HomeMy WebLinkAboutPermit Signage 2009-9-3
225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(541)726'3753 . FAX: (541)726-3689
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Construction Contractors License #
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Date of Installatlnn I' '/ c::
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Permit Fee: $225.00 including $100.00 Deposit and applicable fees.
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 agi-ee 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 $]00.00 deposit if the banner(s) and/or
. portable sign(s) has been removed.
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9/3/09
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Date of Application
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Receipt # __/./') 0 c.j
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Amount Collected
Shared Drive CT:)lBuilding FormsIBanner ]ortable Sign Permit CSD 7-08.doc
Status ,Finaled
225 Fifth Street, Springfield, OR
54 I -726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1870 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364200800
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I309
ISSUED: 09/03/2009
APPLIED: 09/03/2009
EXPIRES: 03/03/20]0
VALUE:
Springfield TYPE OF WORK: Banner
PROJECT DESCRIPTION: Portable sign - ref:C0D2009-00586
Owner: SUPER POLLO GRILL LLC
Address: 1870 MAIN ST
SPRINGFIELD OR 97477
Contractor Type
Sign
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
TYPE OF USE: New
Commercial
I CONTRACTORINFORMATION 1
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS 1
I V aluation DescriDtio~ ,
$ Per Sq Ft
or multiplier
License
Expiration Date Phone
BUILDING INFORMATION'
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION 1
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
Sqnare Footage
or Bid Amount
Date Calculated
Paee I of 2
Value
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax .
541-726-3769 Inspection Line
Fee Description.
***+ 100/0 Administrative Fee***
+ 5% Technology Fee,
Banner Special Permit
Total Amount Paid
Amount Paid
$10.00
$5.00
$100.00
$115.00
Total Value of Project
Fees Prirl 1
Date Paid
9/3/09
9/3/09
9/3/09
Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I309
ISSUED: 09103/2009
APPLIED: 09/03/2009
EXPIRES: 03/03/20]0
VALUE:
Receipt Number
,
2200900000000001004
2200900000000001004
2200?00000000001004
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 Reollirerl Insneftion~
By signature, I state and agree, that 1 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 work 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, tbat eacb address is readable from the
street, that the permircard is located at the front of the property, and the approved set of plans will remain on the site at all
times during'construction.
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CJ/3/0C,
Owner or Contractors Signature Date
" Paee 2 of 2
225 Fifth ,Street
Springfield, Oregon 97477
54]-726-3759 Phone .. ", ----
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
220090000000000]004
Date: 09/03/2009
2:14:38PM
Payments:
Type of Payment ~aid By'
Check .BURRITO BOY INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb ' 1318 In Person
Payment Total:
Amount Due
100,00
5.00
10.00
$115.00
Job/Journal Number
COM2009-0 1309
COM2009-01309
COM2009-0 I 309
Description
Banner Special Pennit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Amount Paid
$115.00
$115.00
cReceintl
Paee I of I
9/3/2009