HomeMy WebLinkAboutPermit Signage 2009-10-29
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Construction Contractors License #
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Description
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Date ofInstallation
nate of Removal
Permit fee: $225.00 including SIOO.OO Deposit and applicable fees.
By signature, I state and agree that I have carefully completed this application and hereby certify that
all infonnation herein is true and correct I further agree and lUlderstand 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 lUlderstand 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~moved, . " '
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Shared Drive (T:)I~uiJding Forrns/Banner]ortable Sign Permit CSD 7-08.doc
Status , Fiii~l~d. " '(:.i.,:';
225 Fifth Street, Springfield, OR"
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectio,! Line"
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SITE ADDRESS,: ,,868 BEL TLINE RD
; ASSESSOR'S.PARCE~NO.: ,1703153000900
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01589
ISSUED: 10/29/2009
APPLIED: 10/29/2009
EXPIRES: 04/29/2010
VALUE:
Springfield TYPE OF WORK: Banner
PROJECT DESCRI~TION:' Portable sign .REF:COD2009-00765
TYPE OF USE: New
Commercial
Owner: SYCANB CORP ;;,2:
Address: 840 BELTLINERD"STE-202
SPRINGFIELD OR 97477
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Contractor Type ,
Sign
Contractor
OWNER
,
# of Units: '; ,:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type'
Secondary Construction Type:
# of Bedrooms:
,'I' "
Frontyard Setback: .
Side 1 Setback:" ' .
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
,
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Street Improvements:
Storm Sewer Available:,.
Special Instruction: , '
,
Notes:
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Description
Tvpe of Construction
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I"CONTRACTOR INFORMATION I
I, BUILDING INFORMA~ION I
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# of Stories,
Height of Structure
Type of Heat:
Water Type,
Range Type:
Energy Path:
Sprinkled Building:
License
n/a
" D~VELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Page 1 of 2
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:
Sidewalk Type:
Downspouts/Drains:
Value
Date Calculated
Status Finaled , ,:'
225 Fifth Street; Springfleld,'OR:)W::' '
541-726-3753 Ph~ne;;,\ ':-,0-' ""i"
541-726-3676 Fax' ; ,
,541-726.3769Jn~pectioi1.Line "
. ,('.(' .:;:.~:', """:" ," ,...,,:.
, Fee Description;', ,
***+ 100/0 Adn{inisttat~~e Fee~*,.~ "
+ 5% Technology Fee' -- "" '
Banner Special Permit
Total Amount Paid
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Amount Paid
$10.00
$5.00
$100.00
'$115.00
Total Value of Project
Fees P~.id I
I Plan Reviews I
Date Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01589
ISSUED: 10/29/2009
APPLIED: 10/29/2009
EXPIRES: 04/29/2010
VALUE:
10/29/09
10/29/09.
10/29/09
Receipt Number
2200900000000001232
2200900000000001232
2200900000000001232
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
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work day. '
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,Reollired Tnsoections I
By signature, I state and agree, that I bave carefnlly 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 will be made of any structure without permission of/he Community Services Division, Building Safety,
I furtber certify tbat'only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I furtber agree to en,,'ure that all required inspections are requested at the proper time, that each address is readable from the
street, that tbe 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.- .- ..'
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Owner or Con--""tors Signature. "
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Page 2 of2
Date
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225 Fifth' Street/ " >.: :':':~;..,~"., . <';
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':.';:~1:(i,'~i!J'RJi:<::F;If1J'#: ,2200900000000001232
Job/Journal Number _:;:,
COM2009-01589 '
COM2009-0 1589
COM2009cOl589 '
.' D~scripti'~:~"'::"< :;:iV:?~t,::,\"/ .~ ::.'
" ,Banner Special Perinit '
+ 5% Technology Fee ,i
, ,,' :"..; 10%,Adfuihi~traiive Fee'"
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Payments:
Type.ofPayment.
Check "
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Received By
Check Number
Batch Number
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Page I of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
,Date: 10/29/2009
Item Total:
Authorization
Number How Received
3431
In Person
Payment Total:
1 :29:22PM
Amount Due
100,00 '
5,00
10,00
$115.00
Amount Paid
$115,00
$115.00
10/29/2009