HomeMy WebLinkAboutPermit Signage 2009-8-7
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08/04/2009 13:34 7263676
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RECEIVED 08/04/2009 14:27
CITY DF SPRINGFIELD
PAGE 04
I C1T'y ('oW "rRr~GnELD, OREGON
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Permit l: $22S.~ iDdudiq Sl00.00 Deposit and applica'iifees.
By signatore, I state and agRe that I have carefUlly compI~ tbi3 applicatiOn 8Dd hereby ce:tify that
all iDfOnnaliOll hemn is true llIIII correct, J further agree and undmland that the ~ ds:ri.bed
t.........~.\..) 81JdJor portable'SigU(S) is 00t 1argerthan 60 square feet, and will be removed within 30 days
:from the date listed above. If the hannet(s) fW3/or portable Sign is not removed within the ri..."1;",,
~ed. I will fotfcit the $100,QO deposit. I also lUlderstand that this speciaI permit can be i,ssued
only twice pl:l' calendar year per development area. I lI1B" IIgRIIl to call the inspection Jim: at 726-3769 .
by the end of tile 3rfb day 10 reqUest an L.,-!,~";';on to verij}' the mnaval of tile bllllIle:(s) and/or portable
sign(s). This iDapection will ~ the ".v-..s to ~t\lal the $100.00 deposit if the !..n.......- s) and/or
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portable sip(s) has been mmovoo CE.' . .'
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01150
ISSUED: 08/07/2009
APPLIED: 08/07/2009
EXPIRES: 08/29/2009
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone .
541-.726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1805 PIONEER P ARKW A YEAST
ASSESSOR'S PARCEL NO.: 1703262302001'
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner/portable signs - 072909 removal date 082909
Commercial
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage: \j'J01'\\\
. _.,.C' ..."p\\l,E \1' \~: Ie. l'>\0\
I pVa'Li~iM11RDo/i~liTS'r ?to~~~'rOI'\
, . OI'\\Lr.U ~. f'-\)"'\~\)
f'-\l\\-\ E\) 01'\ IS Sidewalk Type: .
CO\\ll\\llE~C f'-'/ pHIlO\). Downspouts/Drains:
f'-~'/ '\ 80 \)
Owner: TABATA EVELYN TE
Address: 9330 BALBOA AVE
SAN DIEGO CA 92123
I CONTRACTOR1NFORMA nON,
Contractor Type
Sign
Contractor
OWNER
License
.. .,.~~ voU 10
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUlLDlNG.INFORMI\ T10N"
. . . ',"'- ';'~'ose rUle>~;.; 95'2-001-
. ' \l'/.#.of,Stories: O/l.n (ules 0"
. vl-' \~ \11'...-..... _ ....f the 1
. ,t :-.l I- ,HeIght.of,Structurep\10I1e
. \I O.'llj,\.. "'...., .L1....oteH::l .
, ."'J 'IoU \1'.a, .1)pe\~tjHeat:" N lilicallOI1
O'-~ai\iI19 lhe cel1~\aJ~fj\ft~~W 34~).
~u~oe( lOr 1\1e.Range),Type:-2.
II III ter I.... I
Cel1 Energy Path:
Sprinkled Building: n/a
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Paee 1 of2
Expiration Date Phone
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
Status
Issued
CITY OF SPk1j~t.l'lJ!,LD
Building/Combination Permit
PERMIT NO: COM2009-0] ]50
ISSUED: 08/07/2009
APPLIED: 08/07/2009
EXPIRES: 08/29/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pairll
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
.Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$100.00
$100.00
8/7/09
8/7/09
8/7/09
8/7/09
2200900000000000896
2200900000000000896
2200900000000000896
2200900000000000896
Total Amount Paid
$225.00
I Plan Reviews I
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 , Refjuirerllnsnections I
Banner Removal:. To be reqnested the day following the expiration of the permit. If inspection is not requested,
the applicant may forfiet the deposit.
By signature, I state and agree, that I 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 shaJI 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 is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 of2
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1150
COM2009.0 1150
COM2009-0 1150
COM2009-0 1150
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Date: 08/07/2009
9:12:34AM
2200900000000000896
Description
Sanner Special Permit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Amount Due
100.00
100.00
5.00
20.00
$225.00
Paid By
YOND MEHTA
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 09187c In Person
Payment Total:
$225.00
$225.00
Amount Paid
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8/7/2009