HomeMy WebLinkAboutPermit Signage 2009-10-23
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CityJobNumber (OW1Zt;:>C 7-0 {55 cr
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17023341
Job Location
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Tax Lot 03700
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Construction Contractors License #
Expir~o
Description \' ""'~, / / / =.-<.>..-,
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Date of InstaIlatioI' '7// 1/ r
Date of Remov~l ? /.J.-,J..../ 11'7
Pet'mit Fee: S225.00 including S100.00 Deposit and applicable fees.
By signature, J 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 lIDderstand 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 $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), This inspection will begin the process to return the $100,00 deposit if the banner(s) and/or
portable sign(s) has been rem_~
Signatur~ "~~ Dat,,!O//gv/.;J
Date of Application
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Receipt #
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Shared Drive (T:}lBuil~ FOIlDll/Bam.::r]ortable Sif01 Pennit CSD 7-08.doc
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Finaled
PERMIT NO: COM2009-01559
ISSUED: 10/23/2009
APPLIED: 10/23/2009
EXPIRES: 04/23/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726~3769 Inspection Line
SITE ADDRESS: 5807 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334103700
Springfield TYPE OF WORK: Banner
TYPE OF USE: 'New
Commercial
PROJECT DESCRIPTION: Portable sign - REF:C0D2009-00666
Owner:
Address: '
EAST 13TH A VENUE INVESTMENTS LLC
PO BOX 529
EUGENE OR 97440
I CONTRACTOR INFORMATION'
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occnpancy Gronp: ,
Secondary Occnpancy 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 Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Sethack:
Side 1 Set hack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I V aluatio~ DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 ofl
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.
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Status
Finaled
225 Fifth Street, Springfield, OR
541-726,3753 Phone
541.-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
***+ 100/0 Administrative F,ee***
+ 5% Technology Fee
Banner Special Permit
Total Amount P~id
Amount Paid
$10.00
$5.00
$100.00
$115.00
Total Value of Project
Fees Paid I
I Plan Reviews I
Date Paid
CITY OF SPRINtil'lELD
Building/Combination Permit
PERMIT NO: COM2009-0]559
ISSUED: 1012312009
APPLIED: ]0/2312009
EXPIRES: 04/23/2010
VALUE:
Receipt Number
10/23/09
10/23109
10/23/09 '
2200900000000001218
2200900000000001218
2200900000000001218
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
I .
work day. '
Il""'I.;".,CllsDections I'
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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 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 wiIIbe made of any strncture 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 tha! 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 frout of the property, and the approved set of plans will remain on the site at all
times during construction. . '
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------
Owner or Contractors Signature
Paee 2 of 2
/0/J--3/07
Date
22,5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
,
RECEIPT #:
2200900000000001218
Date: 10/23/2009
2:34:16PM
Paid By
ROBERT BLOOMFIELD
Item Total:
Check Number. Authorization
Receiv,ed By Batch Number Number How Received
Amount Due
100,00
5,00
10.00
$115.00
Job/Journal Number
COM2009-01559
COM2009-01559
COM2009-01559
Description
Banner Special Permit
+ 5% T~chnology Fee
***+ 10;% Administrative Fee***
Payments:
Type of Payment
Cash
Amount Paid
djb
In Person
Payment Total:
$115,00
$115.00
cReceintl
Page I of I
10/23/2009