HomeMy WebLinkAboutPermit Signage 2009-4-27
225 F1ITH STREET. SPRlNGFlEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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..~ Job Location :;737 '^~/\lll) 6\, .::S'"pDch, Of?;
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12ft-. C. SPRINGFIELD
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State
Zip
Construction Contractors License #
Expireo
.. Description ~v\'{\E~
Date of Installatio: p~/o ~
Date ofRemov~l. 01-- d- 7 ,- 0 cr
Permit Fee: $225.00 including $100.00 Deposit and applicable fees.
By signature, I state and agree that I have CarefullY~O ted this application and hereby certify th. at
all information herfW>~ tTOe and CI.tt~~riAi understand that the above described
banner(s) and/or p~lgtP~~~W "~\l1i WlBMlJ e feet,lind will be removed within 30 days
from the date listed I\lfo\~Rfflille4Ji r~~ljl1 esign is not removed within the timeline .
specifie~ I willfO~~~\$105\b@~~: .1. I also understand that this spe~ial pe~t c~ be issued
only twlce per calen~~'6gffipment area. I. also agree to call the InspectiOn lille at 726~3769
by the. end of the 30 day to request an inspection to.yerify the removal of the banner(s) and/or portable
sign(s). This inspection wilLbegin the process to return the $100.00 deposit if the banner(s) and/or
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. Datd~;J7 -Ocr
Job # C '} - 'SS;-11
Receipt #
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Issued By
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Amount Collected
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s~ Drive (f:)lBuilding FormsIBannc- _Portable Sign Permit eso 7...{l8.doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMlT NO: COM2009-00558
lSSUED: 04/27/2009
APPLIED: 04/27/2009
EXPlRES: 10/27/2009
VALUE:
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5737 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334103401
, Springfield TYPE OF WORK: Banner
PROJECT DESCRIPTION: Banner - ref:C0D2009-00344
TYPE OF USE: New
Commerchll
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage: ~\\'C. \f'lOl't
_~,I'~. on \ ~?\?~~~~~\\ \s ~ot
J~'t~?~W\rtlQWW~~O~tU f\)\'I
'L1"~I.....L ,.! tW. .
f>.\.I1 "v Ct.D O? " U Sidewalk Type:
coWlWlt~ \)p..'/ ?t?'\O . Downspouts/Drains: .
f>.~'/ '\?lO
Owner: PACWEST ENERGY LLC
Address: 3450 COMMERCIAL CRT
MER!DIAN ID 83642
,I CONTRACTOR INFORMATION I
Contractor . 0\.1 \0 License
OWNER .~", teo.\.I\te.s^~ \.)\\I\\'I
. f.~"1I0~'. (I:Bur)O)D1IiG:INFOR~A~\~)N I
)1.11 O\eS aOu. t 1\10~u n op.n u" \eS '0'1
# of Units: \01\0\~ ~\\on cen\eOcilc#c'ot-slad~\ne t~one '
, ., \1 IG~ 001" [0001"" ,,,I~O" ,
Primary Occupancy Group: ,.,0 )I.?- 952- o\:l\al\ll~g!t~?t\StI'ttctafCa\\Ol\
Secondary Occupancy Group: In 00 ,/OU ((\a'i n\etTYlle' '1!;\1ie;t~0
Primary Construction Type OO~ail\ng \ne ~~e Otw.a'fg.:-I~a2A4).
Secondary Construction Type: nu((\pe1 jol \6\ is ~ge Type:
# of Bedrooms: cen Energy Path:
Sprinkled Building:
Contractor Type
Sign.
I DEVELOPMENT INFORMATION ..
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rcaryard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instrnction:
Notes:
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amouut
Tvpe of Construction
Page 1 of 2
Expiration Date Phone
n/a
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:
Value
Date Calculated
Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT. NO: COM2009-00558
ISSUED: 04/27/2009
APPLIED: 04/27/2009
EXPIRES: 10/27/2009
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
$10.00
$5.00
$100.00
4127/09
4/27/09
4/27/09
Receipt Number
2200900000000000443
2200900000000000443
2200900000000000443
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Amount Paid
Date Paid
Total Amount Paid
$115.00
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.
I. Reouired Insnections I
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 1 further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springl1eld 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 certi(y 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 ,.equested 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 du in ,construction.
()
.6Jc;! ~7- () 9
Owner or Contractors Signature
Date
-'
Pa2e 2 of 2
225 Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Servic'es Department
Public Works Department
RECEIPT #:
2200900000000000443
Date: 04/27/2009
2:26:14PM
Paid By
CCM SERVICE
. Item Total:
<":heck Number Authorization
Received' By Batch Number Number How Received
Amount Due
100,00
5.00
10,00
$115.00
Job/Journal Number
COM2009-00558
COM2009-00558
COM2009-00558
Description
Banner Special Permit
+ 5% Technology Fee
"***+ 10% Administrative Fee***
Payments:
Type;of Payment
CreditCard
Amount Paid
djb
254449 In Person
Payment Total:
$115.00
$1I5.UO
cRcceintl
Page 1 of I
4/27/2009