HomeMy WebLinkAboutPermit Signage 2009-11-13
11225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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, Permit Fee: $225.00 including $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 he~ein 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 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 torequest 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 si~) ~been ~~ed. II ILl I, 0 OJ
Signatur" ~ fle)L- ~ Dat~
Date of Application II
Job #
Receipt #
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Issued B)'
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AmountCollected
Shared Drive (T:)lBuilding FormslBanner_Portable Sign Permit CSD 7-08.doc
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, 225 Fifth'St;eei{Sprlngfteld, OR,' "
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541;726-3753 Phone "':';' ':'i.' ,""'E' ,-'
541'726-3676 Fax' ' ",
541'726-3769 Inspection Line ",
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CITY OF I'ln~H\i\.J1'1~LD
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Building/Combination Permit
PERMIT NO: COM2009-01648,
ISSUED: 11/13/2009
APPLIED: 11/13/2009 ,
EXPIRES: 12/12/2009
VALUE:
srfE ADDRESS::;:;2770S'A SI'::" :iF ' Springfield TYPE OF WORK: Banner
ASSESSOR'S PAR(;:EL'NO.: 1703354208600
,. " :'H:;, ": ' , TYPE OF USE' New
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'PROJECTPESGRIPrWN::t:R~f!~~le sign -111309 removlll date 121209
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I' DEVELOPMENT INFORMATION ,
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Owner:
Address:
KRYL PETER J
3474 SPRING BLVD:',:": ," ,'..'
EUGENE OR. 97405:o!;i~,';:,\ :.",
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# of-Units: , J ',,:'- <,~'/'~,:;;~i~':,.
Pri~ary Occupint~y::Gf6;up:~f ': I~~~~ ~\ _"
Secondary Occupancy Group:
, ~rimary Construction Type
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.. Secondary ConstructioD',Type: 'i': ,l
# ofi~Bedroo'ms: .: '..... ~:~ . .IL;_.:...".
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Frontyard Setb~c~: f'i'~'
Side 1 Setback:,~;, I 'I' <.
SOd 2 S tb k;i'i:\" \, :,", ".' .
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. Rearyard Setback: Ii -; .,; t':, ;{:!' ;.;.':;::....
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Solar Setbacks: ' '" :;: ",,"';
Stre~t Improve~~~t,~':~~~.' ~:!~5l!~';:tP'.J;..
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, Storm Sewer A vailable:~' .:, ;.. \
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Special Instruction: .
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Description ~; ,Type of Construction
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Commercial
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I ~ONT~CTOR INFORMATION I
License Expiration Date Phone
BUIL~ING rN~ORMA nON,,'
# of Stories:
Height of Structure
Type of Heal:
Water Type:
Range Type:
Euergy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Overlay Dist:
# Strcet Trees Rqd:
Paved Drive Rqd:
% of Lot Coverllge:
REQUIRED PARKING
Total:
Haodicapped:
Compact:
,I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
,,I Valuation DescriPtion I
, 1
$ Per Sq Ft
or multiplier
Square Footllge
or Bid Amouut
Vlllue
Date Calculated
Paee 1 of 2
CITY OF SPRlr~u.HJ!,LD
Status
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Building/Combination Permit
PERMIT NO: COM2009-01648
ISSUED: 11/13/2009
APPLIED: 11/13/2009
EXPIRES: 12/12/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone ~
541,726-3676 Fax ",' ", ",;d:i "
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541-726-3769 In~p~c~io~;Lin'e~:'\6~'j~t,:t' ,
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Total Value of Project
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Fees P:~irl J
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ee. esCrlPtIO~.:;.:,; ~ :.i,;;,':~(-~,: .:~~~. ~'~~iF':~~f./~:~
***+ 100/0 Adniii1is~l::a,ive'Fee**~;~",v.~\ ..
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+ 5% Technology'.Fee' .
Banner Special Permit.
Deposit ',d.!b;I~.li!'1fi:".... .. '
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Total Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$100.00
$100.00
11/13/09
11/13/09
11/13/09
] 1/13/09
2200900000000001286
2200900000000001286
2200900000000001286
2200900000000001286
$225.00
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I Plan Reviews ,
To Reque~t an in~pection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made th'e same wO,rking day, inspections requested after 7:00 a.m. will be made the following
work day.
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Banner ~en)(ival: To be requested the day following thc expiration of the permit, If inspection is not requested,
the applicant.may forfiet tbe deposit. '
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By signature, I state and agree, that] have carefully examined the completed application and do hereby certify that all
information hereon is true and co....ect, and I further certify thllt any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and tbe 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 thc Community Services Divisioo, Building Safety.
I further certifY,~hat o.nly contrac!o!s and employees who arc in compliance with ORS 701.005 will be used on this project.
I further agree t.o ensure that all required inspections life requested llt the proper time, that each address is readable from the
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street, that the p~rpiit c~rd is located at the front of the property, and the approved set of plans will remain on the site at all
times during co~stru~tion"
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SiH'ingfield,.O"'iigi:iriT~7F76;:/<:';~f" . "
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541~ 726-3759 Phone ::;<" .
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:gK:';);~"::lRii9EIjh;~'ti:' ',.2200900000000001286
Job/Jou:rnal Number;'::~.'; i>~~cripti~'~
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COM2009-01648 " : .Banner SpeciarPemiit.':,
CO~2909-91 ~8: ;f:~',;,:iFB~P.S,~itiii";i1M;.,,~iB0;:'{;:;'
COM2009-0 1648<U;;<r:tj;':~'t", T~?hiiologyF'ee
COM2009-0 1648.,:;;',:::<:i"':~+ 'I 0% Administrative Fee***
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Payments:
Type of Payment
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Check'
CENTRAL OREGON COFFEE
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Received By
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/13/2009
Item Total:
Authorization
Number How Received
1099
In Person
Payment Total:
1l:02:09AM
Amount D~e
100.00
100,00
5.00
20,00
$225.00
Amount Paid
$225,00'
$225.tltl
11/13/2009