HomeMy WebLinkAboutPermit Signage 2009-4-27
225 FIYI1l STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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Tax Lot
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Owner of Property
1>0 ;:?Or
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Zip
97402
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Date of Installation
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Date of Removal
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Permit Fee: $225.00 including $100.00 Deposit and applicable fees.
By .signatu~e, I sta~e ~nd agree tlu\t()~~e carefully complete d this application and hereby ~ert ify that
all information herem IS true and ~~ . ffurther agree and understand that the above descnbed .
banner(s) an. d/or portable sign(s)~ ~/160 square feet, and WI.1l be re..moved. within 30 days
from the date listed above. Ifth€'.tJE'l(~ ~~ Ie sign is not removed within the timeline
specifie~ I will forfeit the $IOOOUq, !J B~ -~f.s spe~ial pen:mt c.an.be.issued ,
only twIce per calendar year perdev g~I.fIldiJ..4. q~ ~Ai1 ~ InspectIOn Ime at 726-3769
by the end of the 30th day to request an inspec~ v H ~fthe banner(s) and/or portable
sign(s). This inspection will begin the process to rt!tum the $ 'O{(1" deposit if the banner(s) and/or
porta~esign(s) has bee~removed. .
Signatt1rp )~ <1P~~ Xfr't
Date of Application
lob #
Receipt #
Issued By
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Amount Collected
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. Shared Dri~ (T:)lBuilding F~er]ortable Sign Permit CSD 7-o8.doc
Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00559
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
SITE ADDRESS: 4184 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323201502
SPRINGFIETYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Bannner: ref, COD2009-00269
Owner:
Address:
OLSON FAMILY PROPERTIES LLC
PO BOX 21640
EUGENE OR 97402
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NotiflhCONl'R!N~T.OR'I'NIIORlYIA TlON I
~n OAR.952~ v~nrer. 'Th - Y Ine Or -y YOU to
Contractor 090. You mOOI-OOIO thOse rUles ru~eriseity
OWNER n~alling th", ~~ Obtain,I'~~Ugh OA?~~~t forth
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-800 3 on e
# of Stones. 32-2344) IICation
Height of Structure .
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date Phone
Contractor Type
Sign
# 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 Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKlNG
_ Total:
Handicapped:
Compact:
Fmntyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
NOTlC~~treet Trees Rqd:
THIS Paved Drive Rqd:
AUT PEl~'M:ffJ1&H~pverage: .
HORIZED LL EXPIRE I
GnAnn",. . uNn!:~'::'0~ II-Ir: "'n,,/-
AN~~~~1/rIS'NOT\
fl._J1I {)b. 0 FQiMewalk Type:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation Descr~Dtion ,I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
_Sel'ltN"'II;I~.
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Status
Finaled
CITY OF SPRINGFIELD
B uildillg/ C 0 ill billa tio II Pernii t
PERMIT NO: COM2009-00559
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 Paid I
$10.00
$5.00
$100.00
4/27/09
4/27/09
4/27/09
Receipt Number
2200900000000000444
2200900000000000444
2200900000000000444
Fee Description
***+ 100/u 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 Re~l"ired Insllections 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 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 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
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Owner or Contractors Signature Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journltl Number
COM2009-00559
COM2009-00559
COM2009-00559
Payments:
Type of Payment
Check
cRcceintl
RECEIPT #:
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City of Springfield Official Receipt
Dcvelopment Services Department
Publie Works Department
2200900000000000444
Date: 04/27/2009
2:59:57PM
Description
Banner Special Permit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
MIGHTY MUFFLER AND
BRAKE
Amount Due
100.00
5.00
10.00
$115.00
Item Total:
t.:heck Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
1954
In Person
$115.00
Payment Total:
$115.00
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4/27/2009