CSO 8-06 doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00934
ISSUED: 06127/2008
APPLIED' 06127/2008
EXPIRES 12127'2008
VALUE:
Status
Fmaled
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlDe
SITE ADDRESS 4215 MaID St
ASSESSOR'S PARCEL NO 1702323201900
Spnngfield TYPE OF WORK Banner
PROJECT DESCRIPTION REF CODl008-00382 - portable sIgns
TYPE OF USE New
CommerCIal
Owner VIRGINIA E PFEIFER TRUST
Address 326 MAIN ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
SIgn
Contractor
OWNER
LIcense
# of UOItS
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary Construchon Type
# of Bedrooms
I BUILDING INFORMA TW,N I
130.1.111'" f \.1\1\1\'1
e~'Si~~~so(e\lOn 13\ \O{\n
:r'i~Ni\ON a~~'iJ{!elgJlt ~~:lWJ;~~52.o0~;
fo\\o~ 1~~~Scen\~~~~ 0\ \ne l~~~e
NO\I\IC~ 952-00\ - ~bt'€\-e'l.ne \e\~~lca\IOl\
\n O~ '101.lll\a~e"'Qtr ~nlW N~).
009a\\ln9 \ne \n~iOIll ~.~ nla
~\l"/~I-;~:~~I,6p~ENT INFORMATION I
Frontyard Setback
S,de I Setback
SIde 2 Setback
Rearydrd Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Expiration Date Phone
Lot S,ze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
REQUIRED PARKING
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS_, / ' '-NO?-~
S\~~f1i~~ ~01
WSnCf::. ~\1 4O~~\.i~&~~~ns
1't\\CO ?~~\1.~~ \)~~ \40 ~Y>~~~
~\)\~..~~C~~ Q~?-\f;j~.
~(\"~\~\ ~ ~~ r
J= \'ed_-
I ValuatIOn m1crmtlOn I
Street Improvements
Storm Sewer AvaIlable
SpecIal InstructIOn
Notes
DescriptIOn
$ Per Sq Ft
or mulhpher
Square Footage
or BId Amount
Tvpe of ConstructIOn
Pa!!e 1 of2
Value
Date Calculated
Status
Fmaled
CITY VI' ~YK11~GN~LD
Building/Combination Permit
PERMIT NO, COM2008-00934
ISSUED: 06/27/2008
APPLIED: 06/27/2008
EXPIRES: 12/27/2008
VALUE
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726.3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
t;'ees PaId'
Fee DescrmtlOn
+ 10% Admmlstratlve Fee
+ 5% Technology Fee
Banner Special Permit
Amount Paid
Date Paid
Receipt Number
$450
$225
$45 00
6/27/08
6/27/08
6/27/08
3200800000000000433
3200800000000000433
3200800000000000433
Total Amount PaId
$51 75
I Plan RevIews I
To Request an inspectIOn call the 24 hour recordmg at 726-3769. AllmspectlOns requested before 7'00
a.m, will be made the same workmg day, inspections requested after 7:00 a,m, will be made the followmg
work day
I Reouired TnsnectlOns ,
By signature, I state and agree, that I have carefully exammed tbe completed apphcatlOn and do hereby certify that all
mformatlOn hereon IS true and correct, and I further certify tbat any and all work performed sball be done 10 accordance wIth
the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY Will be made of any structure without permiSSIOn of the CommuDlty Services DIVIsIOn, BUlldmg Safety
I further certify that only contractors and employees who are 10 comphance With ORS 701 005 will be used on tbls project
I furtber agree to ensure that all reqUIred mspectlons are requested at the proper time, tbat each address IS readable from the
street, that tbe permit card .s located at the front of the property, and tbe approved set of plans will remam on the site at all
times iLr~ t ~;2 ?--CJ?
Owner or Contractors Signature
Date
Pa!!e 2 of2
225 FIfth ,street
Sprmgfield, Oregon 97477
541-126-3759 Phone
Job/Journal Number
COM2008-00934
COM2008-00934
COM2008-00934
Payments
Type of Payment
Check
cRecelDtl
RECEIPT #:
DeSCrlptlOh
Banner Special Pennlt
+ 5% Technology Fee
+ 10% AdminIstrative Fee
Paid By
METCO
~
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
3200800000000000433
Date' 06/27/2008
Item Total
Check Number Authorization
Received By Batch Number Number How Re~elVed
dJb
53707
In Person
Payment Total
Page I of I
81305AM
Amount Due
4500
225
450
$5175
Amount Paid
$51 75
$5175
6/27/2008