HomeMy WebLinkAboutPermit Signage 2008-7-22
225 FIfTH STREFT . SPRINGFIELD, OR 97477 . PH (54 ])726-3753 . FAX (541)726,3689
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CITY OF SPRINGFIELD, OREGON
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Tax Lpt /620 c)
Owno 0
Owner of Property ~ {, r_ \ \ \ C
Addrp<< \ () 1 0)0. Y
CIty 9 - G ~0vV--- Statp n~ ZIJ: cr 'l-~ 0 J
ContractorlImtaller ,. :'r:-IC'N Oregon law requires Y~I~::"
() I , / . Ie C 'opted by the Oregon h
Contrac'n' vv "'I..- () __." r,lles dO ~~~~~,"lp~'ltesetfort
i'!c,t,:'cal1on ve\OL~' ,,--, hOAR 952-0Ul"
OI\R 952-001-001 0 throug f~ rules by
In . ___" nhloln copies 0 QUa
UU"U 'UU ",'",'. (Note tne e e\,lIlu,,"
ca, I\lng the cen~r~on Utility Notification
;nSM In' !he~! ,__~A) Zip
"y.' - Center IS 1 uv..,... . -
Explr('<
c ~ ~ (' c~ (:J(?~ 0\
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u '^- '-0 uj
Phonp
Address
City
Construction Contractors LIcense #
DescnptlOn "fcN\..-4b{c 511......
DateofInstallatlon -li~r Date of Remow I
PermIt Fee: $161 75 mcludmg $100.00 DepOSIt.
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By sIgnature, I state and agree that I have carefully completed thiS apphcatlOn and hereby certify that
all mformatlon herem IS true and correct I further agree and understand that th_ve descnbed
banner(s) and/or portable slgn(s) IS not h_~60 S'l.l!Mc~ll'~r d wlthm 30 days
from the date hsted above If the bannerlfl-lllS<fiI!.I'\~~ ~~_\\ie n the tlmelme
specified, I Will forfeIt the $ I 00 00 depos~ut~9P.~ij~'rl J ~ ml,IEIMUg.nut can be Issued
only tWIce per calendar year per develop OfiIM~9~" 0 ca I the mspectlOn Ime at 726-3769
by the end of the 30th day to request an m I~M~I~tM.9 koval of the banner(s) and/or portable
slgn(s) T~ mspectlOn WIll begm the pro s t~, return the $100 00 depOSit If the banner(s) and/or
:::~~'1"t=\ \~tt~"(_ - D'~!' ?_,!J2 r
I U It For Office Use
Date of ApphcatlOn 71Z,c(; 'tf;f' Job # cJ3 -6/1/)" Receipt #
I:D /1/_7)-
-\mount Collected 0
Issued By
Shared Dove (T YBwldmg FonnsIBarmer_Portable Sign Pemut CSO 8 06 doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-0111S
ISSUED' 07/24/2008
APPLIED. 07/24/2008
EXPIRES: 08/1812008
VALUE
225 FIfth Street, Sprmgtield, OR
541-726-3753 Phone
541-726-3676 Fax
541,726-3769 InspectIon Lme
SITE ADDRESS 1507 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO 1703253316200
Spnngtield TYPE OF WORK Banner
TYPE OF USE
PROJECT DESCRIPTION Porta hie SIgn - 071808 removal date 081808
ref C0D2008-00447
New
Commercial
Owner
Address
PACIFIC CASCADE FCU INC
1075 OAK ST
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
SIgn
Contractor
OWNERlTTENT/,.,., ~,
N~;:~~a~,~:~~$~LHlN:G~jei~r~;,r: I
In OAR 952-001_00~u'es are set foJ;.
0090 X9u may obt<BtIebp~pAR~-OOl.
call1n(f the centerTlI\l Nf J.Ip~tYlie rules by
number for the Or~tJ 1flSrelephone
Center IS 1-~ IDmrNollficallon
~44).
Energy Path
Sprmkled BUlldmg
License
ExpiratIon Date Phone
# of UUltS
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Second dry ConstructIOn Type
# of Bedrooms
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Gar dge/Cdrport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontydrd Setbdck
Side 1 Setback
SIde 2 Setoack
Rearyard Setoack
Solar Setoacks
Overlay Dlst
# Street Trees Rqd
Paved Drive Rqd
% of Lot Coverage
NOTICE:
I HI " '711: "i'9r~
AU I !L~~ IT IS NOT
COMMENCED OR IS ABANDONED FORdewalk Type
ANY 180 DAY PERIOD.
Total
HandIcapped
Compact
Street Improvements
Storm Sewer Avallaole
Specml Instl uctlOn
DownspoutslDralUs
Notes
I ValuatIOn Descrmtion I
DeSCriptIOn
Tvpe of ConstructIOn
$ Per Sq Ft
or multIplIer
Squdre Footage
or BId Amount
Value
Date Calculated
Page 1 ot 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-01115
ISSUED: 07/24/2008
APPLIED: 07/24/2008
EXPIRES. 08/18/2008
VALUE'
225 Filth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspeetlOn Lme
Total Value of ProJect
~ee. Palll I
Fee DescrIptIOn
+ 10% AdmmlstratIve Fee
+ 5% Technology Fee
Banner SpecIal Pel mlt
Depos.t
Amount PaId
Date Paid
Receipt Number
$1450
$225
$45 00
$100 00
7/24/08
7/24/08
7/24/08
7/24/08
2200800000000001144
2200800000000001144
2200800000000001144
2200800000000001144
Total Amount Pa.d
$161 75
I Plan RevIews I
To Request an mspection call the 24 hour recordmg at 726-3769 All inspectIons requested before 7 00
a m Will be made the same workmg day, inspectIOns requested after 7:00 a.m. WIll be made the following
work day
I ReOlJIred Tn.nechon. ,
111111.
Banner Removal To be requested the day followmg the expiratIon of the permit If mspectlOn IS not requested,
the apphcant may forfiet the depos.t
By slgndture, I state and agree, that I have cdrefully exammed the completed apphcdhon and do hereby certify that all
mformatlOn hereon IS true and con ect, and 1 further certify that any and all work performed shall be done 10 accordance with
the Ordmances of the City of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made ot any structure without permiSSIOn of the Community Services DIVIsIOn, BuIldmg Safety
1 further certIfy that only contractors and employees who are 10 comphance With ORS 701 005 Will be used on thiS project
I further agree to en,ure that all reqUIred mspectlOns ale requested at the proper tIme, that each address.s readable from the
street, that the permit card IS located at the front of the propel ty, and the approved set 01 plans wIll remam on the site at all
tI \es dunng constructlOu
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Date
Page 2 of2
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008,O III 5
COM2008-0 III 5
COM2008-01115
COM2008,Oll15
Payments
Type of Payment
Check
cRecemtl
RECEIPT #:
De-scriptIOn
Banner SpecIal PermIt
+ 5% Technology Fee
+ 10% Admmlstrallve Fee
DeposIt
PaId By
JO MOOKIES
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
2200800000000001144
Date' 07/24/2008
Item Total
Check Number Authorization
Received By Batch Number Number How Received
dJh 3539 In Person
Payment Total
Page 1 of 1
11 :04 IIAM
Amount Due
4500
225
1450
10000
$16175
Amount Paid
$16175
$16] 75
7/24/2008