HomeMy WebLinkAboutPermit Signage 2009-4-30
ZZ5 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6_3753 . FAX: (541)7Z6c3689
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Construction Contractors License #
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Descriptirln fY\ ~ ) I -{. l pLo' bah nelr). "
Date of Installation a Lf. - '?J(') r ZOCA, Date of Remov~ 1 :
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Permit Fee: $225.00 including $100.00 Deposit and; applicable fees.
By signature, I state and agree that I have carefully completed this ap~lication and hereby certify that'
all information herein is true and correct. I furtller agree and understan<~ that the'above described
banner(s) and/or portable sign(s) is not larger than 60 square feet, and Wi-ll 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 ~e inspection line at 726-3769 I
by the end of the 30th day to request an inspection to verify the removalpfthe 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
portable sign(s) has beenTemoved. .
Signatur<; ~. l\ i'
Datp G <-f - 2f)~ Zirf7.
Date of Applicatiop 'il3 0/ c7 7
IssuedBv ~,
Job# 07567
'I Receipt #
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Amount Collected - '
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Shared Drive (T:}lBuilding F~cr Portable Sign Permit CSD 7-08.doc
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Status
Issued,
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541~726-3676 Fax
541- 726-3 769 I nspection Line
~ITY OF SPRINGFIELD'
,
Buildi~,g/Combination Permit
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PERMIT NO: cOM2009-00589
ISSUED:' 04/3012009
ApPLIED; 04/3012009
EXPIRES: 05/30/2009
VALUE: '
SITE ADDRESS: 4343 MAIN ST A
ASSESSOR'S PARCEL. NO.: 1702323104001
,
Springfield TYPE OF WORK: Banner
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TYPE OF USE: 'i New
PROJECT DESCRIPTION: Banner permit removal date 5/30/09
Owner:
Address:
CORLISS CRAIG E
2120 LAW LN
EUGENE OR 97401
BAKER BONNIE
2120 LA W LN
EUGENE OR 97401
Owner:
Address:
Contractor Type
Contractor
# of Units:
Primary Oceupaney Group:
Seeondary Oecupancy Gf"OUP:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Ff"Ontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setbaek:
Solar Setbaeks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
law requires youto
ATTENTION', Oregon b the Oregon Utility
talloW rules adopted Jse rules are set torth
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l'4Ullll~~~'1_n(\1_0010 tnrUU~ll ......; :;"-,., ....\P!; by
in OA1',COr..'TRAGifOR;INFQRMAJ:IOll'1I1
0090. ter \"V'~" t n
calling the cen . on Utility t'jqtiHca 10
number tor the O;~~00_332-23!<'f.ense
center IS
I, BUILDING INFORMATION"
# of Stories:
Height of Strueture
Type of Heat:
Water Type:
Range Type:
Energy Path: 1\
NOTICE: SJlriQt~U!"!1!ij1gf 1HE WOJ7a.
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AUT\-!(1)EY.ELQPMEN.LI,Nl\QRM.\\llff.Q'W I
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COMMENvl:U V" 'v , ,-
O Dh\f. D\CRIOD.
ANY 18 "U~e'flay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Commereial
Expiration Date
Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
'Sq Ft Other:
,Qcenpant Load:
,
REQUIRED PARKING
Total:
Handieapped:
Compact:
, Sidewalk type:
Downspouts/Drains:
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD
Buildii'Ig/Combination Permit
PERMIT NO: cOM2009-00589
ISSUED: . 04/30/2009
APPLIED: 04/30/2009
EXPIRES: 05/30/2009
VALUE: '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrilltion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Paid I
Fee Deseription
***+ lOo.lu Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$100.00
$100.00
4/30/09
4/30/09
4/30/09
4/30/09
1200900000000000323
1200900000000000323
1200900000000000323
1200900000000000323
Total Amount Paid
$225.00
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 Req"nired Insn~ctions I
,I
Banner Removal: To be requested the day following the expiration of the permit. Ir 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 eertify that any and all work performed shall be done in accordanee 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.
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I further certify that only contraetors and employees who are in eompliance with ORS 701,.005 will be used on this project.
1 further agree to ensure that all required inspections are requested at the proper time, tha't each address is readable from the
street, that the permit card is locatef\t the front of the property, and the approved set of ~Ians will remain on the site at all
times during construction. \) ,
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Paee 2 on
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City M Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00589
COM2009-00589
COM2009-00589
COM2009-00589
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Date: 04/30/2009
1200900000000000323
Description
Banner Special Pemlit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee"'*'"
Paid By
MCKENZIE FEED
Item Total: I
Check Number . Authorizati9"
Received By Batch Number Number How Received
204628
In Person
Payment Total:
cjc
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Page 1 of I
II :24:05AM
Amount Due
100,00
100.00
5.00
20,00
$225.00
Amount Paid'"
$225.00
$225.00
4/30/2009