HomeMy WebLinkAboutPermit Signage 2008-10-29
;... \
Ct" . .,
~j
e.lj
..~
..~J
~
-.~~.
~l
~J
~
..~
~
~
~
~
I, '.
-", ...---j~
~;
~~ ~
~~
.
~
~
-.
rB
II
J"",'!.o
"e:'l
,-'
.
~,
~j
e.l.
.~)
..~
~
~
~j
~
,~
I?" t,
~
~f
i
.~
~
~E:;F:COb ZooF -oo6~o
~
City . '.' . "~~GMa.",requlresyout~in
All I:rU I . d t d by the Oregon UtilitY"
. follow rules a op e I are set fQ(th
Construction Contractors License l/NotifiMtlM f"BII1flr, Those ru es ~2-otlwir"<
I Nr~52,(IOt-l\o.10throU9nv ,.. .
, P. ~_.L' ~~mayobtalnCOPlellUI'\I"''''''''-'
Description. 101"'1...!lY It- 1fJig1I\6 eemer. (/'Int". t~e telephone ,
. ~~Afle Oregon Utility NotitlG&1illl1 . ._.{)'f
Date of Installation cf}cto6tJ(, p-r/ ~i8r is ~~l, II J. 'i
~ ; ~:,:- ' . ~
Permit Fee: $.i25.00 including.$lOO.OO Deposit and applicable fees.
. ,,'0 _ ""r:.'. _~.~~o .
By signature, 1 state and 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 ,. I
banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days ,I
from the date listed above. If the banner(s) and/or portable sigh is not removed within the timeline
specified, I will forfeit the $100.00 deposit. I also understand (hat this special permit can be issued ,
only twice per calendar year per development area. J also agree to call the inspection line at 726-3769 '.
by the end of the 30th day to request an inspectiol!J.~l'erify the,removal of{f1li\~_and/or portable
sign(s). This inspection will begin t proc~ly.eMttJltf~Wi\t<\.-~{p.VAWl\s_tr(s) and/or
po.rtab.le Sign~S}., a e m.o l\-11S PER 0 UNDER 1t\\S PE ED fO. R
AUlt\ORI2E OR IS ABANDON Id / . J tf'
Signaturp . /AA...t~I'I~f\N\EMCEO I'ER\OO. (Oat" !.J1 /h
. ... ,. t..t,\'l 180 D~l" . '.'
Fa.,.- Office Use., .
Job # ( g .0':, ) 'b Receipt # 1071
'Z~ s-~
CITY OF SPRINGFIELD, OREGON
225 nm-r STREET. SPRiNGFIELD, OR 97477 . PH:(541)726-3753 . FAX'(54 1)726-3689
-Co"A~~li- OfS?b
City Job Nnmber ....'
Job Location II b 'Z E ~ +
Assessors M~r " 17 0"5"3 51 LI
:::e:rOfPrope~' fi(;I1zt ?;1tj717? - cik
Addres<' 1/6 A 75,. c;Tf2.c-c:1-
9f~f:-/cL-
Contractor/lnstaller
. cJwlJb7L
Tax Lot
Ppon"
City
tJ~'--
Zij:'
Statp
Contractor
Addr""<
Phon"
. /o"'Z ,-ol
Date of Application .
'p~
Issued By
Amount Collected
Jbt{OO
r
7<(7'-1cJtJ~
ct'? c(? 7
I
I
,
,
Shared Drive (T:YBuilding Fonns/Bunncr ]ortable Sign PCll!lit CSD 7-08.doc
Status
Issued
CITY OF ~rKll"lGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01596
ISSUED: 10/29/2008
APPLIED: 10/29/2008
EXPIRES: 11/24/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone .
541- 726-3676 Fax
541-726-3769 Inspection Line
,
SITE ADDRESS: 1162 B ST Springfield TYPE OF WORK: Banner.
ASSESSOR'S PARCEL NO.: 1703351416400 i '.
TYPE OF USE: New
. ,
PROJECT DESCRIPTION: Portable sign - install 102408 removal date 1<12408
I
I
Residential .
Owner: TRINITY BAPTIST CHURCH
Address: 1162 B ST
SPRINGFIELD OR 97477 .
Contractor Type
Sign
Contractor
OWNER
I
I CONTRACTOR INFORMATION I
I
License
I '
.c"o \/oU \0
B/lJI.DI Oiim;Pfoi,t,U\\\I\J
l J, ~ I se\loM
t~~' tu\es adop f<;:fhOSe ~~6"'R 952-001.
B ;otilicati ~WOlQ;\2.l~~~~s 0\ the.t~~~:Y
10 oi>S s ~ ~..~JI . the telep .
90 '{~~l'I!'"l' ~ 'll'lote.. ". Notilica\iOI\
VB 00 illo l'l~CQ1Y legoo \l\\I~"'A4\.
ca . d.~\ 0-332-.~'
(Ium\:)E~Nfh1.ao i . .
Sprinkled Building: .' i . ri/a
Expiration Date
Phone
#. of Units:
Primary Occnpancy Group:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
I DEVELOPMENT INEORM~TlON I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: " " ,', .pped:
~::~~~~~: 'S~ro.t\- ~'R~\f:\S ~Ol t:
'THIS PE~~~ \'lIII"\ER 'T~\Sii~l:n fOR
I PUBLIC IMPrilWR,idf..N!' OR\S ~l)f'\1 '"
. u"-'11 n\'I'\ PEtllQO.
AWl 180 D{l; ',SIdewalk Type:
Dowuspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descdotion ,
Description
Type of Construction
$ Per Sq Ft
.or mnUiplier
Square Footage
or Bid Amonnt
Value
Date Calculated
Paee I of 2
-~~~!~l9llil!g,"'~'
, .-,'
j
Status
Issued
CITY OF SPRINGt<lELD
Building/Combination Permit
PERMIT NO: COM2008-01596
ISSUED: 10/29/2008
APPLIED: 10/29/2008
EXPIRES: 11/24/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project.
Fees PaIrl I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$100.00
$100.00
10/29/08
10/29/08
10/29/08
10/29/08
1200800000000001098
1200800000000001098
1200800000000001098 '
1200800000000001098
Total Amonnt Paid
$225.00
I Plan Reviews ,
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 daYl inspections requested after 7:00 a.m. will be made the following
work day.
I Rel1uirerl T l1snections .
.11 ,. .,
Banner, Removal: To be requested the day. following the,expiration of the'permit.' If inspection is not reqnested,
the applicant may fortiet the deposit.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
in/ormation hereon is true and correct, and I further certi(y that any and all work performed shall be done in accordance with'
the Ordinances of the Cily of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safely.
I further certify that only contractors and employees who are in compliance with' ORS 701.005 will be nsed on this project.
I further agree to ensnre that all required inspections are requested at the proper time, that each address is readable from the
street, that t permPfJ.t ca I located at the front of the properly, and the approV',ed set of plans will remain on the site at all
times dur' ODS Uc' . "
"
~, Ill! ,.,Ib!
Owner or Contractors Signature
Date
Paee 2 of2
225 Eifth Street '
.l. .-,
Springfield, Oregon 97477
541~726-3759 Phone
Job/Journal Number
COM2008-0I596
COM2008-01596
COM2008-0 1596
COM2008-0 1596
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Deposit
Banner Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
TRINITY BAPTIST CHURCH
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000001098
Date: 10/29/2008
10:57:15AM'
i'tem Total:
Check Number Authoriz~tion
Receivt;d By Batch Number Number How Received
Amount Due
100,00
100.00
5.00
20.00"
$225.00
Amount Paid
djb
$225.00
$225,00
12942
In Person
Payment Total:
Page I of I
10/29/2008