HomeMy WebLinkAboutPermit Signage 2009-6-19
CITYOF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00688
ISSUED: 06/19/2009
APPLIED: 05/18/2009
EXPIRES: 12/19/2009
VALUE: $ 5,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone I
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 105 Mountaingate Dr
ASSESSOR'S PARCEL NO.: 1702343408100
Springfield TYPE OF WORK: Sign
:1
PROJECT DESCRIPTION: Mountaingate entrance sign
TYPE'OF USE: New
Commercial
.-
Owner:
Address:
\ w rAqullt;:;;, ,.....-..
MOUNTAINGATE LOT OWNERS As.socr,:,:an a Ill; oregon Utility
5729 MAIN ST , I.' , , 10" adopted bY s are set lorth
SPFLD OR 97478 io\\rNi IU ."Center. Those rule OAR 952-001-
l\lnttHCC'.tIOn _. ....,..-1" throUQn .1 _... h\1
in OAt1 bI::>t:.-vv. ':~"...in r,opies UI U......' ;:.'....,0. '
00911. C@Nl'R'ACTOIHN KORMNTION:'~)n
ca\llll~ ~",", - oregon U\I\l\Y ,.--
number lor the. '_800-332-2E1~~i1se
Center IS I
Contractor Type
Sign
Contractor
OWNER
BUILDING INFORMATION'
# of Units:
Primary Occnpancy Group:
Secondary Occnpancy Group:
Primary Construction Type'
Secondary Construction Type:
# of Bedrooms:
# of Stories:
U Height of Structn re
Type of Heat:
VB Water Type:
Range Type: r I\-\E \NOR\<.
N01\C\:.: ~'t"~~!hi~I'\RE \ Mil \S NOl
, 1\-\\S I'ElWSI!ril\k1t<tl\u1f!\lligPER 0 coW
_. ,,,nlif.:{') uN _ .,,,nnh\~ r
t" , , ,......... "'l.~ ',"-- ';0>' ~~...-
cI"DE:~E'L0BMENT,}JlIFORMA TION ,
I\N'I "\ 80 \)1\1 r~' ,,-
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Expiration Date
Phone
il
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Fl Other:
Occnpant Load:
, REQUIRED PARKING
Total:
Handicapped:
': Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Paee I of 2
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sign
Use Bid Amount
Fee Description
Sign Plan Review
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Sign 0-35 Square Feet
Total Amount Pa!d
Sign Review
06/1112009
Amount Paid
$42.00
$8.00
$4.00
$80.00
$134.00
$1.00
Total Value of Project
Fees Paid I
Date Paid
5/18/09
6/19/09
6/19/09
6119/09
I Plan Reviews ,
06/1112009
APP DJB
CITY>OF ~rKH"IGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00688
ISSUED: 06/19/2009
APPLIED: 05/18/2009
EXPI RES: 12/19/2009
V ALUE:$ 5,000.00
5,000.00
$5,000.00
$5,000.00
06/11/2009
Receipt Number
, 1200900000000000464
1200900000000000712
1200900000000000712
1200900000000000712
Subdivision sign approved post facto
in response to customer application
for code compliance. no inspections.
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.
Reouired Insnections I
1111
By signature, 1 state and agree, that I have carefully examined the completed application and do h~reby 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 tbe 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed 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
times during construction,
A~on ]. a /3AIZl
Owner or Contractors Signae
;
Page 2 of2
Date
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
RECEIPT #:
1200900000000000712
Date: 06/19/2009
II :06:36AM
Paid By
GERIBETTS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
80.00
4.00
8.00
$92.00
Job/Journal Number
COM2009-00688
COM2009-00688
COM2009-00688
Description
Sign 0-35 Square Feet
+ 5% Technology Fee
***+ 10% Administrative Fee***
Payments:
Type of Payment
CreditCard
Amount Paid
CJC 48474B In Person
Payment Total:
$9200 '
$92.00
cReceintl
Page I of I
6/19/2009 .