HomeMy WebLinkAboutPermit Signage 2009-6-30
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CITY OF SPRINGFIELD, OREGON
225 flITH STREET. SPRlNGflELD, OR 97477 . PH:(54 ])726-3753 . fAX: (541)726-3689
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Tax Lot
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Owner of Property
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ContractorlInstaller
= uires yoU to
O,t-.o/.#r;('lf>gon law,r:<;',onno Utility
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1~'i'WI rll\OS a 0 . T' ose rules are S8
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10 You may obtam co ,the telephone
City 0090. .. _ ~~n\Pr INote'.State~.il'rotinn
call1l'\oj ,''v -h Oregon Ull\1lY 1'-.
Dumber lor t e i_BOO-332-2344).
Construction Contractors License '#enter IS
Contractor
Addres<
Zip
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Expirpo
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Descriptior
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Date of Removal
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Date of Installation
Permit Fee: $225.00 including $100.00 Deposit and applicable fees.
By signature, 1 state and agree that I have carefully completed this application ~nd hereby certify that
all information herein is true and correct. 1 further agree and understand that the above described
banner(s) andlor portable sign(s) is not larger than 60 square feet, and will be rerAoved within 30 days
from the date listed above. If the banner(s) andlor portable sign is not removed 'Yithin the ti~eline
specified, I will forfeit the $ J 00.00 deposit. I also und,,;rstand that this ~ecia~~J1fI.i1Eclih':b~ issued
only twice per caIen~ar year per development ~rla\~~J~~~.\l~~g\i.,G~1 t~'i{l~~P,€y{i'<ln Ifne'l\\tl]26-3769 .
by the end 91the 30' day to request an mspectIonlto\verrfY\t~\Qttrngv.ar of!h~ l:ianpS'tS)'ilnd/or portable
sign(s). T~' inspect' n ill b :g r. th process to ret\Izilq~a~p;9p' tl~!il^o'1;i't~iPth\~oanner(s) andlor
portable si (s) h1!s n erne Vi ~ COMME DAY PERIOD. I
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For Office Use
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Date of Application
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Amount Collected
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Receipt #
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Issued By
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Shared Drive (f:}lBuilding Fonns/BannCr]o~,ble Sign Permit CSO 7.08,doc .
Status
Finaled
CITY OF SPRINvru,LD .
Building/Combination Permit
PERMIT NO: C()M2009-00961
ISSUED: 06/30/2009
APPLIED: 06/30/2009
EXPIRES: 12/30/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 547 Q ST
ASSESSOR'S PARCEL NO.: 1703264200500
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: REF:COD2009-00462 - portable sign
Owner: KDIRT LCC
Address: 3400 MAIN ST
SPRINGFIELD OR 97478
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Contractor Type
Sign
Contractor
OWNER
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I CONTRACTOR INFORMATION 1
Ii" ;'. .1..(, . "OJ 't'.,.~_. -~Q' A 'CJt-v
~J;b€;!) (,);"9;'0'00,0' 00I;ic.e6s~./. Expiration Date Phone
'" /, Q ~ 1"- "e '" 0 lI"e
" Or IL $/)1_ l"q/h 'Irn. rv/~ ;reI"\. \S'l/,,,..
BUILDiNG;iN-FORM'A'f.(()N"~~;;Z 0t1:0 .
"B, -'1/.-'1"- -'I,,-'T.9$ 110 'Y
00 VI,'. '/e '/e \2 '"If.. '
# of Stories: -'Y0'",/4Jj.. IWe I"v;, 'OO,,'Lot Size:
"eight of Structure2U'st. r1tObi,;D/,>o:.s> 6y Sq Ft 1st Floor:
Type of "eat: 'V IC<'ltiO e Sq Ft 2nd Floor:
Water Type: 'I) Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
,
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION 1
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
NOr, Overlay Dist:
rHls leE: # Street Trees Rqd:
/lUr, PE:RI/1. Paved Drive Rqd:
COI/1. HORI2E:;r S~Ll Lot Coverage:
/lNv ?~E:NC!:" UND!:" !:'P/~l' .
. vu D"I/'PMiitAd~rROr~_~~a'I)l>1(
"uU "uU', "/ IS "
. '"ED FOR NOr Sidewalk Type:
Downspouts/Drains:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Val.ue
Date Calculated
Paee I of2
Status
Finaled
CITY OF SPRINGFIELD
Building/Crmbination Permit
PERMIT NO: COM2009-00961
ISSUED: 06/30/2009
APPLIED: 06/30/2009
EXPIRES: 112/30/2009
VALUE:
225 Fifth Street, Springfield,. OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of ~roject
Fees Paid 1
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Amount Paid
Date Paid
Receipt Number
$10.00
$5.00
$100.00
6/30/09
6/30/09
6/30/09
2200900000000000736
2200900000000000736
2200900000000000736
Total Amount Paid
$115.00
I Plan Reviews ,
1:
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:
Rellllired I nsnections 1
By signature, I 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 the City of Springfield and the Laws of the State of Oregon pertaining to the w6rk described herein, and
that NO OICCUPANCY will be made of any structure without permission of the Community Services Division; Building Safety.
I further, ertify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I furthe.\ 'gree to ensure that all re ired inspections are requested at the proper time, that each a.ddress i.S readable from the
street, t~ the p~mit ~d is I, late at t e front of the property, and the approved set of plans will remain on the site at all
"mo''','[I'Jt ,All !u-};.r;1
Owner 01 fontractor; St ~ature Date v
Paee 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-72~-3759 Phone
City of Springfield Official Receipt
Developmerit Services Department
Public Works Department
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RECEIPT #;
2200900000000000736
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Date: 06/3012009
2:20:06PM
Job/Journal Number
COM2009-00961
COM2009-0096l
COM2009-0096I
Description
+ 5% Technology Fee
***+ 10% Administrative Fee***
Banner Special Permit
Payments:
Type of Payment
Check
. Paid By
KNECHTS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
5,00
10,00
100,00
$11 5.UU
Amount Paid
. djb 76794 In Person
Payment Total:
$115.00
$115.00-
cReceiptl
Page 1 of 1
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