HomeMy WebLinkAboutPermit Signage 2008-11-17 (2)
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAl(:'(54I)726-3689
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Date ofInstallation /I l;;<f~ \1'- '," ,.\\ Date of Removal -y, a 6
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Permit Fee: $225.00 including $100.00 Deposit and apphcable fees. '
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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 $ I 00.00 deposit. I also understand that this special permit can be issued
only twice per calendar year per development ar,ea. l also agree to call the insp~e at 726-3769
by the end of the 30th day to request an inspection to verifY the remo.YIW~~ ~) and/or portable
sign(s). This inspection will begin the process to~~ the ~~~~'(lfW~~~ ~~er(s) and/or
portable sign(s) has been removed. ~O ?t.I'-~\i U~\Jt.I'- i ~~\JQ~'t: '
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l' Date b~; AP;Iication !l:';;~''''OS;;-'+~:~#'-C8: O;6'7j,,;-'cc;e::i~t.; 7/)-r.J
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Amount Collected
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Shared Drive (T:)lBuilding F~n:nsfBanner]ortable Sign Permit CSD 7-08.doc
CITY OF SPRINGFIELD I
Building/Combination Permit
,
Status
Issued
PERMIT NO: 'COM2008-01673
ISSUED: 11/17/2008
APPLIED: 11/17/2008
EXPIRES: 11/2412008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Iuspection Line
SITE ADDRESS: 3192 Gateway Lp
ASSESSOR'S PARCEL NO.: 1703222002502
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner - 102408 removal date 112408
REF: COD2008-00238
Owner:
Address:
SHEILA S-LLC
2390 LARIAT DR
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING IN,~?~A TION I
# fU . # I'S~"'\O
,0 mts: ~"'ll\.';~') Jor\l~~
Primary Occupancy Group: . r "_",""1 ":,,,,,: ]t.e".igli~~~~\i,\IJ1.cture
Se~ondary Occupa?cy Gr?np:, ~\' ::\. ,:,'- r ;N,l)p!tll"fj'J\'
Pnmary ConstructIOn Type, ..., '" ,):~, 'f' ,p" 'r 'I, ~~ter>!~~'!i'o'i
Secondary Constructiou Type: (' c-,L" ,- . U (\"oU,;! LRlln'g@tVoe\e
, '" _OiJ \ \lIe, ~ ~.1B~'U' ,
# of Bedrooms: " ,,'2."00' \)Wi\\ CO ,'~/!'f\'gy'. ,~l!tlol\
" .., 3-" 0 1"O\e. S h",l):'~ B 'Id' , /
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.. C"\\\~~r'\O( \\\6 i~~-"DiVkt<';PMENT INFORMATION'
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Overlay Dist:
# Street Trees:Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available,
Speciallnstructiou:
I PUBLIC IMPROVEMENTS I i\\t. 'NCl?-~
C~: ~\. ~?\~i: ~~~d'e1v~~ Type:
..\O~\ . Ii S\\~. i\\\S?<- d~ ~Cl?-
'" S ?'t.\l.1'JI \}~I)'t.\l. ~Clo~p,roWnspouts/Drains:
i\\\ \\Cl\l.\l't.Cl Cl?-\S t>.'Or>:
t>.\)~1'JI't.~C.'t.1) ?'t.\l.\OCl. '
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Notes:
I Val~a,tion Descriotion I
Description
TYDe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Admiuistrative Fee
+ 5% Technology Fee
Banner Special Permit,
Deposit
Total Amount Paid
Amouut Paid
$20.00
$5.00
$100.00
$100.00
$225.00
Total'Value of Project
Fees Paid I
Date Paid
Plan Reviews .1
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01673
ISSUED: 11/17/2008
APPLIED: 11/17/2008
EXPIRES: 11/24/2008
VALUE:
11117/08
11117/08
11117/08
11117/08,
Receipt Number
1200800000000001152
1200800000000001152
1200800000000001152
1200800000000001152
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 aft,er 7:00 a.m. will be made the following
work day.
~,eRui...ed 1.~sr~cJj~n~ I
Banner Removal: To be requested the day following the expiration of the,permit. If inspection is not requested,
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
information her~on is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinauces of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Divisiou, Building Safety.
I further certify that only contractors and employees who are in compliauce with ORS 701.005 will be used on this project.
I furtber 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 ou the site at all
times during construction.
Owner or Coutractors Signature
Paie 2 of2
Date
225 Fifth Street
Springfield,Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1673
COM2008-0 1673
COM2008-01673
COM2008-0 1673
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Banner Special Permit
Deposit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
HEATHER ENLUND
,
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000001152
Date: 11/17/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
051290 In Person
Payment Total:
Page 1 of 1
3:01:27PM
Amount Due
100.00
100,00
5,00
20.00
$225.00
Amount Paid
$225,00
$225.00
11/17/2008