HomeMy WebLinkAboutPermit Signage 2009-9-23
225 FIITIl STREE! . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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Expirp<
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Date of InstalHitinn
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~(Y09
Date ofRemov~l
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'i' Permit Fee: $225.00 including $100.00 Deposit and applicable fees.
By signature, I~tate 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) ap,d/or:portable sigb.(s) is not larger than 60 square feet, imd will be removed within 30 days
from the date lis!ed above. If the banner(s) and/or portable sign is not removed within the timeline
specified, Ij'will forfeit the $lOO.OO'deposit. I also understand that this special permit can be issued
only twice per dl1endar 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 sign(s) h ee ved.
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Date:~f AP~7tion ,
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Job #
~eceipt #
$ ;;;J;;;J): o-J
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Amount Collected
Shared Drive (T:)IBuilding FormslBanncr]ortable Sign Permit CSD 7-08.doc
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CITY OF SrKll~uJ'l~LD
Status Issued . ~~ . .'
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225 Fifth Street;'Sprlngfield,OR .'
541-726-3753 Phone:'~ .
5~1-726-3676 F:ax ...,
541-726-3769 Inspecti~,j Line
Building/Combination Permit
PERMIT NO: COM2009-01415
ISSUED: 09/23/2009
APPLIED: 09/23/2009
EXPIRES: 10/23/2009
VALUE:
SITE ADDRESS: 2730 GATEWAY ST
ASSESSOR'S PARCEL NO.: 170322006i305
Springfi~ld TYPE OF WORK: Banner
I ... . , TYPE OF USE: New
PROJECT DESCRIPTION, Banner Permit Install date 09/23/2009 - Removal date 10/23/2009
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Commercial
Owner:
Address:
CIRCUIT CITY STORES WEST COAST INC
PO BOX 617905
CHICAGO IL60661
I CONTRACTOR INFORMATION I
Contractor Type" ,,:' Contractor
License
Expiration Date Phone
';
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BUILDING INFORMATION I
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# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:.
Occupant Load:
# of Units:, ,
Primary Occupancy Group:
"
Secondary Occupancy Group:
Primary Construction"Type
Secondary Construction Type:
# of Bedrooms: ' ." .
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:, ": ' .
Rearyard Sethack: ,-,
Solar Setbacks', ' ,
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer A vailahle:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
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I Val~ation De~criDtion I
Description
Type of C~nstruction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01415
, ISSUED: 09/23/2009
APPLIED: 09/23/2009
EXPIRES: 10/2312009
VALUE:
225 Fifth Street, Springfield; OR
541-726-3753 Phone: ,
'541-726-3676 Fax
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"541-726-3769 Inspection Line
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Total Value of Project
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Fees Paid I
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," Fee Descriptiol(~i :i t I~ .
***+ 100/0 Administrative Fee**~
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+ 5% Technology Fee,
Banner Special Permit
Deposit '
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$100.00
$100.00
9123/09
9/23/09
9/23/09
9/23/09
1200900000000001091
1200900000000001091
1200900000000001091
1200900000000001091
Total AmoJnt Paid
$225.00
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Plan Reviews I
To Request an ins~,ectioh 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. " -'
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I R,eouired In.~nectio!!.~ I
Banner Remov..l: To'be requested the day following the expiration of the permit. If inspection is not requested,
the applicant mh forfiet the deposit.
By signature, I state a~'d agree, that I bave carefully examined the completed application and do hereby certify that all
information hereon is ~I-ue and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the ~ity 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 io ensure thai all required inspections are requested at the proper time, that each address is readable from the
street, that the permit ~ard is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
~~ p5/09
Owner or Contractors Signature Date
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Paee 2 of2
225 Fifth Street
Springfield"Oregon,9'74'7-7----~~ -
541-726-3759 Phone'
City of Springfield Official Receipt
Development Services Department
Public Works Department
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RECEIP1\#:
1200900000000001091
Date: 09/23/2009
2:44:53PM
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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 50417 In Person
Payment Total:
Amount Due
100.00
100.00
5.00
20.00
$225.00
Job/Journal Number'
COM2009-01415
COM2009-01415
COM2009-01415
COM2009-01415 ',.
Desc~iption
'I?,eposit ,,'
"B,~1lner ,special;I~ennij
.','1-;15% T;':cIin~logy Fee'
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:; *~*+ 10% Administrative Fee***
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Payments:
Type of Payment
Check
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Paid By~'" - ..,-..r
L1THIA NlSSAN OF EUGENE
Amount Paid
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$225.00
$225.00
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cReceintl
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9/23/2009