HomeMy WebLinkAboutPermit Signage 2009-2-25
Status
Issued.
CITY OF SPRINGFIELD
Building/Combination Permi~
PERMIT NO: COM2009-00265
ISSUED: 02/25/2009
APPLIED: 02/25/2009
EXPIRES: 04/25/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax .
541-726-3769 Inspection Line
SITE ADDRESS: 790 30TH ST
ASSESSOR'S PARCEL NO.: 1702312200500
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner permit- concurrent for 60 days
Owner: SCHULZ DANA R & BARBARA A
Address: 95950 N BANK RD
GOLD BEACH OR 97444
I L ~ .
. Contractor Type
Contractor
i.cqWMG[<V-HNW~l~Ollb.l,to
follow rules adopted by the or.egon Ullllty . .
Notification Center. Those rul<lIicenset fortlExplrahon Date
1'1. OAR 952.001.0010 through OAR 95;-001-
OOf}lfif!o1NG~~(~ltMA'iflONdI:p;;;;eL 1
'''; . 'J' . if ,f/,W; -\ \1t ii, ' I ~. .
numbe~9r the. Oregon Utility Notification
~[ftllPUS\ -800-332-2344).
eIght of Structure.
Type of Heat:
Water Type:
Range Type: '
Energy Path:
Spriukled Building'
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 Fi Other:
Occupant Load:
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
1r~-f~PMENT INFORMATION I
THIS PE-RMIT SHALL EXPIRE IF THE WORK
AUTHO~tI"~'UER THIS PERMIT IS NOT
COMM~~~~e, l{'t~ANDONED FOR
ANY1~~ ~~~e: ..
REQUIRED PARKING
Total:
Handicapped:
Compact:
. I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspoutsffirains:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq'Ft
or multiplier
Sq uare Footage
or Bid Amount
Value
Date Calculated
Pal?:e I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00265
ISSUED: 02/25/2009
APPLIED: 02/25/2009
EXPIRES: 04/25/2009
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 I
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$30.00
$15.00
$200.00
$100.00
2/25/09
2/25/09
2/25/09 ,.
2/25/09
2200900000000000204
2200900000000000204
2200900000000000204
2200900000000000204
Total Amount Paid
$345.00
I Plan Reviews I
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.
R~~lIir,ed .In,~n~ct~o~,~ I
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 application and do 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, Bnilding 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
'=1:::;;:.'JaL<<~ . ~/~/4t
~J:r Contractors Signature' " d Date
Pal?:e 2 01'2
ZZ5 nml STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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CITY OF SPRINGFIELD, OREGON
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Construction Contractors License #
Ib752/7
Expirp<
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Description r-D rc E1'l5E t..:>ftNJ'.t G:-IL) E-u.J .5TV R./lb c:.
FLit(", PENA!f'rt..a3 ".5115{2.~NB4'NAi.EfC...
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Date of Installation Date of Removal
. J(
,UN IT!; NoW ftvAit.M~l
Permit Fee: $225.00 including $100.00 Deposit and applicabie 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 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 30\h day to request an inspection to verify the removal of the banner(s) and/or portable
sign(s). This inspection will begin the rocess to return the $100.00 deposit if the banner(s) and/or
portable sign(s) s been removed.
Signaturp
Datp
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iJr Office' USe'
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Date of Applicatior ?/;2.) jtJ r
Receipt #
Issued By
Amount Collected
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Shared Driy~ (T)'l:\uilding FormslBanner]ortable SI&1. ~einli~'qD 7-08.doc
"'.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department' .
Public Works Department.
Job/Journal Numbe-r
cOM2009-00265
COM2009-00265
COM2009-00265
COM2009-00265
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
2200900000000000204
Date: 02/25/2009
Description
Banner Special Permit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
D-BAR CONST
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cjc
2189
In Person
Payment Total:
Pal?:e I of I
10:18:57AM
Amount Due
200,00'
100.00
15.00
30,00
$345.UO
Amount Paid
$345,00
$345.00
2/25/2009