HomeMy WebLinkAboutPermit Signage 2009-8-7
.z.zsmmst'REET . SFllINGmlJD,OR87477 . fH:(541)726-3755 . FAX: (541)726.5688
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RECEIVED 08/04/2009 14:27
08/64/2009 13:34 7263676 CITY OF SPRINGFIELD
, ..541 - .b Id -J. qo3
PAGE 03
CITY I lJ' ~PRT0JGFlELD. OREGO!\
Construotion Contractors License ##
Expin>-"
" ., (~~ ~~
J.;.............1'...D."' _ _
Date ofWtallatio~: J~r 61~_ fXj Date ofRemOV>ol ~ :~q I 'D1
Permit Fee: $225.00 iDcJllding 5100.00 Deposit and applieUle fees.
By signature, I s1lI1l: BDd agJ:CC tbat I have cnefWly completed tIIls application lIIId:,.. J~J certi1Y that
Ill1lI1ibJma1ion hmein ill true and COl'NJCt. I furtl=.agtce and I....d.......md that the ~ deecm'bed
t,,-~~.) Blld/or portable sign(s) is,\tOt-~!lf than 60 square feet, and will be remov~ within 30 days
tiom the date listed abOVll, If the ,~~~s~ imdJor po%table sign is not removed within the timeIine
specified, I will forfeit ~ $loo.~~~nl,l!i~h~d!bat this ~ ~t caD be ismed
only twice per llIIle:ndar year JlCtdeY"l~tan:a./I'JJSO)~tQ.i:all the wspectIOD IiDe at 726-3769
by 1he end of1he 30111 day to reqll~HiD.,~~II~f\r~~W-.lar ofp'. s) and/or portable
sign(s). This inspectiw will beIiiJ{ the': - C ~ t6~retbniI1bO~l(Kfoo:4'ep9'm;;. e btinne!(s) ~or
port3ble sign(s) bcocn retnC>Ved. ~ PERIOD.-rl/ VONED FOR "v I . .
Siy....... . Dat'> 8 "l( ....0 J
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Issaed B" ~ ~ <\mount Collecte-l 2',2 S-
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01149
ISSUED: 08/07/2009
APPLIED: 08/07/2009
EXPIRES: 08/29/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4175 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323202500
Springfield TYPE OF WORK: Banner
TYPE OF USE: . Ne,,:
PROJECT DESCRIPTION: Banner/portable signs - 072909 removal date 082909
Owner:
Address:
HERBERT F GABRIEL TRUST
1023 LEONARD AVE
OCEANSIDE CA 92054
I CONTRACTOR INFORMATION'
Contractor Type
Sign
,Contractor
OWNER
License
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
, . . _ '. ,# of Stories:. -. "os you to
. ~c H.eight of ~\'.:u,,-tuI5on Utility
!\Jt<:; ,.')11 C c}):pe,~fJ!~at:les are set forth
in OAR '952001 );Yca!,,-r(:ryp.eiJh OAR 952-001-
0090' You may 8-!!~ge, l'ype"s of the rules by
calling the ce!'nerg):'P.ath:lhe telephone
number for thlSprin!!led Bilildinlf,tlflcatlon n/a
. _ ~ ..../"'In l")t)f)_0'l1l.d.\
~ DEVELOPMENT INFORMATION ,
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Commercial
:1.
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
NOTIL;t:,: Side'L"Ik,~y'pe:\F THE WORK
THIS PERMIT SDHAL t!\'ts.~/~r"''''T IS NOT
. ED U own'pou "raIDS:
AUTHORIZ I;U~,T "... NED FOR
COMMENCED OR IS ABANDO .
ANY i 80 DAY PERIOD. .
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Paee 1 of2
Value
"
Date Calculated
Status
Issued
CITY OF SPRIJ'Io\.Jl'lELD
Building/Combination Permit
PERMIT NO: COM2009-01149
ISSUED: 08/07/2009
APPLIED: 08/07/2009
EXPIRES: 08/2912009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
. Fees Paid I
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Rec:~ipt Number
$20.00
$5.00
$100.00
$100.00
817109
817109
817109
817109
2200900000000000895
2200900000000000895
2200900000000000895
2200900000000000895
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.
, ReouirerllnsnectinnsJ
Banner Removal: To be requested the day following the expiratioo of the permit. If inspection is not requested,
the applicant may forfiet the deposit.
By signature, J 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 auy 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 tlie'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 01'2
225 Fifth Street
Sjlrlngfi.eld, Oregon 97477
541-726-3759 Phone
GPRINO.,ELD, 11,.",11,
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City of Springfield Official Receipt
Developm~nt Services Department
Public Works Department
Job/Journal Number
COM2009-01149
COM2009-01149
COM2009-01149
COM2009-01149
Payments:
Type of Payment
CreditCard
cReccintl
RECEIPT #:
Date: 08/07/2009
2200900000000000895
Description
Baoner Special Permit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
VINOD MEHTA
Item Total:
Check Number Authorization
Batch Number Number How Received
,
Received By
djb
09187c In Person
Payment Total:
"
Page I of I
9: 11 :35AM
Amount Due
100.00
100.00
5.00
20.00
$225.00
Amount Paid
$225.00
$225.00
81712009