HomeMy WebLinkAboutPermit Signage 2009-10-6
225 FIFI1-I STREET. SPRINGFIELD; OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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City Job Number CO""" wo 7 {
Job Location Ih/J h/'Ju.J IL.. (V) c..DOV1&f Id, 5>
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Construction Contractors License #
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, Descriptinn
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Date of Installation J" - "6~ "'1
//- "6 - " 9
Date of Removal
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, lwill 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). Thisinspection will begin the process to return the $100.00 deposit if the banner(s) and/or
portable sign(s) has been removed.
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Date of Application /0 -{;, - 0
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Receipt #
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Amount Collected
Shared Drive (T:)lBuilding FmmslBanncr_Portable SignPcnnit eSD 7.;.Q8.doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01471
ISSUED: 10/06/2009
APPLIED: . 10/06/2009
EXPIRES: 11/06/2009
VALUE:
225 Fifth Street, Springfield, OR';..,':,:. .
541-726-3753 Phone:' . :....,:,.:,i :;'<~.
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541-726-3676 F~x ''.:.".3;'''', . ',( .....:.,.'.";
541-726.3769 hisp'eciion Line .
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SITE ADDRESS: ~'1565 KioH:\\VK BLVD
ASSESSOR'S PARCEL NO.: 1703253106800
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION:.. B~n~er" install 100609 removal date 110609
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Commercial
. Owner:
;, Address:
MtDoNAIns CORP 036-0023
1565 MOHAWK BLVD
"SPRiNGFIELD OR 97477
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ICONTRACTOR INFORMATION I
Contractor Type
Sign ~~ 11 "
Contractor
,~. OWNER :';
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License
Expiration Date
Phone
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BUILDING INFORMATION I
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# of Units: C" "jhl"-' ,::'
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
.-,
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
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I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks: ii . ;, . ;i'
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Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
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. Street Improvements: .:'
I PUBLIC IMPROVEMENTS I
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Sidewalk Type:
DownspoutslDrains:
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Storm Sewer Available:
Special Instruction:
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Notes:
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Description'
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Type of Construction
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I Valuation Description I
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$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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CITY OF SPRINGFIELD
Building/Combination Permit
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. Status Is~~~d(','
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\~25 Fifth Stre~t;:Springfield,.OR'i
541-726-3753 Pii'one'f;:)i{!.H:Vi;:~;. ,...
541-726-3676 Fax .' ... "'.~!'it .
541-726-3769 Inspection Line
PERMIT NO: COM2009-01471
ISSUED: 10/06/2009
APPLIED: 10/06/2009
EXPIRES: 11/06/2009
VALUE:
Fee Description.
***+ 10% Administrative Fee***
+ 5% Technology Fee . .' . ,".
Banner Special Permit " ." ,;.~
Depos't ..t :! ., ;.~~'r.:' .f-; '.-( .:-4~'
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Total'Amount Paid
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Total Value of Project
Fee. Paid I
'Amount Paid
:"
Date Paid
Receipt Number
$20.00
.;:, $5.00
$100.00
$100.00
10/6/09
10/6/09
10/6/09
10/6/09
2200900000000001138
2200900000000001138
2200900000000001138
2200900000000001138
$225.00
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I Plan Reviews ,
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To Request an in~pection calf the 24 hour recording at 726-3769. All inspections requested before 7:00
a,m. will be made the same wo~king day, inspections requested after 7:00 a.m. will be made the following
. workday; . .+,' \".' .
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, I . Reouired T ".oectio", I
Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested,
the applicant may forfiet the deposit.
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By signature:i ~t~ie'~~d agree, that I have carefully examined the completed application and do hereby certify that all'
informati"n, he!il!'.!. i~. tr,ue and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of t1i~ ,City. of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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 is located at the iront'of the property, and the approved set of plans will remain on the site at all
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times during construction. . i :;;L
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Owner.or Contracto'rs Sig~ature~__ .~
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Page 2 01'2
225 Fifth Street.ll ' ij "ell "
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Sptingfield,Oregon'97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
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RECEI~T#: .,C 2200900000000001138
Date: 10/06/2009
10:11:46AM
Job/Journal Number;. .~escriptiori . :;:~:c.:~~..~( ,;' .
COM2009-0 1471 . ::.-,. :Baimer.Speclall!ennit
COM2009~0 14 7r!*~!'-;;;;1?,fMsif:;C;;;;i;W'J~~:{" .'
COM2009-0 1411,:.:f;'}:'(f+:S%Te'chn~logy Fee
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COM2009,01471 'c.:,!"." ,?~;~+ 10% Administrative Fee***
. '~;ri:~~,:":' ". ':' "';,)~:'i'~~:~+2C;:F11~;~;:~;:?i>~.' <i .:.;"' .
Item Total:
Amount Due
100.00
100.00
5.00
20.00
$225.00
Payments:
Type of Payment
'Paid 'By .
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
CreditCard
'SANDHARCO,RP.S .'
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006618 In Person
Payment Total:
$225.00
$225.00
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10/6/2009