HomeMy WebLinkAboutPermit Signage 2009-12-2
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
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Construction Contractors License # Expir""
, Description
Date of Installatior C( 1::>;0 .- ~- />1- Date of Remov81 (':J-hb/~~
Permit tee: 1$225.00 i'cIUding $100.~0 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) arid/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 ofthe banner(s) and/or portable
sign(s), Tills inspection)?'ill begin the process to return the $100,00 deposit if the banner(s) and/or
portable sign(s) has bflin removed.
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Receipt #
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Sbared Drive (T:YBuilding FormslBanncr]ortable Sign Permit CSD 7..Q8.doc
'Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01724
ISSUED: 12/03/2009
APPLIED: 12103/2009
EXPIRES: 12/30/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone' '
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS:, 2090 OLYMPIC ST B
ASSESSOR'S PARCEL NO.: 1703253107701
Springfield TYPE OF WORK: Banner
TYPE OF USE:
PROJECT DESCRIPTION: Banner special permit REMOVAL DATE 12130/2009
Owner: MCKA Y COMMERCIAL PROPERTIES LLC
Address: 76 CENTENNIAL LOOP STE D
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type, Contractor
License
Expiration Date Phone
BUILDING INFORMATION g
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary ConstructiOn Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
W'ater Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Reary.rd Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Cuverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC ~MPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction: '
Sidewalk Type:
Downspoutsillrains:
Notes:
'yaluati,?n Descriotion ,
Description
Type of Construction,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
Status
Issued
225 Fifth Street. Springfield, OR
541-726-3753 Phone,
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
***+ ] 00/0 Administrative Fee***
+ 5% Technology Fee'
Banner Special Permit
Deposit
Total Amonnt Paid
Total Value of Project
~ F.,e~~ P/~ i~ I
Amount Paid, "
Date Paid
CITY OF SPRINGFIELD
Building/Cqmbination Permit
PERMIT NO: COM2009-01724
ISSUED: 12/03/2009
APPLIED: 12/03/2009
EXPIRES: 12/30/2009
VALUE: .
Receipt Number
2200900000000001348'
2200900000000001348
2200900000000001348
2200900000000001348
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.
$20.00
$5,00
$100.00
$100.00
12/3/09
12/3/09
12/3/09
12/3/09
Banner Removal: To be requested the day following tbe expiration of the permit, If inspection is not requested,
"
tbe applicant !)lay forliettbe 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 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 ohny structure without permission ofthe Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 wili be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each ~ddress 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 c:str~ '
//] ..../
~7Contrac~ors S~re
$225,00
I Plan Reviews ,I
I Rev~]ir,fd ,Ins.ne,ctio,~,~ I
rage 2 01"2
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I
, Date
225 Fifth Street
Springfield,Oregon97477
541-726-3759 Phone
City of Springfield Official Receipt
Developm~nt Services Department
Public Works Department
Job/Journal Number
COM2009-0 1724
COM2009,O 1724
COM2009,O 1724
COM2009,O 1724
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200900000000001348
Date: 12/03/2009
Description
Banner Special Penn it
Deposit
+ 5% Technology Fee
:~**+ 10% Administrative Fee***
Paid By
MOO KYU LEE
Item Total:
Check Number Authorization
Received By Batch Number Number How, Received
cjc
152965 In Person
Payment Total:
Page 1 of I
1I:12:30AM
Amount Due
100,00
100,00
5,00
20,00
$225.00
Amount Paid
$225,00
$225.00
12/3/2009