HomeMy WebLinkAboutPermit Signage 2009-9-17 (2)
225 TIITH STREET. SPRINGTIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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City Job Number COU1 ZOO ~-= 0 I 3 7l(
, Job Location 4ft{! 3 /Y)D ^- )
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Date offustallation J I - db ' em Date ofRemov~l I::J. /;24. M
Permit Fee:~nclUding $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 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 tirneline
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 req t an in ection to verify the removal of the banner(s) and/or portable
sign(s). 'follis inspection wil~b' e cess to return the $100.00 deposit if the banner(s) and/or
portable Slgn(S) has been re
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Job #
l{eceipt #
Issued By
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Amount Collected
Shared Drive (T:)lBuilding FormslBanncr_Portable Sign Permit CSD 7-08,doc
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Status
Issued :'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01374
ISSUED: 09/17/2009
APPLIED: 09/1712009
EXPIRES: 12/2412009
VALUE:
225 Fifth Street, Spriugfield, OR
541-726-3753 Pboue
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4441 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323106400
Springfield TYPE OF WORK: Bauner.
TYPE OF USE: New
PROJECT DESCRIPTION: Banuer/portable sigu - iustall112609 removal date 122409
Commercial
Owner: HFF ENTERPRISES LLC
Address: 299 ROCKRIDGE LOOP
EUGENE OR 97405
I CONTRACTOR INFORMATION ,I
Contractor Type'
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMA nON,
# of U uils:
Primary Occupaucy Group:
Secondary Occupaucy Group:
Primary Coustructiou Type
Secoudary Coustruction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heal:
Water Type:
Range Type:
Energy Palh:
Spriukled Building:
Lol SiZe:
Sq Ft 1s1 Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq FI Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side I Setback:
Side 2 Selback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
REQUIRED PARKING
Total:
Haudicapped:
Compact:
I,PUBLlC ~MPROVEMENTS I
Street Improvemeuts:
Storm Sewer Available:
Speciallnstructiou:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation DescriDtion I
Description
,
Type of Construction
$ Per Sq FI
or multiplier
Square Footage
or Bid Amouut
Value
Dale Calculated
Page 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01374
ISSUED: 09/1712009
APPLIED: 09/17/2009
EXPIRES: 12/24/2009
VALUE:
225 Fiflh Street, Spriugfield, OR
541-726-3753 Phoue
541-726-3676 Fax'
541-726-3769 Inspection Liue
Total Value of Project
I. !~es. Pa.id.'
Fee Description
***+ 100/0 Administ'rativeFee***
+ 5% Technology Fee
Banner Special Permit
Deposil
Amouut Paid
Date Paid
. $20.00
$5.00
$100.00
$100.00
9/17/09
9/17109
9/17/09
9/17/09
Receipt Number
2200900000000001055
2200900000000001055
2200900000000001055
2200900000000001055
Total Amouut Paid
$225.00
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 ReolJire~l~srect.i~~s'
Bauuer Removal: To be requested the day followiug Ihe expiration of tbe permit If inspection is not requested, .
the applicaul may forfiel the deposit.
By signature, I state ~nd agree, that I have carefully examined the completed application and do hereby certify that all
iuformatiou hereou is true aud correct, aud 1 furlber certify Ihat any aud all work performed shall be done iu accordauce wilh
tbe Ordiuauces of the City of Spriugfield and Ihe Laws of the Stale of Oregou pertaiuiug to the work described hereiu, aud
Ihal NO OCCUPANCY will be made of auy struclure without permissinu of the Community Services Division, Buildiug Safety.
I furtber certify thatouly coulraclors and employees who are iu compliauce with ORS 701.005 will be used ou this project
I further agree to ensure that all requir inspec 'oos are requested at the proper time, that each address is readable from the
street, that the permit card is located tbe fr ofthe property, aud the approved set of plaus will remain ou the,site at all
times during construction. /
q, 10~9LI
Owuer or c~nature
Date
Page 2 of2
225 Fifth Street
Springfield, Gregon~97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-01374
COM2009-01374
COM2009-01374
COM2009-01374
Payments:.
Type of Payment
Check
cReceintl
RECEIPT #:
Date: 09/17/2009
2200900000000001055
Description
Banner Special Permit
Deposit
+ 5% Technology Fee
"***+ 1 0% Administrative Fee***
Paid ,By
GRA YS GARDEN CTR
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
djb
5958
In Person
Payment Tolal:
.,
Page I of I
10:1I:42AM
Amount Due
100.00
100.00
5.00
20.00
$225.00
Amount Paid
$225.00
$225.00
9/] 7/2009