HomeMy WebLinkAboutPermit Signage 2008-11-17
225 FlFI1I STREET. SPRINGFIElD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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~ City Job Number \..,.:
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. U Construction Contractors License #
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Tax Lot
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Zip 97t/77
Expirf'<
Descriptinn / A)OW APLrJ 1Jfty,J Nrz.-y-
Date of InstaJ.latio1' /0/1:2.. ~/ o"?S DateofRemovaL~/.) 0
Permit Fee: $225.00 including $100.00 Deposit and applicable fees.
By .signatu~e, I sta.~e ~nd agree that I have carefully, c,ompleted this apPlicat!' ~\1&eby ~ertify that
all informatIOn herem IS true and correct. I ~~ ,;e and undrt~th\ft ~'tS~lIescnbed
banner(s) and/or portable sign(s) is not larger \h\1d < 'b~~Wl'im ~\l\'(fd within 30 days
from the date listed above. If the banner(s) analtl ~11~\@~~ the timeline
specified, I will forfeit the $100.00 deposit. I ~\ _ s special permit can be issued
only twice per calendar year per development aOO!VI ~~rn all Q1~ inspection line at 726-3769
by the end of the 30th day to request an inspectiti!~'b {, nfy the'Temoviil 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) andJor
portabl:::CS) ~ee,n removed. .
Signat!.' - ./j;:r-r/ 4L
Date of Application
11-/7-oR
'hCS:
Amount Collected
Zz.s- -
Tob #
Receipt #
Issued By
ShllTedDrive (T:)!Building FormsfBanncr]ortable Sign Permit CSD 7-O&,doc
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01670
ISSUED: 11/17/2008
APPLIED: l1!17/2008
EXPIRES: 11/24/2008
VALUE:
SITE ADDRESS: 1174 Gateway Lp
ASSESSOR'S PARCEL NO.: 1703222002410
Spriugtield TYPE OF WORK: Banuer
PROJECT DESCRIPTION: Banner -102408 removal date 112408
REF: COD2008-00644
TYPE' OF USE: New
Commercial
Owner: SHEILA S LLC
Address: 3194 GATEWA Y LP
. SPRINGFIELD OR 97477
Contractor Type
Sign
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
P~imary Construction Type
Secondary Construction Type:
, # of Bedrooms:
---------
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm.Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
I CONTRACTOR ,INFORMATION I
License
Expiration Date Phone
BUILDlNG.INFO~~~ TlON I
...., I ,'-~'o{~ ,"
I . - ~L'''''~' ad- -:.. '4W re .
. i~t~~S!~J'.i~~:e'n '~t;le.,.d by the'611/res yotJ-PJ Size:
00 Helgtit:Q.fe~~~8tlire hose rur regOn Ut\jll}!:tlst Floor:
c ~~lt(Qf MWbbO 1 0 through ~A are Set ~ftKt 2nd Floor:
n~~~te.tfIiyl!!fjnte taln COPies oft R 952.~Jt Basemeut:
w.1rirg,,~ 0:' (Note; the tehe rlJles~Ft Garage/Carport
Ene~lllilt~s 1:gon Utility Na'e/?hone;;q Ft Other: '
Sprinkled BUilili<<20-332-234~3~fICatlolf)ccupant Load:
I ,DEVELOPMENT INFORMATION'
REQUIRED PARKING
Overlay Dist: -., ,
# Street Trees Rqd:
Paved Drive Rqd:'
% of Lot Coverage:
Total:
Handicapped:
Compact:
~~OVEMENTSI
THIS PERMIT SHAll EXPJR Sidewalk Type:
AUTHORIZED UNDER THIS ~fl11~~ins:
COMMENCED OR IS ABANDo Mff IS NOT
ANY 180 DAY PERIOD. i NED FOR
I Valuation Descriution I
$ ~er Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Value
Pa2e I of2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01670
ISSUED: 11/17/2008
APPLIED: 11/1712008
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
Fee.~ P~i,~ I
Fee Description
+ 10% Administrative. Fee
+ 5% Technology Fee
Banner Special Permit
Deposit
Amouut Paid
Date Paid
$20.00
$5.00
$100.00
$100.00
11117/08
11/17/08
11/17/08
11/17108
Receipt Nnmher
1200800000000001149
1200800000000001149
1200800000000001149
1200800000000001149
Total Amount Paid
$225.00
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 7:00a.m. 'rill be made the following
work day.
Reonired I nsnectionsJ
Banner Removal: To be requested the day following the expiration of the permit. If inspection is oot requested,
the applicant may forfiet the deposit.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
iuformation hereon is true and correct, and I further certify that auy 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 pertaiuing to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Commuoity Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used ou this 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 remaiu ou the site at all
times during construction. .
Owner or Contractors Siguature
Date
Pa2e 2 of 2
225 Fifth Street
SpriQgfidd\ Oregon 97477
541- 726-3759 Phone
Job/Journal Number
COM2008-0 1670
COM2008-0 1670
COM2008-0 1670
COM2008-01670
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Deposir
Banner Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
HEATHER ENLUND
City 'of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000001149
Date: 11/17/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
051290 In Person
Payment Tota':
Page 1 of I
2:57:55PM
Amo~nt Due
]00,00
]00,00
5.00
20,00
$225.00
Amount Paid
$225,00
$225.00
1111 7/2008