HomeMy WebLinkAboutPermit Signage 2009-1-26
ZZS FIITII STREET . SPRINGFIELD, OR 97477.. PH:(S41)7Z6-3753 . FAX: (541)726-3689
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< / . AUTHUKILCU \,;.!SE. ANDONED ~U,K
DescriptioI' !? ~~ C;::J:M,~,:M~~[) OR IS AB
. , I ~ ~..-ANY 180 DAY PERIOD. J' .
Date ofInstallation~j 2, (f('tJ. y .... Date of Removal .~ :2:.~/d '1'
Permit Fee: $225.00 including $100.00 Deposit and applicab~e fees.
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 aboye 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 $100.00 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
.,~ by the end of the 30th day to request an inspection to verify the removal ofthe.banner(s) and/or portable
...Jif:JJ 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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Shared Drive (T:)lBirilding FormsIBanncr ]ortable Sign Permit eSD 7-08.doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00120
ISSUED: 01/26/2009
APPLIED: 01/26/2009
EXPIRES: 07/26/2009
VALUE:
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS:, 1174 Gateway Lp
ASSESSOR'S PARCEL NO;; 1703222002410
Springfield TYPE OF WORK: Banner
PROJECT DESCRIPTION: Banner -'ref:C0D2008-00644
TYPE OF USE: New
Commercial
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd; Handicapped:
~d"mWe Rqd: HE WOR~ompact:
o),iAWV~~'l"IDW\ll EXPIRE IF T T IS NOT
AI ITHORIZEO UNDER THIS !E~~~ en!:!
I PUBLI(lJIMP.Rg~EfMiN.t.sliD/"ID",jvO".:-
I v U~ J -n .
. f'li I I U " .- S'd' Ik T
I ewa ype:
Owner: SHEILA S LLC
Address: 3194 GATEWAYLP
SPRINGFIELD OR 97477
I CONTRACTO~ INFORMATION I
Contractor Type
Sign
License
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1':BUlLDING,INFORMATION.,'nu
UOIl'8~li - i:lO
6UOUd8161 6uj :ajoN) 'JawaCl 64\ UU!II
,Iq salnJ auj IJli.o~Stories:lqo ,I~W nOA '060~
_ ~OO-(;S6 \:NCl!,e)ght,,!f Str.ucture-(;S6l:l'tfO .
ujJOI jas mil sJ\ypelofllJ.~"f:}jUeO UOi\BCl!I!ION
Ajlllln u05eJ&,at~r,\'l1y:pe:doPIl salnJ MOllol
o'l'no,l seJ!nRange;Tjipf:eJO .NOI1N311'tf
Energy Path:
Sprinkled Building: nla
I DEVELOPMENT INFORMATION I
Front yard Sethack:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
Downspoutsmrains:
Notes:
I Val~ation Descriotion'
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Paee 1 on
Value
Date Calculated
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
***+ 100,10 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Total Amonnt Paid
Amonnt Paid
$10.00
$5.00
$100.00.
$1l5.00
Total Value of Project
Fees Paid 1
I Plan Reviews I
Date Paid
CITY OF SPRIj~\.jnJ!,L1J
Building/Combination Permit
PERMIT NO: COM2009.00120
ISSUED: 01/26/2009
APPLIED: 01/26/2009
EXPIRES: 07/26/2009
VALUE:
. Receipt Nnmber
l/26/09
l/26/09
1/26/09
1200900000000000049
1200900000000000049
1200900000000000049
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, inspectionsrequested after 7:00 a.m. will be made tIie following
work day.
I Rep,uired.' nsne~th'"~.1
By signatnre, , state and agree, that 1 hav'e carefnlly 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 oflhe 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.
1 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, tliat 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 of2
Date
225 Fifth Street
Springfield,'Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00120
COM2009-00 120
COM2009-00 120
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000049
Date: 01126/2009
Description
Banner Special Permit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
MICHAEL SCHWARTZ
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
o 1365d In Person
Payment Total:
Page 1 of 1
3:02:ISPM
Amount Due
100.00
5.00
10.00
$1l5.UU
Amount Paid
$115.00
$1I5.0U
1/26/2009