HomeMy WebLinkAboutPermit Signage 2009-3-23
225 FIrm STREET e SPRINGFIELD, OR 97477 e, PH:(541)726-3753 e FAX: (541)726-3689
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Construction Contractors License # 110 l?-ll 3>
City
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DescriptioI'
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Date of Removal
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PermitFee: $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 within 30 days
from the date listed above. Ifthe'banner(s) and/or portable sign is not remo"i' 'hi the timeline
specified, I will forfeit the $100.00 deposit. la!~.o~1Jnderstand.thl~, tfe Ji~ ~~r~an be is~ued
only twice per calendar year per develoP~~\l'!t&.'i~~'e ;ml\lli~~~ 'on line at 726-3769
by the end of the 30th day to request an insJlf\'\rtPl1~ tl~\-Ye ~ b~\l anner(s) and/or portable
sign(s). This inspectionwill begin the proc~lil&t ~~'&l. ~posit if the banner(s) and/or
portable sign(s) has been removed. CO\'J\\'J\'t.~ /1.'/ p't.RIOO. . I
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Date of APPlic~ti~n 6/ db I 0'\
For Office Use
Job #
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Issued By
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Amount Collected
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Receipt #
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Shared Dri~e (T:)/Building Fonns/Banner]ortable Sign Peimit CSD 7-QS.doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00383
ISSUED: 03/25/2009
APPLIED: 03/24/2009
EXPIRES: 04/02/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: III 58TH ST
ASSESSOR'S PARCEL NO.: 1702334102601
Springfield TYPE OF WORK: Banner
Commercial
TYPE OF USE: Addition
PROJECT DESCRIPTION: Banner permit March 2, 2009 throngh April 2, 2009
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p...\.\~\IJ\t.~Ct.~ \,t.?-\QI.). DownspoutslDraius:
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Owner: AM1GOS III LLC
Address: 32929 ROBERTS CRT
COBURG OR 97408
I CONTRACTOR INFORMA TlON I
Contractor Type Contractor u\\eS 'JO~\~~'J License
. ~ 13:" \e~,,,C\OIl . 'c>(\\'I
..f ",\, (l",~~'IOBUiLDING:iNFORMXTlON I
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# of Units: "." '<~.\.()Cy\C1' (#,ol\Stories:e?\'IO '0(\
. , '1\0 "11 ,vc ,\,\e \~ '\'-11"\\
Primary Occupaucy Group: '. -; 'cJ.",:" ''''01:;\0.1 ,.HeigHt of,~tr..ui:ture
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Secondary Occupancy Group:'~(). 'Iou' c911\e\. Jypeior,!J,,'ll't).
Primary Construction TYi)e\J\J~",\\\\'\9 \~~\ \\'19 or~~~te'Prype:
Secondary Construction Type: "10'09\ i (\\9( \S Range Type:
. IW C9
# 01 Bedrooms: Energy Path:
Sprinkled Building: n/a
I DEVELOPMENT INFORMATION I
Froutyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
Sqaare Footage
or Bid Amount
Type of Construction
Paee t of 2
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2ud Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
. _$RIIIlINtcl,fm:U..t!.:
::i
.,
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2009-00383
ISSUED: 03/25/2009
APPLIED: 03/24/2009
EXPIRES: 04/02/2009
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
Bauner Special Permit
Deposit
Amouut Paid
Date Paid
Receipt Numher
$20.00
$5.00
$100.00
$100.00
3/25109
3/25109
3/25/09
3/25/09
1200900000000000209
1200900000000000209
1200900000000000209
1200900000000000209
Total Amount Paid
$225.00
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.
I Recl.uired Insneetio"s .
Banner Removal: To be requested the day following the expiration ofthe permit. If inspection is not reqnested,
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 true and correct, and I further certify that anY'3nd 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 descrihed herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I furtber certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensnre tbatall required inspections are reqnested 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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Owner or Contractors Signature
3}Q)S ! oct
Date
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Paee 2 of 2
225 Fifth Street
Springfieid, Oregon 97477
541-726~3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00383
COM2009-00383
COM2009-00383
COM2009-00383
Payments:
Typ~ of Payment
Check
cReceintl
RECEIPT #:
1200900000000000209
Date: 03/25/2009
Description
Deposit
Banner Special Pem1it
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
IMAGE KING INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
12567
In Person
Payment Total:
Page I of I
9:02:12AM
Amount Due
100.00
100.00
5.00
20.00
$225.00
Amount Paid
$225.00
$225.00
3/25/2009