HomeMy WebLinkAboutPermit Signage 2008-11-12
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Status
Issued
CITY OF SPRlNt.J'l~LD
Building/Combination Permit
PERMIT NO: COM2008-01643
ISSUED: 11/12/2008
APPLIED: 11/12/2008
EXPIRES: 05/12/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1100 MAIN ST
ASSESSOR'S PARCEL NO.: 1703354104500
Springlield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner - Reference COD 2008-00604
Owner: KRYL MIRKA Y
Address: % PETER J KRYL 3474 SPRING BLVD
EUGENE OR 97405
I CONTRACTOR INFORMATION ~
Contractor Type
Contractor
License
Expiration Date Phone
BUlLDI~G INFORM~T10NJ
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq FtBaseiuent:
Range Type: Sq Ft GaragelCarport
NOTlB~gy Path: ,Sq Ft Other:
THIS ~t~rv~~'S~ttnei<PIRE IF l'f'lE wOF!Rccupant Load:
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I DEVEMJP'MHN't''ffiF(l)RMXTlQ!'S.'
lJJlvllvlmvcJ L'II~ ,J.ut..,,~" ..!! FOR
ANY \m.Q.w&~~IOD.
# Street Trees Rqd:
Paved Drive'Rqd:'-.
% of Lot Coverage:
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
, Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Speciallnstruction:
I PUBLIC IMPROVEMENTS t-TTENTION: Oregon !aVe, 1'8' ,:'re.(' 'i[)L},~."
. follow ,pies adnptecl by \r.e u:"}':C: I '-''''''Y,
'f' S.(f~waU(nTclpei'hose fU!8S c:.re .'.~..t f]rt,',
Notllcallon Ge "" h c'AL' C'"~',,001,
, OAMY""~-A<\j.."r,,,n ."'nug 'J n ,J_
n rV3'-J'y;~u.p'u-uISI'.,.raJOs~' ,
0090. You may obtain copies of the rules oy
callin the center. (Note: the telephone
numb~r for the Oregon Utility Notification
Center is 1-800-332-2344).
Notes:
I Valuation Description I'
Description' Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amouilt '
Value
Date Calculated
~
Page I of 2
Status
fssued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-0I643
ISSUED: 11/12/2008
APPLIED: 1 I/12/2008
EXPIRES: 05/12/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
I Fees Pliirl I
Fee Description
+ 10% Administrative Fee
+. 5% Technology Fee
BannerSpecial Permit
Amount Paid
Date Paid
Receipt Number
$10.00
$5.00
$100.00
11112/08
11/12108
11/12/08
3200800000000000737
3200800000000000737
3200800000000000737
Total Amount Paid
$115.00
I Plan Reviews I
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 R~~J!:,irerl Insnections I
By signature, I state and agree, that I have carefully' examined the'completed 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 ofthe City of Springfield 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 Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections arc requested at the proper time, that each address is readable from the
street, that the penll.!!-9rd is located at the front of the property, and the approved set of plans will remain on the site at all
tim~Z7pf~
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Owner or Contractors Signature
L/'
Date
Page 2 of 2
225 F1FTIISTREET . SPRINGFlEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
g City Job Number (lLJIh:;)(j7J e- - O/(/qS
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Tax Lot
Owner of Property ,'l.r' ~
Addr"<< ! \ F::\') ---\N\u,^ g~,
Phon"
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Zir 7J;/Y' /7
" State
~'
Addr"<<
Phon"
City
~tate
Zin
Construction Contractors License #
Expirl'<
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,Description ,{) C\){"\lI\ C A(
Date of Installation c: c;,,\~ .:=+S-\.-~Date of Removal f~~ I7lxf3
Permit Fee: $225.00 including $100.00 Deposit and 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 banner(s) and/or portable sign is not removed within the timeline
specified, I will forfeit the $100.00 deposit. I also understand that this special pennit 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 return the $100.00 deposit if the banner(s) and/or
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Issu
Shared Drive (T:)lBuilding FormslBanncr ]ortable Sign Pennit CSD 7-08.doc
225 Fifth Street
Spvingfietd, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1643
COM2008-0 1643
COM2008-0 1643
Payments:
Type of Payment
CreditCard
cReceiotl
RECEIPT #:
Description
Banner Special Penn it
+ 5% Technology Fee
+ 10% Administrative Fee'
Paid By
AIMEE WALKER
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200800000000000737
Date: 11/12/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
836880 In Person
Payment Total:
,
\
Page lof I
9:53:50AM
Amount Due
100.00
5.00
10.00
$1I5,UU
Amount Paid
$\ \5.00
$115.00
11/12/2008