HomeMy WebLinkAboutPermit Signage 2008-10-1
Status
Issued
CITY OF SPKIJ'IuFIELD .
Building/Combination Permit
PERMIT NO:'COM2008-01493
ISSUED: 10/01/2008
APPLIED: 10/01/2008
EXPIRES: 04/01/2009
VALUE:
225 Fifth Street, Springfield, OR
541"726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeetion Line
SITE ADDRESS: 555 W CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703274305805
Springfield TYPE OF WORK: Banner
TYPE OF USE: Addition
PROJECT DESCRIPTION: banner permit for value village 10/02/08-11/01/08
Commercial
Owner:
Address:
CENTENNIAL SHOPPING CNTR LLC
331 FILBERT ST
SAN FRANCISCO. CA 94133
NOTI5[WNTRACTOR INFORMATION I
THIS , "" ~,.ll"LL. '-'\1' 1"1,....1"..,-1'11.: v.Vu~K
Contractor AUTHORIZED UNDER THIS PERrtlJfEclnSllOT Expiration Date Phone
COMIVIENCED OR IS ABANDONED FOR
i-IIH I hn!tl.rifNc'lI-lFORMA nON.
Contractor Type
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
RaJlge'Type:' ,
,Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
nla
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
. __L,'" '!lou to
I ffiJ\l&OO\'!NF[N'I"lM'UKMATfClN'IUt"l'h.
hr.1L'fi'~'JJ.JJJt'!!!,.!J. . -' -\! IhJ
Notification Center, Those rules are set forth
In OAR~5~OOIQ!~ 0 through OAR 952.001.
0090. "I{&lJfmtylO~faiRqxl>pies of the rules by
calli~\t~g fUlttelRtjllJ:Jte: the telephone
numb'lil' (ltiiUOJEailretage!Jtility Notification
Center is 1-800-332-2344),
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Sidewalk Type:
. DownspoutslDrains:
Notes:
I VahJation Descriotion 1
Description
Type of Construction
$ Per Sq Ft
or mnltiplier
Sqnare Footage
or Bid Amount
Value
Date Calculatcd
Pa2e I of 2
_.!i!~All!lrtllll'JI!I;!?i
if '
I:
Status
Iss u ed
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeetion Line
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Deposit
Total Amount Paid
Amount Paid
$20,00
$5.00
$100,00
$100.00
$225.00
Total Value of Project
Fees Paid I
Plan Reviews I
Date Paid
10/l/08
10/1/08
10/l/08
10/1/08
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01493
ISSUED: 10/0112008
APPLIED: 10/0112008
EXPIRES: 04/0112009
VALUE:
Receipt Number
1200800000000001024
1200800000000001024
1200800000000001024
1200800000000001024
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,
I Reoui oed h snections I
111.1rll.I._lIfll I 1
Banner Removal: To be requested the day following the expiration of the permit, If inspection is not requested,
the applicant may forliet the deposit,
By signature, I state and agree, that I have carefully examined the cO,mpleted application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
tbat NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Bnilding Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on tbis project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times dU"in~/~,
~lJ:rc / /
/ /,'~ ,
Owner 0 ~ont"~ Slgnatnre
Pa2e 2 of2
d) I neT di 'b
Date
225 FlITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
~: '
~ City Job Number /!'i: /L/c,j
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o.~
:: Job Location
0,,,,,.... Assessors Map
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Tax Lot
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Owner of Property S'Flc>-n.j "':";~P~Dee.T..,.
N ~f\.lA~.I-(t?A Ii""""
,Address<:"<::~ (" ~~^'~, ,Po I
I3r_{ )'i""'\
Pho"p 50 I ' 7::JU '""l ' 9-. ",,,;
State.-a.e
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'_J
r :;HALL tXt-'IKt It" I Nt VVUt"ll\
Adcffbk1HORIZED UNDER THIS PERMIT IS NOT
;ONIIVltNL;tLJ UK I:; AtlANUUI~tU rUI1
City f~Y 180 DAY PERIOD, -
"tale
TOllOW rUles i=luujJu:::u Ly ~llo Vl....~.:..;-, ~t:::tl
Notification Center. Those rules are set forth
,~ "'0 nJj'iwot' nnHI HH"HlJh nAIH1'i?-(J(J1-=---
0090, You may obtain copies of the rules by
calling the cent~ (Not,e:,~,~e t~lep'hone
numoer lor me Cffe\JUH ~i.iO.y t.v~oI.:;atI6fl,
Center is 1-800-332-2344).
Expirpo '
Construction Contractors License #
Descriptio" 4 All /' (~\EF'o\ "\
(22TA/f
A""r\LJ~ISrNC.... J?A~-"")~
Date ofInstallation "? "',.-,,;- G6CA
1 'k\/,,) 1"69-.
Date ofRemov~l
Permit Fee: $225.00 including $100.00'Deposit and applicable fees,
By signature, I state an!i agree that I have carefully completed this application and hereby certify that
all information herein is true and correct. I further agree and understand that the above described
banner(s) and/or portable sign(s) is n01larger than 60 square feet, and will be removed within 30 days
from the date listed above. If the banner(s) and/or portable sign is notremoved within Ihe tirrieline
specified, I will forfeit the $100.00 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 inspection line at 726-3769
by the end of the 30th day to request an inspection to verify the removal of the banner(s) and/or portable
sign(s). This inspection will begin the process to returo the $100.00 deposit ifth.e banner(s) and/or
portable sign(s) has emoved.
Datp ,\ nr> ~
Date of Application I U/ 1,1 Q f"
Job# Cr Ilf73
Receipt # /2()(:J,.r-/ (/ 21
;22_ S-
Issued B~l
C:.)~
Amount Collected
Shared Drive (T:)IB~lding FonnsIBanner]ortable Sign Permit CSD 7-08.doc
225 Fifth'Street
. '
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1493
COM2008-0 1493
COM2008-0 1493
COM2008-01493
Payments:
Type of faymeDt
Cash' ,
~n'H'n:...l
RECEIPT #:
, Descripti.on
Banner Special Permit
Deposit
+ 5% Technology Fec
+ 10% Administrative Fee
Paid By
VALUE VILLAGE
City of Springfield Official Receipt
Development Services Department
Public Works Department
.1200800000000001024
Date: 1010112008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cjc
In Person
Payment Total: ,
Page 1 of 1
11:21:14AM
Amou nt Due
100,00
100,00
5,00
20,00
$225.00
Amount Paid
$225,00
$225.00
]01112008