HomeMy WebLinkAboutPermit Signage 2008-7-24
CITY OF SPRINGFIELD, OREGON
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225 FIlTH 'TREET . SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726,3689
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~; CIty Job Number COM2008-01108
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~ Assessors Map
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Owner
Owner of Property
Address
4027 Mam St - Ashley's
17023141
v
Tax Lot 06900
Ross Gardner
PO BOX 2056
City
Eugene
Contractor/Installer
Contractor
Address
City
OWNER
Phone
State OR
AiTeN
fOl/ow TtON 0
Notl~ rUles regon I
In n}~,:tlon c,,:doPled hl~~ requlr,.~ .
0090 .,'.,,,;c.oo/,C, Ino. ""C' ur:p. }vu to
YOU -0010 Se rUles J?!!J.!Jlltty
.. CEilltnO-ih{; may Obl.a'r IhrouoJ:_G,i;;/,~er" h
"umber f~r t'henler cf~~uPles Of Ih 9S2-Odi"
Cem". e Ore?f8}g;.,the Ie'; rUles b~IP
.., 1-800 ""ft..,y N Phvne
-332 otlhcat
-2344). 1011 Explfes
, Zip 97401
ConstructIOn Contractors License #
DescnptlOn Banner - ref cod2008-00449
Date ofInstallahon 071508
Date of Removal 07152008
PermllV'OriC~!61.75 mcludmg $100.00 DepOSit.
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By signature, I state and agree;' ..,\~ tgMt1iliffllLllfleted thiS applicatIOn and hereby certify that
all mformatlOn herem IS true ancC 1Etil_~r. ~1I.Amfooll.that the above descnbed
banner(s) and/or portable slgn(~~ [G!ilJtWrq3'~B e_JU}g~e removed wlthm 30 days
from the date listed above Ifthe bann r€Wfii1l!RTOlJ'H: QIiRW/YFPm'tmioved wlthm the tlmelme
specified, I will forfeit the $100 00 depOSit 1 also urlderstand that UHs special permit can be Issued
only tWice per calendar year per development area 1 also agree to call the mspectlon Ime at 726-3769
by the end of the 30th day to request an mspectlon to venfy the removal of the banner(s) and/or portable
slgn(s) Tlus mspectlon Will begm the process to return the $100 00 depOSit If the banner(s) and/or
portable Slgn(S) has be~n r moved \ ;h
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S',"''"'~ ~f~",..,"'- D,'e 7 ;;1%
w.~" For Office Use ~y M
Job # COM2008-01108
Date of ApplicatIOn
Receipt #
Issued By
DB
07212008
Amount Collected $51 75
Shared Dnve (1 )!Bmldmg ForrnsIBanner ]ortable ~Ign PermIt CSD 8 06 doc
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CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Fmaled
225 FIfth Street, Springfield, OR
541-726-3753 Phone
541-726,3676 Fax
541-726-3769 InspectIOn Lme
PERMIT NO
ISSUED:
APPLIED.
EXPIRES
VALUE'
COM2008-01108
07/24/2008
07123/2008
01124/2009
SITE ADDRESS 4027 MAIN ST
ASSESSOR'S PARCEL NO 1702314106900
Sprmgfield TYPE OF WORK Banner
PROJECT DESCRIPTION Banner - ref cod2008-00449
TYPE OF USE New
CommercIal
Owner GARDNER ROSS L
Address PO BOX 2056
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
SIgn
LIcense
Contractor
OWNER
I. BUILDING INFORMATION I
f,l""-t 'TlrJt.I Oregon law requllt1'~ yuu \U
# of Umts f , - adoote# WSWl-IQr-egon Utility
Primary Occupancy Group r', "(,n ('onter Htiigfitfl:ltestflllltlilltforth
Secondary Occupancy Group cr " , 1 )JL 00l'OOlllrtfp@'Ollft~ 952-001-
Primary ConstructIon Type OOvJ You nlay ObtaiWiiOOl ~phe rules by
Secondary ConstructIOn Type calling the center Ii @ ~telePhone
# of Bedrooms number for the Orej;jfll?, I otlhcatlon
Center IS 1-~aPii - ~filrmg n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback
SIde 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
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
I PUBLIC IMPROVEMENTS ~ OR1<.
N011\,1;~ Mli SHr..\.\. rt.?IR~ \ ~f~Nm Type
i\-llS :i~2ED UNDER i\-l\~6~~ED ~~spoutslDrams
AU1 ENeED OR IS ABA
~~~~80 DAY PERIOD.
Street Improvements
Storm Sewer AvaIlable
SpeclOllnstructlOn
Notes
I. ValuatIOn DeSCrIDtlOn I
DescrIptIOn
$ Per Sq Ft
or multIpher
Square Footage
01 BId Amount
Type of ConstructIOn
Paee 1 ot 2
Value
Date Calculated
Status
FInaled
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO. COM2008-01108
ISSUED. 07/24/2008
APPLIED 07/23/2008
EXPIRES: 0112412009
VALUE'
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn Lme
Total Value of ProJect
Fee~ Pal~ I
Fee DescnptlOn
+ 10% AdmlDlstratlve Fee
+ 5% Technology Fee
Banner SpecIal PermIt
Amount PaId
Date PaId
$450
$225
$45 00
7/24/08
7/24/08
7/24/08
ReceIpt Number
2200800000000001139
2200800000000001139
2200800000000001139
Total Amount PaId
$5175
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.
1~""U1,-"d 1sDectlOns.
. II iliili. ... ..
By sIgnature, I state and agree, that I have carelully exammed the completed apphcatIon and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done 10 accordance WIth
the Ordmances 01 the CIty of Sprmgfield dnd the Laws of the State of Oregon pertammg to the work descnhed herem, and
that NO OCCUPANCY wIll be made of any structure WIthout permIssIOn of the CommuDlty ServIces DIVISIOn, BUJldmg Safety
I further certIfy that only contractors and employees who are 10 comphdnce WIth ORS 701 005 wIll be used on thIS project
I further agree to ensure that all reqUIred mspectIons are requested at the proper tIme, that each address IS readable Irom the
street, that the permIt card IS located at the front of the property, and the approved set 01 plans wIll remam on the sIte at all
times dunng constructIOn
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Owner or Cont~actont Slgm6ure
I
Paee 2 of 2
225 Fifth Street
Sp"rmgf~ld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008,01108
COM2008-0 11 08
COM2008,O 11 08
Payments
Type of Payment
Check
cRecemtl
RECEIPT #:
DeScriptIOn
Banner Special Penmt
+ 5% Technology Fee
r 10% Administrative Fee
Paid By
ASHLEYS COOPERS
RICHARDS DELI
~itd
City of Sprmgfield Official Receipt
Development Services Department
Public Works Department
2200800000000001139
Date' 07/24/2008
9 44 48AM
Item Total
Check Number AuthOrization
Received By Batch Number Number How ReceIVed
Amount Due
4500
225
450
$5175
Amount Paid
dJb
$5175
17735
In Person
Payment Total
$5175
Page I of I
7/24/2008