HomeMy WebLinkAboutPermit Signage 2009-1-26
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CityJobNumber C.OIA/ll.OOY- oOll.. z.
Job Location
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Tax Lot
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Construction Contractors License #
Expirf'<
DescriptiOfl / - /5/-hJP/~ '\it'!l~P.1<.
Date ofInstallation I ~/ ~\-\~\.\. E,,~~Qi / b.. 7/u I
. I i~S RIlED \.I~Dt\'\ \)~~DQ~ ' F'j .' .
Pe:r~it Fee: $~J~~~~'OO Deposit and applicable fees.
By signature, I state and agree ~~N \1\)\l~eJiilY 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 area. I also agree to call the inspection line at 726-3769
~y the end of the 30th day to request an inspection to verify the removal ofthe 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
portable sign(s) has been removed.
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Date of Application
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Receipt.#
Issued By
Amount Collected
Shared Drive (T:YBuiIding Fonns/BannCl"]ortabie Sign Permit CSD 7-08.doc
Status
Finaled
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00122
ISSUED: 01/26/2009
APPLIED: 01/26/2009
EXPIRES: 07/26/2009
VALUE:
225 Fifth ,Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 3192 Gateway Lp
ASSESSOR'S PARCEL NO.: 1703222002502'
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner.- ref:C0D2008-00238
Owner:
Address:
SHEILA S LLC
2390 LARIAT DR
EUGENE OR 97401
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~\\\\\~O~ S6l\\\'o6 # of Stories:
0\ 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:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
Frontyard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION f?; W l\\t 'NUt\I'o
, "'Oi\l,.t.. C'rlfl.\.L \:.1" ~"R\-J\11 IS ~~kQUlRED PARKING
,.. ~ rp.\-J\I\ v' n 1\\IS r \:.. "OR
OV'l'iIi\}'l&iSt:'n:O \l~OE" F\~DO~ED { Total:
, # St~'\S1i~fe'e.l~i/:i OR IS fl.\) Handicapped:
pav"f.&'~::/ ?tRIOD. Compact:
% otN~~~'U'@~' '
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I V aluatio~ DescriDtion I
Description
Type of Construction
$ Per Sq Ft
.or multiplier
. Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
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 Amonnt Paid
Amount Paid
$10.00
$5.00
$100.00
$115.00
Total Value of Project
Fees, Paid I
Date Paid
1/26/09
. 1/26/09
1/26/09
I Plan Reviews ,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00122
ISSUED: 01/26/2009
APPLIED: 01/26/2009
EXPIRES: 07126/2009
VALUE:
Receipt Number
1200900000000000051
1200900000000000051
1200900000000000051
To Re.quest 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.
Repuired I nsnections I
By sigilature, 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 fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield arid 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 nsed 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.
Owner or Contractors Signature
Paee 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541~726-3759 Phone
'.
Job/Journal Number
COM2009-00122
COM2009-00122
COM2009-00122
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services' Department
Public Works Department
1200900000000000051
Date: 01/26/2009
Description
+ 5% Technology Fee
***+ 10% Administrative Fee***
Banner Special Permit
Paid By
MICHAEL SCHWARTZ
Item Total:
t.:heck Number Authorization
Received By Batch Number Number How Received
djb
o 1365d In Person
Payment Total:
Page 1 of 1
3:03:03PM
Amount Due
5.00
10.00
100.00
$115.UO
Amount Paid
$115.00
$115.00
1/26/2009