HomeMy WebLinkAboutPermit Signage 2009-6-26 (2)
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Status
Issued
CITY OF SPRINGl'lJ!.LU
Building/Combination Permi~
PERMIT NO: COM2009-00942
ISSUED: 06126/2009
APPLIED: 06/26/2009
EXPIRES: 0712412009
VALUE:
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 28 W Q ST C
ASSESSOR'S PARCEL NO.: 1703271003500
Springtield TYPE OF WORK: Banner
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: ~NBWeP@~ri3J~1 n~~~ 1/3 / e-'t ~/ - ?
Owner: MALCOLM BOSISTO REV TR
Address: 1484 CHECK ST
SPRINGFIELD OR 97477
Contractor Type
l CONTRACTOR INFORMATION.
MII.::I...>..;,'f. .....,0'~'.....lt IQVV I C:"-jUII C'.;:)"yuu lU
Contractor follow rules adopted by the OrefL'le~II~~y Expiration Date Phone
Notification Center. Those rules are set forth
in fil1P ot::l). ('I(H 11110111 +h............l-. ....^ i:l r"'u:'n ""ol
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
0090. VCBUJ1lIlDfN@IINF0RMjImI0Nl.eS by
callintJ till;< vClll!;;:,l. \1 'l Ju:;, , lilt::: l~Jtq.Hlone
number forltlol' stlirie~:1 Utiiity Notification
M CenH\ri~11of\}f~ifufe344). '
Type of Heat:
VI hr Water Type:
Range Type:
Energy Path:
Sprinkled Building: n/a
LotSize: '
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I. DEVELOPMENT INFORMATION.
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
NOTre Overlay Dist:
E: # Street Trees Rqd:
THIS PERMIT6IfAr!!J{lxr~1
AUTHORIZED l'1<f\lff~"N.:'nl'<'f<W:[. THE WORK
COM ~crrTHl" t't:KMIT IS NOT
,... MENCED OR IS ABANOmlm !:nO
,\,,\ i ,u'( ~tJIILle:r~ov~MENTS I
Total:
, Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction :
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Type Of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e I of2
....:.$.!'~~,:J;iIJlI~Oj
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Status
Iss u ed
CIT,Y OF SPRINtJI'H,LD
I:
Building/Combination Permit
PERMIT NO: COM2009-00942
ISSUED: 06126/2009
APPLIED: 06126/2009
EXPIRES: 07124/2009
VALUE: I!
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
$20.00
$5.00
$100.00
$100.00
6126/09
6/26/09
6126/09
6/26/09
Rec~,ipt Number
2200900000000000718
2200900000000000718
2200900000000000718
2200900000000000718
Total Amount Paid
$225.00
I Plan'Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections ~equested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
I,
work day.
I Renuired lnsnections.
"
"
Banner Removal: To be requested the day following the expiration of the permit. If inspe~tion is not requested,
the aPl'licant may forfiet the deposit.
By signature, I state and agree, that I have carefully examined the completed application and do ~ereby 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 wi~rk described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Bnilding Safety.
I further certify that.only contractors and employees who are in compliance with ORS 70.1.005 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 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
t:?;~~7;~__ _ ~ 'I
.f. Owner or Contr~s Signature Date
Pal!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
;!
Job/Journal Number
COM2009-00942
COM2009-00942
COM2009-00942
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200900000000000866
II: 12:03AM
Date: 08/03/2009
Description
Banner Special Permit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Amount Due
100,00
5,00
10.00
$115.00
Paid By
ROBERT TIMMONS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
27474
In Person
Payment Total:
$115.00
$115.00
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Page I of I
8/3/2009