HomeMy WebLinkAboutPermit Signage 2009-1-26
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225 FlITH STREET. SPRINGFlEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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City Job Number CDrn ZOO 7' .
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Job Location
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Tax Lot
Assessors Map
Owner of Propert:'
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Addres<
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City
State
Zip
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Permit Fee: $225.00 incl . ,g~'IJ oaDeposit and applicable fees.
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By signature, I state and agree that I have c$:efuTI'Y 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 renioved within the timeline
specified, I will forfeit the $100.00 deposit. I also understand that this special permit can be issued
only twice percalendar year per develQpment area. I also agree to call the inspection line at 726-3.769
by the. end of the 30th day to request an inspection to verify the removal ofthe banner(s) !lld/or portable
sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
portable sign(~en removed. .
Signaturr:~-f-c3, NU Dat" / &/tJf
Construction Contractors License "#
. Descriptio"
Date of Installation
Job #
Receipt #
Issued By
II r ..-
Amount Collected
Shared Drive (T:)lBuilding FormsIBanneI" yortable Sign Permit CSD .7...(18.doc
SITE ADDRESS: 3194 Gateway Lp Springfield TYPE OF WORK: Banner
ASSESSOR'S PARCEL NO.: 1703222002501. ~-ZSS-008-' sl Je\ll~?legUJnll
(tvS" > 06eJO eL\\ 'TVP.E OfjUSE' New
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PROJECT DESCRIPTION: Banner - ref;CODt008-~OH!hON) 'JeWef UJ no" '0600
edL.",c.e\<J\ Ys' aldoQ U\'8\qo '8 ~ ""0 U\
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. Status
Finaled
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone .
541-726-3676 Fax
541-726-3769 Inspection Line
Owner:
Address:
SYLMA COMPANY
2390 LARIAT DR
EUGENE OR 97401
Contractor Type
Sign
Contractor
OWNER
# of Units:
Primary Occupancy Gronp:
Secondary Occnpancy Group:
Primary 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
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00121
ISSUED: 01126/2009
APPLIED: 01/26/2009
EXPIRES: 07/26/2009
VALUE:
Commercial
I CONTRACTOR INFORMATION I
License
Expiration Date Phone
Bl!ILDING INFORMATION I
# of Stories: Lot Size:
Heigbt of Strncture Sq Ft 1st Floor:
Type of Heat. Sq Ft 2nd ,1;11'
. Water T1M;lilCE: Hflll EXPI!WnlFiTBllie'lll .
Range TyP;~iS PERMIT \mER THIS if<f:R~(lIr\fgJ') port
Energy P,,~:rHORIZED U N~'(gtlt.9t~tn~
Sprinkled~IJ!l!l1gNCEO OR.lA.flBfI {)ccnpant Load:
f~\' nrDlf\n
I DEVELOPMENl'~NF~'MA'flbN I
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspoutsffirains:
I Valuation DescriDti~o I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
. Value
Date Calculated
Paee I of 2
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Total Amount Paid.
Amount Paid
$10.00
$5.00
$100.00
$115.00
Total Value of Project
Fe~~ Pai~ .1
Plan Reviews I
Date Paid
1126/09
1126/09
. 1/26/09
CITY VI< ~rK11~lJI<IELD
Building/Combination Permit
PERMIT NO: COM2009-00121
ISSUED: 01126/2009
APPLIED: 01126/2009
EXPIRES: 07/26/2009
VALUE:
Receipt Number
1200900000000000050
1200900000000000050
1200900000000000050
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 Re.fI,uirerllns.uections.1
By signature, 1 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 of the 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 are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all .
times during constructiof.1.
Owner or Contractors Signature
Paee 2 00
Date
225 Fifth Street
S pringfielil; Oregon 97477
541-726-3759 Phone .
Job/Journal Number
COM2009-00 121
COM2009-00121
COM2009-00121
Payments:
Type of Payment
CreditCard
cRcccintl
, RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000050
Date: 01/2612009
Description.
+ 5% Technology Fee
***+ 10% Administrative Fee***
Banner Special Pennit
Paid By:
MICHAEL SCHWARTZ
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
djb 01365d In Person
Payment Total:
';
Page I of I
3:02:40PM
Amount Due-
'5,00
10,00
100.00
$115.00
Amount Paid
$115,00
$115.00
1/26/2009