HomeMy WebLinkAboutPermit Signage 2009-5-14
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SPRINGFIELD
CITY OF SPIUf\lGFlELD. OREGOt\
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225 mnt 5I'REf.T . SPlUNGFIEUl, 08. 97477 . PH:(54 t)726-3753 . EAlC: (541l726-3689
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Job Location
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Owner
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Expi!"""
Dcsc;iption '(l,/l ,:, r1e.r
.bateof~ostallation5I} /Dq
, Date of Rcmov.t
(ph /09
, Permit Fee: ~5-1I9 ineluding $100.00 Dcpositand applleablt!fees.
By signature, I state mlllagree that I have carefully completed this applica1:ionand hereby certify ~;.
all infonnation herein'is true and correct. I further agree and understand that the above described P ~
" banner(s) and/or portable sign(s) is not Jarger ihan 60 square feet, and will be removed within 3~~";;;;: ,
from the date listed abOve. If the banner(s) and/or portable sign'is not removed within thetimeij;i~ "~
specified, I wi II forfeit the $100,00 deposit. I also understand that this special permit can be ~':'0, <<:.
only twice per calendar year per development area. I also agree to call the inspection line ~7,3111.9
b~ the end ~f~e 30th, day ~o requ~st an inSpection to verify the removal, of!h~ banner(s)~~J ~Ie
, s.gn(s). 11". ""pect,on wtll begm the process to retum the $100.00 depoS1t .fthe ban~.u{~o
portables~s~:~",\l' d. n Il.M {,',' ~$0-~'
Signature.^- _ ,k./.....~'~.:- tS.JJ...:t_v~""2i~~IJ~t~~~Y~~ '
~/ [ For Office Vse ~?f If (j),l..,<<'
Date of Application ~/o/v ? Job# CCJ-: b rt$>f?;R~i~<::>""
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, .;....P lS Amount COllected ' (" '.-
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00690
ISSUED: 05/19/2009
APPLIED: 05/19/2009
EXPIRES: . 06/01/2009
VALUE:
SITE ADDRESS: 1291 SA ST
ASSESSOR'S PARCEL NO.: 1703354109200
Springfield TYPE OF WORK: Banner
PROJECT DESCRIPTION: Banners. 050109 removal date 060109.
REF: C0D2009-00380
Owner: R-H MCKENZIE COMPANY LLC
Address: 'PO BOX 2280
EUGENE OR 97402
Contractor Type
Sign
TYPE OF USE: New
Commercial
I CONTRACTOR .INFORMATlON I
License
Contractor
OWNER
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
, Front yard Setback:
Side I Setback:,
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
BUlLD]NG INFORMATION I
# of Stories:
Height of Structure
Type of Heal:
.0
Water Type:0
'{f ",.~
Range", Type:.o\ ,,_
.~. .' ,,'\ 50
Energy)Pa!.h:05:S 'Q'\
"'\A ~', ~..... " . c..
., Sprinkled'Building:,,'
... n;:.... ..,..c ."rp - ~<0 _ \'V' (\,' _(:-
Expir~tion Date Phone
n/a
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
, Sq Ft Basement:
Sq Fl Garage/Carport
Sq Fl Other:
Occupant Load:
I_DEYEL0PMEN'f'INF0RMATION 1
~O~o~~.'" ~"'\~o~::~~:'\ ~~.
~,p ~ '(f ~ Rl"OverIay Dist:;!,':J
~ ~<1> c,0 <::5 .'0- \'- - 'v
'~,,<() ~v. o~ >:JC:l'" Q\~.ffilr"~~NJ&s Rqd:
~ ~o~ r.Jl! <_'I: ,<o,'Ir"l ~<Paved'DHve Rqd:
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"--,o~ .s:- -'0" ~Q, ,,'Yo' ot;tot Coverage:
,-- O'\"- ""'" "0-- '!.,..... ;<..' ".
'<$'_c.q,C:l~",,<$'0; o~ '~o<;:-'-Q,
'-' \,,)-~.... ...
, ~."rpUBLIC IMPROVEMENTSI
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Type of Construction
Square Footage
01' Bid Amount
Paee I 01'2
REQUIRED PARKING
Total: .
Handicapped:
Compact: ~
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&, ~
,,~ ~ ~ ().,
~~ ~~ <<."
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Sidewalk Type: <<Y.-b ^~~
'v "-.,. ~v ,
Downspouts/lhllt.\"", o.'f-
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Value
Date Calculated
'-Wir~A'~Q!!IELQ; "I".,
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00690
ISSUED: 05/19/2009
APPLIED: 05/19/2009
EXPIRES: 06/0112009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
Total Value of Project
Fees Paid ,I
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Tecbnology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$100.00
$100.00
5/]9/09
5/]9/09
5/19/09
5/19/09
1200900000000000479
1200900000000000479
1200900000000000479
1200900000000000479
Total Amount Paid
$225.00
I Plan Reyiews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m, will be made the following
work day.
I' Reouired Insnections 1
Banner Removal: To be requesled the day following the expiration of the permit. If inspection is not requested,
the applicant may forfiet the deposit.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the Stllte of Oregon pertaining 10 the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify thllt only contractors and employees who are in compliance witb ORS 701.005 will be used on this project.
I further agree to ensure fhnt all required inspections are requested at the proper time, that each address is readable from the
street, tbat the permit card is located at lhe fronl of the property, and tbe approved set of plans will remain on the site at all
times during construction.
.
Owner or Contractors Signature
Ow" E'I\. SI1...~l...r& 0..... !rP;f. i$
Date
<)) f 1
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~,
Job/Journal Number
COM2009-00690
COM2009-00690
COM2009-00690
COM2009-00690
Payments:
Type of Payment
Check
'~" -
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cReccintl
RECEIPT #;:
City of Springfield OffiCial Receipt
Development Services Department
Public Works Department
1200900000~00000479'
Date: OStl9/2009
Description
Banner Special Penn it
Deposit
+ 5% Technology Fee
***+10% Administrative Fee***
Paid By
PACIFIC NORTHWEST
TRAILER
"
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DJB
1007
In Person
Payment Total:
Page 1 of 1
9:0]:IIAM
Amount Due
100,00
100,00
5,00
20,00
$225.UU
Amount Paid
$225,00
$225.UO
5/1912009