HomeMy WebLinkAboutPermit Signage 2008-11-5
."
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541.726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3264 GA TEW A Y ST
ASSESSOR'S PARCEL NO,: 1703222002101
CITY (JJ:< ~rRINlJJ:<lJ!.LD
Building/Combination Permit
PERMiT NO: COM2008-01624 .
ISSUED: 11/05/2008
APPLIED: 11/05/2008
EXPIRES: 05/05/2009
VALUE:
Springfield. TYPE'OF WORK: Banner
PROJECT DESCRIPTION: Banner - Ref:C0D2008-00658
Owner:
Address:
MCHAINES LLC
840 BEL TLINE RD STE 202
SPRINGFIELD OR 97477
Contractor Type
Sign
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constl'Uction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard.8etback:
Side I Setback:
Side 2 Sethack:
Rearyard Sethack:
Solar Sethacks:
Street Improvements:
Storm Sewer Availahle:
Special Instruction:
Notes:
Description
Tvpe of Construction
TYPE OF USE: New
Commercial
I CONTRACTOR INFORMATION'
r BUILDING INFORMATION I
B
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled ~uilding:
VB.
License
Expiration Date Phone
n/a
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
S,q Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION'
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS'
I, Valuatioil Descriution I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Paee I of2
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
" DownspoutslDrains:
Value
Date Calculated
.'
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Amount Paid
$10.00
$5.00
$100,00
Total Amount Paid
$\'15.00
Total Value of Project
Fees Paid I
Date Paid
I Plan Reviews I
11/5/08
11/5/08
11/5/08
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01624
ISSUED: 11/05/2008
APPLIED: 11/05/2008
EXPIRES: 05/05/2009
VALUE:
. Receipt Numher
2200800000000001614
2200800000000001614
2200800000000001614
To Request an inspection call the 24 hour recording at 726c3769. 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.
R.e~,;,ired I~~p~~tio,~,s I
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with
the Ordinances of the City of Springfield and the Laws of/he State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety,
I further certify that only contractors and employees who are in compliance with ORS 701.005 will he used on this project.
I further agree to ensure that all required hispectioris 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, during construction.
Owner or Contractors Signature
Page 2 01'2
Date
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City Job Numbe~ t!!f; -/0 2 Y
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Tax Lot
Owner
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State-6' h:' _ Zip v - - -
Contractor
Addreso
Phonp
City
<;;;tate
Zip
,.
Construction Contractors License #
Expireo
Descriptio!'
Date of Installation
Date of Removal
Permit Fee: $225.00 including $100.00 Deposihnd applicable fees.
By signature, I 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
banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days
from the date listed above. If the b~er(s) andJor portable sign is not removed within the timeline
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 ofthe 30th day to request an inspection to verifY the removal of the banner(s) andJor portable
sign(s). This insp ction will begin the process to return the $100,00 deposit i(the banner(s)andJor
portablesign(s) as een riJved, r ~'
Signatur. L/----~^ ') Dat~ /10 (j ~n'l
p:='~--j'-;;l-t'-~'~,;.,.-<- y---- -, .----------~---~-~---,----.--- ,--
r-,---, if' '..--Y",-----"__--_. ,--- _Fo,-Ojjice
~;;:~.....;;<....di_~~'; ? \" ~",,'J,c.(",,!',,",k--' --, '" ~.-. " "~,,
Date of Applicatio!'
Job #
l{eceipt #
Issued By
Amount Collected
Snared Drive {T:)'BuiJding FonnsIBanner_Portable Sign Permit CSD 7-08.doc
225 Fifth Street
Springfield, Oregon 9.7477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200800000000001614
Date: 11/05/2008
Job/Journal Number Description
COM2008-0 1624 Banner Special Penn it
COM2008-0 1624 + 5% Technology Fee
COM2008-0 1624 + 10% Administrative Fee
Item Total: .'
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Cash In Person
Change HOWLING COYOTE CJC In Person
Payment Total:
Job/Journal Number Description
COM2008-0 1624 Banner Special Pennit
COM2008-0 I 624 + 5% Technology Fee
COM2008-0 I 624 + 10% Administrative Fee
Item TotaJ:
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Cash In Person
Change HOWLING COYOTE CJC In Person
Payment Total:
cReceintl
Page I of I
1I:04:30AM
Amount Due
100.00
5.00
10.00
$115,00
Amount Paid
$120.00
($5.00)
$115.00
Amount Due
100.00
5.00
10.00
$115.00
.Amount Paid
$120.00
($5.00)
$1I5,UU
11/5/2008