HomeMy WebLinkAboutPermit Signage 2009-7-30
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225 FIITIl S1REET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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City Job Number. ~ I '--
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1703.3. 5"4 2--
ST
Tax Lot
07000
Owner
Owner of Propei1)'
360
Addreso
LLL
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State
COlltractor/Insililier
o eJ NEve... _ _. '"'" ,pnttires yOU to
ATTENTIUI\l: V'P"~':b- the Oregon UHtIlY
tolloW ru\es~~~?~,te~hJse rules lHi~~l t?~h
NOlJ\\""'''U"' ." 010througn Uf'\" ~v~---'
in OAR 952-001-0 '."" co ies ot the rules ~y
_ _M v~" "'~v OIState~ ,,_, .~tonhO~lp
vU~;liing the center. \\W'Uiiiiiy- Notiilcation
, t the Oregon
Construction Contractors License # [1\1mber or "M" .,,,,9_2344). Expirpo
(jenu~1 '" . ... ~ -
Contractor
Addrpoo
City .
Description R"nY)lll'\(h ,lr=:nnr-d "\lft'n CCLf'5" cS~
Date oflnstallationJ!{;) l\ I ~ Date ofRemoval~rrs=\
Permit Fee: $225.00 including $100.00 Deposit and applicable fees.
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By signature, I state and agree that I have carefully completed this application and hereby certify that
all infonnation herein is true and correct. I further agree and understand that the above described
banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days
from the date listed above. If the banner(s) and/or portable sign is not removed within the timeline
specified, I will forfeit the $100.00 deposit. I also understand that this special permit can be issued
only twice per calendar year per development area. I also agree to call the inspection line at 726-3769
by the end of the 30th day to request an inspection to verify the removal of the banner(s) and/or portable
sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
portable si!P1:(s)J~s been removed. C "'"), { ,II
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FO'l{{W~J:~\) \\\'I\)E\'- :\\-I\~\)O\'lE\) \,O\'-
-p:j0 1 Toj\\~\-I.9~;et~)}f~\ ~ Receipt #
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). p..\'I'i '\80
D ~ Amount Collected
Date of Application
&')7
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Issued By
Shared Drive (T:)!Building FormslBanner]ortable Sign Permit CSD 7-08.doc
Status
Finaled
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: COM2009-01100
ISSUED: 07/31/2009
APPLIED: 07/30/2009
EXPIRES: 01/31/2010
VALUE:
Springfield TYPE OF WORK: Banner
SITE ADDRESS: 863 MAIN ST
ASSESSOR'S PARCEL NO.: 1703354207000
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Portable, signs - Ref: C0D2009-00532
Owner: CAR LIT OR SPRING LLC
Address: 360 E JACKSON ST
MEDFORD OR 97501
Contractor Type'
Sign
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Set hack:
Rearyard Scthack:
Solar Sethacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
I CONTRACTOR INFORMATION I
License
Expiration Date ,Phone
BUILDING INFORMATION I
,,-" '# orStories: law requires you to
, "Height:~f\Siruc'tur:;lregon Utility
, P,;'),lType of ffi-at;;e rules are set forth
,: j,.l ~lJ2Water~'typ'e~rougll OAR 952-001-
O 90 You IR-" -.T"~ "oples of the rules by
'u ' . ange>,'ype:
calling thEnef"g'fPatii1pte: the telephone
number f(SpFinkWirB'lliI~'i+AI~V Notlflca~?an
r.MtPr is 1-8UU-;J;j,,-2344).
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemcnt:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Strect Trecs Rqd:
Pavcd Drive Rqd:
0/0 of Lot Coverage:
I PUBLIC IMPROVEMENTS'
NOTICE: Sid.ew.lk,Type:
T SHALL EXPIRE IF THE WUKI\
THIS PERMI S PERMI?~S'n~l?Pil'ts/Drains:
AUTHORIZED UNDER THI '
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
_Jiit;~_~~gfi"~~:~);~+IIH"__';,!__U
=~ ,," ';,' ,- ^ - -,~ .",
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Total Amonnt Paid
Total Value of Project
I Fees Paid I
Amount Paid
Date Paid'
CITY OF S}>RINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01100
ISSUED: 07/31/2009
APPLIED: 07/30/2009
EXPIRES: 01/31/2010
VALUE:
7131109
7131109
7131109 '
Receipt Number
1200900000000000857
1200900000000000857
1200900000000000857
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.
$10.00
$5.00
$100.00
$115.00
I Plan Reviews I
I Reouired Insnectior, I
~_ ,I I.~
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 State of Oregon pertaining to the ,wo,"k described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable froin the
street, that the perrilit 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.
Owner or Contractors Signature
Page 2 of2
Date
225 Fifth Street
Sprin'gfieid: Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0 11 00
COM2009-0 1100
COM2009-01100
Payments:
Type of Payment
Check
cRccciotl
RECEIPT #:
1200900000000000857
Date: 07/31/2009
Description .
Banner Special Permit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
LlTHIA
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
51945
In Person
Payment Total:
Page 1 of 1
2:34:57PM
Amount Due
100,00
5,00
10.00
$115.UU
Amount Paid
$115,00
$]]5.UU
7/31/2009