HomeMy WebLinkAboutPermit Signage 2009-4-13
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00488
ISSUED: 04/13/2009
APPLIED: 04/13/2009
EXPIRES: 05/.13/2009
VALUE:
_~~~t!."5!~I~1:!
1
,
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4095 MAIN'ST
ASSESSOR'S PARCEL NO.: 1702314104500
Springfield TYPE OF WORK: Banner
TYPE OF USE:
PROJECT DESCRIPTION: Portable sign- see CODZ009-00293
Owner: MILES INVESTMENTS LLC
Address: 2175 HWY 101 N
FLORENCE OR 97439
,I. CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
__ ,,^Jl tn
ATTG'TI'JN: "I'BUILDlNGrINE0RM~T10N I
fo~,\W (L~~~:'; aO:l.~'- ThOse rules af~ ~vi ''-'' 1~
# of Units: Notihcalion Cell,eOr.j O#lof-~tor,ies:\R 952-00b
. "9"200"1-0 l ",V::J . ~l.-...... Ylllp,$ Y
Pnmary Occupancy Group: in OA" :) - obtail;!t1g)Jl:of,Structnre ne
Secondarv Occullancy Group:'090. You may Tvne,oflHca'f:lephO .
, ". enler. '''''0'. 'j' a\lon
Primarv Cunstruction Type call1l19 the c 0 Wate,' mY'I'jl:lot\ IC
, \ the re'-l~"'. )
Secondary Construction Type: number O~ter is i -8~gge"T-y'jl~~4 .
# of Bedrooms: Ce Energy Path:
Sprinkled Building: n/a
, DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
NOTICE: Pave~ ~r~~ f~q~HF' WORK
PERMIT SHP'(2,\9feJ{otIGoverage:-IS NOT
THIS R THIS PERNII \
^' m~nR\ZED UNDE ,..~~"cn mR
COMMENCliPuiii;I~INi;;R(rV-EMENTS I
ANY 180 Un' " .'
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Commercial
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drain.s:
Notes:
'yaluation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Page I of2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00488
ISSUED: 04/13/2009
APPLIED: 04/13/2009
EXPIRES: 05/13/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753'Phone
541-726"3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pairl I
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$100.00
$100.00
4/13/09
4/13/09
4/13/09
4/13/09
2200900000000000368
2200900000000000368
2200900000000000368
2200900000000000368
Total Amount Paid
$225.00
I 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.
R,erl~ir~rllnsnerti~ns I
BanDer Removal: To be requested the day following the expiration of the permit. If inspection 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 true and correct, and I further certify that any'and all work performed shall be do~e 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 that only contractors and employees who are in compliance with ORS 701.005 will he 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 willl'em:.;n on the site at all
times dl!ring construction.
~ ~~Q1.~ 2/'-/37)9
Owner or Cb~tractors'Signature
/
Date
Page 2 of 2
04(13(2009 11:27
v'
5035881490 .
JAMES D TRENARY INC
PAGE 01(01
- -
CITY Of: SPRIN(~FILL[), ORI',:GON
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225 FIl'TII = . SPRINGfiELD, OR 97477 . l'H:(541)7Z6.3753 . fAX: (54 \)726-3659
~
Q; City Job Nninber:-
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._~; Job Location
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~; Assessors Mar'
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Owner of Property
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, Tax Lot
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. State
CJIl e
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Address
Phonp
. ~tate
City
Construction Contractors License #
Description
Date of Installatior
!-lot-
f:oo d !:-;lfh /4_Frane
>/ t.... 9/0 I{ .
. Date of Removal
Zip-
q 71f'8'
Zip
Expi['P~
11)7(09
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 infonnation herein is true and correct. I further agree and .understand that the above descrihed
bannens) 2lld/or portabk sign(s) is not larger than 60 sql,1are feet, and will beremov~ within 30 days
from the date listed above. If the banner(s) and/or portable sign is not removed within the time!ine
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 irispection line al726-3769
by the end ofthe 30'h day to request an inspection to verify thc 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
portableSi~S...~~~ _ .
Signatur~ " ." ~ . Date..!!i.!lJ:/ji
. "V"
Date of Application
Issued By
For Office Use
lob#,
, Amount Collected
Receipt #
Shlll'ed [)rive (T;).I1Xnlding V(ll'1tWbll:ftner](lrtIIbllll. Sisn ~it(;Sb ?..oS.doc
225 Fifth.,Street
Springfield, Oregon 97477
54 I c726-3759 Phone
Job/Journal Number
COM2009-00488
COM2009-00488
COM2009-00488
COM2009-00488
Payments:
Type of Payment
Cash
cRcceintl
City of Springfield Official Reecipt
Development Scrvices Departmcnt
Public Works Departmcnt
RECEIPT #:
2200900000000000368
Date: 04/13/2009
11 :58:40AM
Description
Banner Special Penn it
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Amount Due
100.00
100.00
5.00
20.00
$225.00
Paid By
MELISSA WILSON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
CJC
In Person
Payment Total:
$225.00
$225.00
Page 1 of I
4/13/2009