HomeMy WebLinkAboutPermit Signage 2009-5-27
CITY OF SPRINGFIELD, OREGON
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ZZ5 FlITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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CIty Job Number L I VV" r -'-' I
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Description "1i'.A-NNAl//~!:J€
Date ofInstallation S ;:e~ft,
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Expirp<
Permit Fee:
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$225.00 including $100.00 Deposit and applicable fees.
Date of Removal
By signature, I state and agree that I have carefully completed this application and hereby certify that
all information herein is true and correct. I further agree and understand that the aboveAibed
banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be remq\'E.~\ 30 days
from the date listed above. If the banner(s) and/or portable sign is not removed'*'1t);~'fR~imeline
specified, I will forfeit the $ J 00,00 deposit. I also understand that this spe~' ~la~e issued
only twice per calendar year per development area, I also agree to call~' ~ne at 726-3769
by the end of the 30th day to request an inspection to verify the rem~~lh ~er(s) and/or portable
sign(s). Tpis'infpection will be~in the process to return th~<tlO~lY~~~*the banner(s) and/or
portable ~,Ign(s) has beer rembvbd, ~t;;j'\'I. <:/'V<0~'0..<V~ \,'){(:.. '\ ~\,')~. I I
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Date of Application Receipt #
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Issued By
/1 r- -
Amount Collected
Shared Drive (T:YBuilding FonnsIBanner]ortable Sign Permit eso 7-08.do<;
Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00740
ISSUED: OS/27/2009
APPLIED: OS/27/2009
EXPIRES: 11/27/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726~3769Inspection Line
SITE ADDRESS: 1761 EST
ASSESSOR'S PARCEL NO,: 1703362402400
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Banner - ref:COD2009-00407
Owner:
Address:
SPRINGFIELD CHURCH
1761EST '
SPRINGFIELD OR 97477
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Contracto~~~e'" (j0~~~<:>\~~ ~0....e0$ ;I..~'" License
OWNER~ AI ~;,o~_ ,,<:> ,,0'0 0\' "O~_ <],~'};
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d:i v<Sf' '[)e' o'btories:
<::-"<$' eight of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled B~ilding:
Expiration Date Phone
Contractor Type
Sign
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constru'ction Type:
# of Bedrooms:
Lot Size:
, Sq Fi 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other: '
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQW-RED PARKING
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~~~apped:
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I PUBLIC IMPROVEMENTS I 'X-~~~ ''.&''i''
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~~ <(~~~~~y.~Drains:
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Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Front yard Setback:
Side I Setback: ,
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction'
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pagel of 2
Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00740
, ISSUED: OS/27/2009
APPLIED: OS/27/2009
EXPIRES: 11/27/2009
VALUE:
225 Fifth Street, Springfield, OR'
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees P.airl ,
Fee Description
***+ ]00/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Amount Paid
Date Paid
$10,00
$5,00
$100,00
5/27/09
, 5/27/09
5/27/09
Receipt Number
1200900000000000551
1200900000000000551
1200900000000000551
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 Reollirerllnsnections I'
By signature, I state and agree, that 1 have carefully examined tbe completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and ~1I work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregou pertaining to tbe work described herein, and
that NO OCCUPANCY will be made of auy structure without permission of the Community Services Division, Buildiug Safety,
I further certify that only coutractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
1 fnrther agree to ensnre that all reflnired inspections are reqnested at the proper time, that each address is readable from the
stree~-tba'Nhe permit card is localrn d 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 tontractors Signatur.e Date
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt,
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00740
COM2009-00740
COM2009-00740
Payments:
Type of Payment
CreditCard
cRecclnll
RECEIPT #:
1200900000000000551
Date: OS/27/2009
Description '
Banner Special Penn it
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
SPRINGFIELD NAZARENE
Item Total:
Check Number - Authorization
Received By Batch Number Number How Received
djb
027565 In Person
Payment Total:
Page I of I
H :03:29AM
Amount Due
100,00
5,00
10,00
$115,00
Amount Paid
$11 5,00
$115,00
5/27/2009