HomeMy WebLinkAboutPermit Signage 2009-10-1
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225 FIfTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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Construction Contractors License #
Description
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Date ofRemovol
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Date of Installation
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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 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 $ I 00.00 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 sign(s) has been removed. (
Signaturp~sy 1/ Da')O{C 07
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Job # C'7 -0 1(( S 7 Receipt #
Amount Collected ---.11 S' ~
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Shared Drive (T:YBuilding FonnsIBanner ]onable Sign Pennit CSO 7-QS.doc
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Status
Finaled
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01457
ISSUED: 10/01/2009
APPLIED: 10/01/2009
EXPIRES: 04/01/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726_3676 Fax .
541-726-3769 Inspection Line,
SITE ADDRESS: 2600 MAIN ST
ASSESSOR'S PARCEL NO.:' 1703364100700
Springfield TYPE OF WORK: Banner
, - TYPE OF USE: New
PROJECT DESCRIPTION: Banner/portable sign - REF: C0D2009-00475
Commercial
Owner:
Address:
KRYL PETER J CUSTODIAN
3474 SPRING BLVD
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor'
O",NER
License
Expiration Date Phone
,
BUILDING INFORMATION I
II of Units:
Primary Octnpancy Gronp:
Secondary Occnpancy Group:
Primary Constrnction Type
Secondary Constrnction Type:
# of Bedrooms: "
II of Stories:
Height of Structure
Type of Heat:,
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:.
Side 2 Setback:
Rearyard Setback:
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 Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Ii
I Valuation Descriodon ,
I I
Descript~on
Tvpe of Construction
$ Per Sq Ft
or mnltiplier
Sqnare Footage
or Bid Amount
Value
Date Calculated
Pa!:!e 101'2
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Status
Firialed
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' I
Banner Special Permit
Total Amonnt Paid
Amount Paid
$10.00
$5.00
$100.00
$115.00
Total Value of Project
Fees Paid'
I Plan Reviews I
Date Paid
10/1/09
10/1/09
10/1/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01457
ISSUED: 10/01/2009
APPLIED: 10/0112009
EXPIRES: 04/01/2010
VALUE:
,;
Receipt Number
1200900000000001110
1200900000000001110
1200900000000001110
To Request an inspectio~ call the 24 hour recording at726-3769. All inspections requested before 7:00
a.m. will be made the sa~e working day, inspections requested after 7:00 a.m. will be made the following
work day. '
,Refl\Jired Tnsnection. ,
By signature, 1 state and agr~e, that I have carefully examined the completed application and do hereby certify that all
information hereon is true arid 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, that each address is readable from the
street, that the permit card i~ located at the front of the property, and the approved set of plans will remain OJi the site at all
times during construction. '
ilt
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Owner or Contractors ~natnre
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Paee 2 01'2
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Date
225 Fifth Street
Springfield, Oregon 97"77' ,
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
, RECEIPT#:
1200900000000001110
Date: 10/0112009
9:00:3IAM
;
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 7908 In Person
Payment Total:
Amount Due
100,00
5.00
10,00
$115.00
Description
Banner Special Permit
+ 5% Technology Fee
"***+ 10% Admin"istrative Fee***
Payments:
Type of Payment
Check
PaidBy'
KRYLS INVESTMENTS
Amount Paid
$1 ]5.00
$115.00
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Page] of]
10/1/2009