HomeMy WebLinkAboutPermit Signage 2008-8-18
225 nrrn STREET . ~PRINGnELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
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CITY OF SPRINGFIELD, OREGON
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OWller
Owner of Property r:r f.e'Cr-- kvo..r\lr
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Phonn
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Contract". , Olx'~ &;.., -(\ ,p'e~~h?- 9,\'F-6.SII"'> I~
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ConstructIon Contractors License # v""-..........
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Date ofI nstallatlOn A- (O-z:; if
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Descnptlon
Date of Removal
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Permit Fee: $161.75 mcludmg $100.00 Deposit.
By sIgnature, I state and agree that I have carefully completed thIS applicatIOn and ~rreby certify that
all mformatlon herem IS true and correct I further agree and understand~h ~_~descnbed
banner(s) and/or portable slgn(s) IS not larger thaI). W square feet'~all~ ~'VS~'t.vlthm 30 days
from the date listed above If the banner(S)~fi)1i~\vI~I%~~~~~\S ~\llm the tlmelme
,pecItied, I wIll forfeit the $100 00 deposit iw.eJl' ~l\!i1\'lUIi&l n ~ ermlt can be Issued
only tWice per calendar year per developmen~'@llI\O~ ~\~~ If the mspectlOn Ime at 726-3769
by the end of the 30th day to request an mspe<C'8mW\~ t\It.W~\lal of the banner(s) and/or portable
slgn(s) ThiS mspectIon wIll begm the proces~'<<'f~l)\,h e $10000 depOSit If the banner(s) and/or
portable slgn(s h been re ved ;10
&( J' 6 T
Slgnaturp . /tI1. D~tp
Date of AppllcatlOr
fr~r
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For Office U~e
Job# C8 ~o 123Z
Receipt #
I/j-
Issued By
Amount Collected
Shared Dnve (T }'Bwldmg fonns/Banner _Portable Sign Penm\ eSD 8 06 doc
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-01232
ISSUED' 08/18/2008
APPLIED' 08/1812008
EXPIRES. 02/18/2009
VALUE
-iiC
Status
Fmaled
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 IlIspeetlOn Lme
SITE ADDRESS 1909 S A ST
ASSESSOR'S PARCEL NO 1703364204700
Sprmgfield TYPE OF WORK Banner
PROJECT DESCRIPTION Banner - REF C0D2008-00532
TYPE OF USE New
Commercial
Owner HUNT GREG ALLEN & ELVIRA R
Address 1262 DELROSE DR
SPRINGFIELD OR 97477
I. CONTRACTOR INFORMATION I
Contractor Type
SIgn
Contractor
OWNER
License
BUILDING IN~ORMATlON I
# of UDlts
Pnmary Occupancy Group
Secondary Occupdncy Group
Pnmary Construction Type
Secondary ConstructIOn Type
# of Bedrooms
Front yard Setback
S,de I Setback
S,de 2 Setback
Rearyard Setback
Solar Sethacks
# of Stones
Height of Struct~~ou \0
Type of He:tt "Ie ~ \l\\\lti
\~ ' ')\egO" \01\"
"I"Water Type a.le set 0\'
,." Rallge l)ye.\eS I>-?- 9:;'2..0 ~'f
~,' ,\En~~#~l\ll!1!il' 0\ \ne IU\e~e
. ",)(),\S::\'~\~~ii~~~~~~~~~\lo(il/a
, \J H'DEVEb(WMt)'lr.'lNroB.M\\TlON I
\)..... ~\\(\\)' \ne J . oJ!J,}- .
Oll, :tiel \01 I IS \.\)
l\u(tl Ce(\~verlay DlSt
# Street Trees Rqd
Pdved Dnve Rqd
% of Lot Coverage
B
VB
Expirahon Date Phone
Lot SIZe
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Gdrage/Cdrport
Sq Ft Other
Occupdnt Load
REQUIRED PARKING
Total
HandIcapped
Compdct
1 PUBLIC IMPROVEMENTS I
.. Slde~\\I~~O~~
~01\C~: lJI,li S\'\r>.\.\. ~~'f\"A~'~s
1\'\IS Pt~lt\) \\~\)tR ~Br-.~\)O~t\)
1\\\11-101' \) OR IS "
CG~~~~~I\'l ptRIO\).
..,J. .
I V aluahon' Des.cnohon I
Street Improvements
StOI m Sewer Avallahle
SpectallnstructlOn
Notes
DeSCriptIOn
$ Per Sq Ft
or multlpher
Square Footage
or BId Amount
Tvpe of Constl uctlOn
Paee I of2
Value
Date Cdlculated
Status
Fmaled
U 1 }' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' cOM2008-01232
ISSUED 08/18/2008
APPLIED' 08/18/2008
EXPIRES. 02/18/2009
VALUE
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of ProJect
Fm Pal11
Fee DescnptlOn
+ 10% AdmmlStratIve Fee
+ 5% Technology Fee
Banner Special PermIt
Amount Pdld
Date Paid
ReceIpt Number
$10 00
$500
$10000
8/18/08
8/18/08
8/18/08
1200800000000000878
1200800000000000878
1200800000000000878
Total Amount Paid
$11500
.
I Plan RevIews ,
To Request an mspectlOn call the 24 hour recording at 726-3769. AllmspectJons requested before 7:00
a m. will be made the same working day, mspectJons requested after 7:00 a.m. wIll be made the followmg
work day.
I Re,')U1red Ins{'echons .
By SIgnature, I state and agree, thdt I have carefully exammed the completed apphcatIon dnd do hereby certIfy that all
mformatlOn hereon IS true dnd correct, and I furtber certIfy thdt dny and all work performed shall be done m accordance WIth
the Ordmances of the CIty of Sprmgtield and the Laws of the State of Oregon pertamlllg to the work descnhed hel em, and
tIldt NO OCCUPANCY will be made of any structure WIthout permISSIOn of the CommuDlty ServIce; DIvISIOn, Buddmg Safety
I further cerlIfy that only contractors and employees who are m comphallce WIth ORS 701 005 WIll be used on thIS proJect
1 further agree to ensure that all reqUIred mspectIons are requested at the proper lime, that edch address IS readable from the
street, thdt the permIt cdrd IS located at the front of the property, dnd the approved set of plans wtll remam on the Site at dll
hOles dUllOg constructIon
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Owner o~ntractolV Slg;~~re-
~\ ~-f~
Date
Pal!e 2 of2
225 FIfth Street
Spnngfield, Qregon 97477
541-72~-3759 Phone
Job/Journal Number
COM2008-0 1232
COM2008-0 1232
COM2008-01232
Payments
1 ype of Payment
Check
cReu_mtl
RECEIPT #:
DeSCriptIOn
Banner SpecIal Permit
+ 5% Technology Fee
+ 10% AdmIDlstralIve Fee
PaId By
EL KIOSKO ONC
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
1200800000000000878
Date' 08/1812008
Item Total
Check Number Authorization
Received By Batch Number Number How Received
dJb
6913
In Person
Paymellt Total
Page 1 of 1
2 47 33PM
Amount Due
100 00
500
10 00
$11500
Amount Paid
$11500
$11 500
8/18/2008