HomeMy WebLinkAboutPermit Signage 2009-1-12
Status
Issued
CITY OF SPRINt:il'lELD .
Building/Combination Permit
PERMIT NO: COM2009-00049
ISSUED: . 01/12/2009
APPLIED: 01/12/2009
EXPIRES: 02/13/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5810 MAIN ST
ASSESSOR'S PARCEL NO,: 1702334102300
Springfield, TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner/portable sign - 011309 removal date 021309 .
Commercial
Owner:
Addrcss:
AMIGOS III LLC . :
32929 ROBERTS CRT
CO BURG OR 97408
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._<' ,-"nt" o;e~rCON(FR\\CT.O~~'~RMATIO~ ,
I -; I'''" 2-("opt'IDOse '....'-Of\R 9b'--....~'
Co~t~~~~9rcen\e~1 0 \DlougD 0' \\'Ie IU\es b~ License
0\\;~~!l3S'2.-001-~h\ain CO\lI~~hP. \e\e\lD~~~n
'OGgo.'/0~~~~~entp'BUi~DIIN0 fNiJ!.ORMA TION I
ca\\lng, I tDe '- - oo,JJl!- ".
\)e\ 0 . 1-13
null' centel IS # of Stories: "
B Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date Phone
Contractor Type
Sign
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION! 'jl.'f,.'
X. \~ "i\\'C: ~ ~()\
C~.overI5Y '~fi-?\?\ ~'jl.\J\\\ \'0
\\01\ :1I..Stte ItIidP ? x.U ~()'jl.
,\\\'0 "'C:1:~l:~~ \l.,t~~\)O~
f'-\l'\\()\W--~W~'(';,}~~ge:
r,()\'J\\'J\~~~[)..'{ ?t.'jl.\() . '
p." JH",:
IiFt'iBLIC IMPROVEMENTS I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Type of Constructio~
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
SP,IIINOllllm.D"
~ ~<;e>,;'~ri''''''~''~''l' ';".".~"";+:'
:V
Status
Iss u ed
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
Fee Description
***+ 100/0 Administrative Fee***
, + 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
$20.00
$5.00
$]00.00
$]00,00
Total Amount Paid
$225,00
Total Value of Project
Fees Paid I
Date Paid
1/12/09
]/]2/09
1/]2/09
1/] 2/09
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00049
ISSUED: 01/12/2009
APPLIED: 01/12/2009
EXPIRES: 02/13/2009
VALUE:
Receipt Number
]2009000000000000]2
]2009000000000000]2
]2009000000000000]2
]2009000000000000]2
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 Renui..red I~srec~.j.?ns I
Banner Removal: To be requested the day following the expiration of the permit, If inspection is not requested,
the applicant may forfiet the deposit.
By signature, I state and agree, that I have carefu)]y 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 of the City of Springfield and the Laws ofthe State of Oregon pertaining to the work described 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 be used on 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 remain on the site at all
times during construction.
-A/._~ A~"
Owner or co~tractor(Signat,g.e
-
Pa2e 2 01'2
d,~ Juq
.
Date
225 Fifth Street
SpringfieHI, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
...
Job/Journal Number
COM2009-00049
COM2009-00049
COM2009-00049
, COM2009;00049
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200900000000000012
Date: 01112/2009
Description
Banner Special Permit
Deposit,
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By'
QUIZNOS SUB
Item Total:
Check Number Authorization
Received By. Batch Number Number How Received
djb
1116
In Person
Payment Total:
Page I of I
2:28:44PM
Amount Due
100.00
100.00
5.00
20,00
$225,00
Amount Paid
$225.00
$225.00
1112/2009
TO:.7360029
P.l'l
JAN-12-2009 ll:49A FROM:
225 FIFm STREET . SPRINGFIELD, OR 97477 . PH:(541)72G-S75S . FAX: (54l)72S.SG89
.;.~ City Job Number coWl t:.OC> t:t- e::x:::>c ':I ~
..Sl Job Location S~J'D MA,^L 0,.
rR A=...170Z-3~<{ I ..
I Owner of Property Ai\I\.ltrus' nr l. LC
l :-~~~('~~":~:;;~~~d~;;h~~;::~-- ~. <JiV.V: ..
':::e..... .. C01Jlrr1dq,Rn$lQUer '.. ~'JlIiIG3,~'~~ C.-:.mer. Those rutes are 13etfoith .
..... - Contrart~r .. ~1Y9'~~010 through OAR 952-001-
." . - - ..._, ....."',"'-Ilt vVJ.JJ~~ UI me rUles by
calling the center. (Note: the telephone
numberJnrtho ()rn[","",n '1*:';..... ~_~.,~ .. Phon...
, Center is 1-aOO-332:2344):"''''uv"
, ~tate
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Tax Lot
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Address
City
un
Construction Contractors licenSe #
ExpirP.
II
Descriptior 19\") \ ~ )()',. Q,M.-J <DL.
Date of InstallatioD o( ~k> ~ ".. Date of Removl'l ~~~,;0 <<7
Permit Fee: $225.00 inc:Juding 5100.00 Deposit and applicable fees.
. By signature, I state and a, gree that I have carefully completed thisg" l\l)6ilki hereby certify that
all information herein is trUe and correct. ~r agree (1 ~~\l\i&ve described
banner(s) andfor portable sign(s) is not iIffl\~ ~ved within 30 days ' ,
fro~ the date .listed lI~)(lVe. If the bannert 1'\1LiCi>~~ .~~.,' .ved wi~ the ~eline
specified, I WIll forfeIt the $100.00 depoSR)\ ~#SHu\: this specJal......_~ can be ISSUed
only twice per calendar year per develo~in<~. ~ df:\l# , 'to call the inspection line at 726-3769
by the end of the 30111 day to request an ~t1 to verify the removal of the banner(s) andfor portable '
sign(s). This inspection will begin the process to return the 5100.00 deposit if the banncr(s) andfor .
portable si~ has been ~ .
Signatur lJa7/ / . A,jVJ-k-v" '. tJtJ
~'" - .f J~//~ 6--f1-tC-'1'.-&4tTg,.,z WI~ 0';0
- . 'lf~ ,ForOfflU, U~e .) . - .
Date of Applic Q - 1./ i.:.o , -. Job # -i,. 000'" t:t' Recei~ # - '.-".,,-'
Issued By 'p~ Amount Collected Z'Z r
..-,...~ ';;
. .,.
DEP1, Of JUS1ICE-DCS
Fax: 5039866266
ShIrodDrho(T:)/B....., ....,....,:'\~.:"~l'lrIll....."""'I1~7.()...... '
.. Jan 12 2009
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