HomeMy WebLinkAboutPermit Signage 2009-3-9
225 TIrrn STREET. SPRINCTIELD,OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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CITY OF SPRINGFIELD, OREGON
Tax Lot
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Owner
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Expirp<
Date of Installation
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Date of Removal..) -(0 - dJ
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 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 ~~lh 30 days
from the date listed above. If the banner(s) and/or portable sign is not removed w~~~line
specified, I will forfeit the $100.00 deposit I also understand that this specij\~~~~ issued
only twice per calendar year per development area. I also agree to call ~~I~ll~~~t 726-3769
by the end of the 30th day to request an inspection to veriwhe r~\~~ !{tl~1ts) and/or portable
sign(s). This inspection will begin the process to re~~j~'h~~'(t~~<\,~p~~} ~ e banner(s) andlor
portable sign(s has bee/ilrerr;' ,\y,\"o 'i' \)~\tS \) \)~ ~\)\). .
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10b# C '7- 3/ll Receipt # /Ih
Date of Application
Issued By
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. Amount Collected
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Slum:d Drive (f:YBuilding FOrmSlOaim,ir]ortable Sign Permit eSD 7...(18.doc.,', .' .
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-003I4
ISSUED: 03/0912009
APPLIED: 03/09/2009
EXPIRES: 03/0612009
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 5005 MAIN ST
ASSESSOR'S PARCEL NO.: 1702333204500
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner - ref:C0D2009-00]29
Owner: CLADD ENTERPRISES LLC
Address: 522 N 65TH ST
SPRINGFIELD OR 97478
Contractor Type
Sign
Contractor
OWNER
I CONTRACTOR INFORMATION I
L. .\0
lCenSe
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Expiration Date
Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFORMA'TI-O"~i'~.Cl~ ~'l
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~-, \ #.of,Stories:\"'lo<J co' n'e9X\ n\\O~
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, ~SSprin'l<le<l Building:
Lot Size:
Sq Ft ] st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I <;>~
REQ~IltWARKING
. .!- -<.,'0 {o
Overlay DlSt: xy)t~f' ~
# Street Trees Rqd: . X-~,~ ~~~p~ed:
Payed Drive Rqd: . -x-,"r\'\' -<.,~S~'pa~t:
% of Lot Coverage: \C~. ~ S ~''VX-~ ':O"r-~
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I PUBLIC IMPROVEMEN11r<~\)'s~'->'<-~ 9,y.-'<"-
. . ~~~ ,,'V
,->'V' S\!lewalk Type:
~--1, ,
- ~ Dnwnspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descrinlion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Fontage
or Bid Amount
Valne
Date Calculated
Pae:e I of 2
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00314
ISSUED: 03/09/2009
APPLIED: 03/09/2009
EXPIRES: 03/06/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees Paid I
Fee Description
***+ 10u/o Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$100.00
$100.00
3/9/09
3/9/09
3/9/09
3/9/09'
1200900000000000]66
1200900000000000166
1200900000000000166
1200900000000000166
Total Amount Paid
$225.00
Plan Reviews ,
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 Reouired Insoections I
Banner Removal: To be requested the day'following the expiration of the permit. If inspeetinn is not requested,
the applicant may forfiet the deposit.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is trne and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made ofany 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.
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225 Fifth Street
Springfjeld; Oregon 97477
541~726-3759 Phone
GPRPiOFIIU.i:) ....,
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00314
COM2009-00314
COM2009-003 14
COM2009-00314
Payments:
Type of Pltyment
Check
cReccioll
RECEIPT #:
1200900000000000166
Date: 03/09/2009
Description
Banncr Special Permit
Deposit
+ 5% Technology Fcc
***+ 10% Administrative Fee***
Paid By
MAIN ST MONTESSORI
Item Total:
<"':heck Number Authorizlltion
Received By Batch Number Number How Received
djb
5551
In Person
Payment Total:
Page I of I
8:48:52AM
Amount Due
100.00
100.00
5.00
20.00
. $225.00
Amount Paid
$225.00
$225.00
3/9/2009