HomeMy WebLinkAboutPermit Signage 2009-1-30
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CITY OF ~rKll'1GFIELD
Building/Combination Permit
PERMIT NO: COM2009-00149
ISSUED: "
APPLIED: 01130/2009
EXPIRES:
VALUE: .
Status . Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1072 MAINST
ASSESSOR'S PARCEL NO,: 1703354104900
Springfield TYPE OF WORK: Sign '
TYPE OF USE:
Commercial
PROJECT DESCRIPTION: Portable Sign RefC0D2008-296
Owner: WILKES ENTERPRISES INC
Address: 1082 MAIN ST '
SPRINGFIELD OR 97477
Contractor Type
Contractor
I CONTRACTOR INFORMATION I
TENTIOII' Licenseo\" ,'rExpirationt<Date Phone
AT " , VI wl-.j Jl., ',~ '.'..
.t...ll...", "lIluc ~rlnDted lW trte UfBgon U~!llty.
- . ,Those i"Uleticu t.;.: ~\Jl tVI."
BU1LDlNCiMNF0RMWHON 10 t11;ough OAR 952,001-
II~ un,. ov~ ~~ ' ~btain copies of the rules by
# of StO)iifs? You Y t (Note' th~l!tISiie:)ne
. _ ~l\in"'Jhe cen er. . .., ......r-..
HeIght ot",trnct f,er the Oregon UtilitjS,qcI\.IEI~JtRJOllr:
Type of 1J.~!i'tperc~nter is 1-BOO-332-25sq4jt2n~ Floor:
Water Type: q Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
o.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
N9f~OO:Dist: .
T~I~t~ee!:lf,m'~fAH EXPIRE IF THE WORK
AQ1~~~f\YHMoER THIS PERMIT IS NOT
COM~NC1te6~Ys ABANDONED FOR
^>lV iQO n~v D1=Rlnn
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:'
Notes:
I Valuation DescriDtion I
Description " Type of Construction
$ 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
Fees p'aicl I
I Plan Reviews I
Date Paid
1/30/09
1/30/09
1/30/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00149
ISSUED:
APPLIED: 01/30/2009
EXPIRES:
VALUE:
ReceiptNumber
2200900000000000121
2200900000000000121
2200900000000000121
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 iJ'e, made the following
work day.
I, Reouirecllnsnections I
By signature, 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 and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of'any structure withont permission ofthe 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 constructi~n.
Owner or Contractors Signature
Paee 2 01'2
Date
ZZ5 FIITH STREET. SPRINGfIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689
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CITY OF SPRINGFIELD, OREGON
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Tax Lot
Owner
.f"PRIA/6;,(/€LD Cl1iJ/l.Cft of 'rfI{ BR5TH~"";
Phon"
7'(( - 2 2- 78
State
uR
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City
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Construction Contractors License #
Expir"<
Descriptio!'
fdfl.TA Bt. f
j~Nf)wICH SIGN
Date ofInstallation
Date of Removal JAN 2$" '2-00'
Permit Fee: $225.00 including $100.00 Deposit and applicable fees.
By signature, I state and agree that I have carefully completed this application and hereby certity 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, Ifthebanner(s) and/or portable sign is not reinoved 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 10 request an inspection to verity the removal of the banl1er(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, . "
SignatufP '~qj;,.t;f ~ Date....:M.N. 10 J..O~
For Office Use
Date of Application
Iss4ed By~"7
j/'~/)7
"
Job #an; flJo 7' ~ I <-( :7 Rec~ipt #
/1,:5", ~
.' . Amount Collected
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. .' .Shar~ Drive (f:}fBuilding Fo~a;riiel]ortab]e Sign Permit CSD7-08.~ocj,~
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
,
I
,
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200900000000000121
Date: 01/30/2009
3:06:19PM
Paid By
DALE R SEESE
Item Total:
Check Number Authorization
Received By Batch Number. Number How Received
cJc 6456 In Person
Payment Total:
Amount Due
100.00
5.00
10.00
$115.00
Job/Journal Number
COM2009-00149
COM2009-00149
COM2009-00 149
Description
Banner Special Permit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Payments:
Type of Payment
Check
Amount Paid
$115.00
$1I5,UU
cReceintl
Page I of 1
1/30/2009