HomeMy WebLinkAboutPermit Signage 2009-3-5
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City Job Number (" oW' zO 0 , .
I ~ 0'1' .$ A- 'So '\
1703>(;,42
Job Location
Tax Lnt
ol.{70a
Assessors Mep
Owner of Property
Addre<<
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City
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. State
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\ pP-R 9 obtain COr. tIle te\ep"o. n
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. Descriptior
Addres<
lip
Expir/"o
Date of Installation f~.7 Date of Removal y~ 7
Permit Fee:~o including $J.oo:OO 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 de'scribed
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
sp.ecified, I will forfeit the $100.00 deposit. I also understand that thi..s special PI' can be issued
only twice. per cal endar ye. ar per development area. I also agree to call ii~~t~ ef\ line at 726-3769
by the end of the 30th day to request an inspection to verify the 'nrtlli~ ~1'i. er(s) and/or portable
sign(s). This inspection will begin the proces~~~ti1'Urn.~~'f.~I'& &.u~anner(s) and/or
portable sign(s) has been removed. . ~\) S \>'t.\'t~\ 'U1I\.\J't.\'t ~'O~II\.\JO ,.
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Date of Application
Job# C. "7-oo'50(
Receipt #
1/)
zz7
Issued By
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Amount Collected
Shared Drive(T:)lBuilding FormslBanner_Portable Sign Permit eSD 7-08.doc
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Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00301
ISSUED: 03/05/2009
APPLIED: 03/05/2009
EXPIRES: 09/05/2009
VALUE:
225 Fifth Street,$pringfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1909 S A ST
ASSESSOR'S PARCEL NO.: 1703364204700
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner - ref:C0D2009-00083
Owner: HUNT GREG ALLEN & ELVIRA R
Address: 1262 DELROSE DR
SPRINGFIELD OR 97477
I. CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
Licensfu
'reS'lOU
_ lo\~. reC\U' ,_ I \\i1it1
^,,-"-i:1'B(I)~['}D mG,~Jtl'lttM.t:\J~ t \0001~\
"" lilt' '"'U''' 2- ,.
w ru ~-' . I,'l 0- 0"
~O~~~icat\Oj/ ~i~~Sl \nlOU~~ 0\ \ne lule~:V
B in 0"1'\ 95i1im\i.~t<Jtl'Sil'~~~~~\ne te\e.~n~\iOl\
0090. '{O~IJ'Clllitteat~ 0 Ijtill\'! \,\0\\ IC
VB calliI19l\'dte.\'I9W.e.gg~_~~2-234<\)' .
l\ull1'oe~il'fp~:8
to';,'.;;' Path: .
Sprinkled Building:-'
Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: .
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I ,DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Toial:
# Street Trees Rqd: . Handicapped:
Paved Drive Rqd: Compact:
% of LOt. Coverage: 1\'\E VJOt2.\t
NO;l\~J'ftIT $:HA\.\. ~~:~~~M\l IS ~O'{
IPUBLI~~BAf~OOMEO fOR.
. CON\N\E~~~~ PERIOO. Sidewalk Type:
AN'\{ 18 Downspouts/Drains:
Street Improvements:
Storm Sewer Available,
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 01'2
Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO:COM2009-00301
ISSUED: 03/05/2009
APPLIED: 03/0512009
EXPIRES: 09/05/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees P3id I
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Amonnt Paid
Date Paid
. $10.00
$5.00
$100.00
3/5/09
3/5/09
3/5/09
Receipt Number
2200900000000000227
2200900000000000227
2200900000000000227
Total Amount Paid
$1 is.oo
I 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.
Reouired Insuections I
By.signature, I state and agree, that I have carefully examined the completed application and do hereoy 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 t~at only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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 ~uring construction. / '
12irh ~k-
<./
Owner or Contractors Signature
'"'j
Date
Paee 2 of2
ii--:;
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Sprlngfi.eld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0030 I
COM2009-0030 I
COM2009-0030 1
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200900000000000227
9:21:50AM
Date: 03/05/2009
Description
Banner Special Permit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Amount Due
100.00
5.00
]0.00
. $115.00
Paid By
RUDY GUTIERREZ
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
016473 In Person
Payment Total:
$] 15.00
$115.00
Page ] of I
3/5/2009