HomeMy WebLinkAboutPermit Signage 2009-10-22
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225 FIFTH STREET. SPRINGFlEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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Tax Lot
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Phone
747- 3301
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Date of Removal
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Permit Fee:...--$2--z5.00including $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 r~,moved 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 $100.00 deposit. I also understand that this special permit can be issued
. only twice per calendar year per development area. 1 also agree to call the inspection line at 726-3769
by the 'end ofthe.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 ifthe'banner(s) and/or
, portable sign(s) has been removed. 0, . '
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Date o( Applicatiol'
Job It _ C<;,- 0 I .ry
Receipt ij
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Issued By
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Amount Collected
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Shared Drive (T:)lBuilding FormslBanner]oi1able Sign Permit eso 7.:o8.doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01549
ISSUED: 10/22/2009
'APPLIED: 10/22/2009
EXPIRES: 12/3112009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691uspection Line
SITE ADDRESS: 643 MAIN ST
ASSESSOR'S PARCEL NO,: 1703353109600
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner - 110109 removal date 123109
Owner:
Address:
ZIMMERMAN REVOC LIVING TRUST
2418 N 16TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructinn Type
Secondary Coustrnction Type:
# of Bedrooms:
# 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:
SqFt Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
IP@LIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Sidewalk Type:
Downspouts/Dra~ns:
Notes:
I Valuation DescdDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pace I of 2
CITY OF SPRINGFIELD
Building/Combination Permit
.1.
Status
Iss u ed
PERMIT NO: COM2009-01549
ISSUED: 10/22/2009
APPLIED: 10/22/2009
EXPIRES: 12/31/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541~ 726-37691nspection Line
Total Value of Project
I, Fp.p.s Pair! I
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Techuology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
$30,00
$10,00
$200.00
$100,00
10/22/09
10/22/09
\ 0/22/09
\ 0/22/09
Receipt Number
220090000000000\208
220090000000000\208
'2200900000000001208
2200900000000001208
Tota\ Amount Paid
$340.00
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 R~ollire~ Tn~.n~,c~io,n~ 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.
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 shaUbe done in accordance with.
the Ordinauces of the City of Springfield,and the Laws of the State of Oregou pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission ofthe Community Servi~es 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 aildress 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 cons~ructionfl I
/fiil~//V\A... /0 - '2--?-- - 0:9
O:';-er o~ c(),/ractors Signature Date!
Paee 2 of 2
225 Fifth Street
Springfield,Oregon97477
541-n6-3759 Phone
Job/Journal Number
COM2009.0] 549
COM2009-0]549
COM2009-0]549
COM2009-0] 549
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
<. I'
City of Springfield Official Receipt.
, Development Services Department
Public Works Department
2200900000000001208
Date: 10/22/2009
Description
Banner Special Pennit
Deposit " "
'.+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By .
NOR TH STAR COIN AND
LAUNDRY
Item Total:
Check Number Authorization
Received By Batch Number Number How ~eceived
djb 4947 ]n Person
Payment Total:
"
Page] of]
IO:24:08AM '
Amount Due
200,00
100,00,
10,00
30,00:
$340,00
Amount Paid'
$340,00 '
$340,00
10/22/2009