HomeMy WebLinkAboutPermit Signage 2009-3-10
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
. PERMIT NO: COM2009-00315
ISSUED: 03110/2009
APPLIED: 03/09/2009
EXPIRES: 03/23/2009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1\1\ MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703253317000
Springli~ld TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner/portable signs - ref:C0D2009-00167
Install 022309 removal date 032309
Commercial
Owner:
Address:
THABET INVESTMENTS-1\l1 MOHAWK LLC
PO BOX 70567 A~Tf;:NT10N: Oregon law requires youto
EUGENE OR 97401 fo"r'w "d"S adopted by the Oregon Utility
d,), ",oJ _' 1__ _~_ .......+f,...rth
1"C1I11'vc.'jVII......;:;lllvl."''-'....... .---- -
, ." - - . ." -. -,- ,,^ '1 952-001-
I CON'FID\Gl'OR-INFORMA'fIQN"I, rules by
V\J;;;.i'V,. n....... """'-.J -- -_..- . - .
coliing the center. (Note.: the telephone. .
0. b j th Oregolll.:lcenSeotlfrd[txmratton Date
num ef 'Or e, VL.",] ,. ~
f'ar.lo,' i. 1_800-332-2344),
Contractor
OWNER
Phone
Contractor Type
Sign
BUILDING INF?RMATION'
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
,# of Stories: Lot Size:
Height of Structure Sq Ft1st Floor:
Type of Heat: Sq Ft 2nd 'Floor:
Water Type: Sq Ft Basement:
. Range Type: Sq Ft Garage/Carport
NOT1CEEnergy Path: \MORK Sq Ft Other:
THIS PEF~I~~ii'~IW\l3hiIdYRgRE IF THt;.ill' Occnpant Load:
'''''''. ".,~~~, : ::::-::::--. r :": DccnnIT I~ NOT
d~~EV~~O:~MEl'ITdl'!Jj:OR!NJV\~[(ilN-lR
ANY 180 DAY PERIOD,
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Total:
Handicapped:
C?mpact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Y~luation DescriDti~n I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Valne
Date Calculated
Page 1 of2
CITY OF SPRINGFIELD
.
Building/Combination Permit
. .
. Status
Issued
PERMIT NO: COM2009-00315
ISSUED: 03/10/2009
APPLIED: 03/09/2009
EXPIRES: 03/23/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid'
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
3/10/09
3/1 0/09
3/1 0/09
3/10/09
1200900000000000171
1200900000000000171
1200900000000000171
1200900000000000171
Total Amount Paid
$225.00
Plan Reviews 1
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 Re/l~lired I~~ne~tinn.s"
Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested,
the applicant may forliet the deposit.
,
By signature, I state and agree, that I have carefully examined the completed applicution anddo hereby 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 fnrther certify that only contractors and employces who are in compliance with ORS 701.005 will be used on this project. .
I further agree to ensure that all reqnired 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.
~lI\
Jl1o/u~
Owner or Contractors Signature
Date
Pa~e 2 of 2
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HP LASERJET FAX
. 541~485-7399
1'.2
CITy (')l"~PI~IN(iFII':LI), ()Rl~(i()N
~: ' "V , ' _
225FIITH STREIT . SPRINGFIELD, OK 97477 . PH:(541)7Z6-3753 . FAX: (541)726-5689.
. .
City Job Numbe"
. Job Location
I \ II
f!1o/-I.;t-..Jw-
1'JU\1
Asses5or5 Map
Owner
Tax Lot
. Owner of Property
fOo
11461:-) Lf'lVE'l0t-u--wfI
rJov- 10<)7;1
"hor'"
Addres.
City
~
State 6k\.
CllntractorlInstaJler
. Contra~t~"
~~
~l)
(~~
l.,..Jv2)fMrwr,
709..'1 Phor"
'>tate. OV\.c.~. 7:ip
Add'Q..
t1. f
City .
Construction Contractors License #
,Description
1. (xlol
'i ) 7_)/D'f
, .
Date of Removal
Date oflnstallation
ZiF
91'161
Cf.1.!i2../
ExpirQO
'> hl,/o7
Pennit Fee: $225,00 including $100,00 Depllsit and' applicahI.e fees..
By signature, I stllte Ilnd agree that I have carefully compleied this applic'ation and hereby certify that
all information hereinis truellnd.correct. I further agree and understand that the above described
banner(s) and/or port8.ble sign(s) is nOllarger than 60 square feet, and will be removed within 30 days
.from the dale listed above. If the banner(s) and/or portable sign is not removed within the time line
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 arell,.1 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 of the 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 signee) has beW r~ov.ed.
Signatur" '~. Oat'" 1htoc1
For office Use
Job #ci- s/ j
Date ~f Application~/;? '7
Issued By
Amount Collected
Receipt # .
.,S~ Drivo (T;)/BwJdillj fOrll:Ilfr"BllW\er_P~IC' Sien~tmhCSD 7..o8..dl)(.
225 Fifth Street
Springfield, Oregon 97477
541- 726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00315
COM2009c00315
COM2009-00315
COM2009:00315 .
RECEIPT #:
Date: 03/10/2009
1200900000000000171
Description
. Banner Special Permit
. Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Payments:
Type of Payment . Paid By
'Item Total:
Check Number Authorization
Received By Batch Number Number How Received
CreditCard
cReceintl
BRUCE KING
cjc
310184' InPerson
Payment Total:
i'
Page I of I
11 :49:08AM
. Amount Due
100.00
100,00
5.00
20.00
$225.00
Amount Paid
$225.00
$225.00
3/1 0/2009