HomeMy WebLinkAboutPermit Signage 2009-11-25
~
~
~
..~
~
~
~
~
.. l~ ~~
i
I
~
o
II
I, '.
..~
e
~
~'44
~
~)
.", .,=-7~
~
~
~
~
~
~
~
~
~
a
~
~
CityJobNumberCO~Z.oo f'- 0 /70 f
.:s b S- a Ivl,.4-( AI
,70 L >(Lf Z-
SI
Tax Lot
t> 2 5'0 I
Owner of Property
T 7\ltA tC s: G-.fLe::~
Co(v.........l;,.-,,~ s:+
/6(2
Addres~
City V A.\'L.""~~
Phonf'O
wA
ZiJ:.
9t>{,b(')
State
~:0jX;:'7;;'}4::Mm~0:i;~~~~t'*\:%~::
~E,fJ'JJ%;ff.!4!;~!:': e
Contractnr
bt.../ .../c:..--r1
/
Addres<
Phonp
City
"tate
Zip
Construction Contractors License #
, Expirpo
DescriptioT ~N'#~<l.S' hlt.'f'A~f<' $,~... s
Date of Installatinn /I~ 5:/0 '1
- c:.l...f:\~_"'S +g.ee: s.A-(~
Date of Removal 10 5'~ <;
, 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 herein is true and correct. I further agree and understand that the above described
banner(s) and/o~ 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 portab~
."oe.). Thi, io_"oo will "'wo ~:re~ ~ relwn th, $100.00 ","0.' in'" """"',) wd/oc
portable sign~s)7as been removed. V~~/f/'l#l ~ro~llor Dt...""c."iI. - 1MII'. 6-4eeA(l_ --:r:::g
Signature_/J. "cL('( (lt1r-t". t/\CA" DFtp JI/~0 ~
Tob#Ci -Off 01
'Receipt #
ZZs: ,--
Issued By
1:>,:r
Amount Collected
Shared Drive (T:)fBuilding FormslBanner]ortable S,ign Permit CSD 7~08.doc
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01701
ISSUED: 11/25/2009
APPLIED: 11/25/2009
EXPIRES: 12/25/2009
VALUE:
22'5 Fifth Street, Springfield, OR
54'1-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3650MAIN ST
ASSESSOR'S PARCEL NO.: 1702314202501
Springfield TYPE OF WORK: Banner
TYPE OF USE: New'
PROJECT DESCRIPTION: Banner/portable signs- Christmas tree lot. Install 112509 removal date 122509
Commercial
Owner: GREEAR JAMES D
Address: 35625 NE WA~HOUGAL RIVER RD
WASHOUGAL WA 98671
I CONTRACT?R INFORMATION "I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATlONI
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heigbt of Structure
Type of Heat:
Water Type:
R'ange Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION 1
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:
I PUBLIC lMPR?VEMENTS I
sireet Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation D~scriDtion I
D~scl:iption
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
~ :5!Il!RIN~!,!IIlt\.A.
I
"
i ~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01701
ISSUED: 11/25/2009
APPLIED: 11/25/2009
EXPIRES: 12/25/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726"3753 Phone
541"726-3676 Fax
5~1-726-3769 Inspection Li~e
Total Value of Project
Fees Paid I
Fee Description
***+ 100/0 Administrative Fee***
+'5% Technology Fee
Banner Special Permit
Deposit
';,
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$100.00
$100.00
11/25/09
11/25/09
11/25/09
11/25/09
3200900000000000775
3200900000000000775
3200900000000000775
3200900000000000775
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 Jollowing
work day.
I Reouired I~s'1,e.ctio,.~ I
Banner Removal: To be requested the day following the expiration of the permit, If inspection is not requested,
the applicant may fortiet the deposit. '
'n.
By sigriature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
in'formation 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 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
:::;:":'~)1~~~:" '~~~;'J;::' ,ro,,,". ,., ... .,,~/ ~'5':;;'~' ... .,,~ "' ,"
, (/ '
o-wner or Contractors Signatu~e Date
, Page 2 of2
'I'
225 Fifth Street.
. ,.-.
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009'0 170 I
COM2009-0 170 I
COM2009"0 170 I
COM2009:0 170 I
Payments:
Type (}f Payment
ChecK
cReC~int 1
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
RECEIPT #:
3200900000000000775
Description
'Christmas Tree Lot - For Profit - 1,0000 @ $30,0000
. + 5% Technology Fee (SusLic)" 30,OOOO@$O,0500
Sanner, Special Permit
Deposit
+ 5% Tech~ology Fee
***+ 10% Administrative Fee***
Paid By
JAMES CANTRELL
djb
Page I of I
2689
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/25/2009
2:08: 15PM
Amount Due
30,00
1.50
100.00'
100,00
5,00
20,00
$256,50
Amount Paid
In Person
Payment Total:
$256,50
$256.50
,
I
) 1/25/2009