HomeMy WebLinkAboutPermit Signage 2009-12-3
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225 FIITH srREIIT . SPRlNGFIEID,OR97477 . PH:(541)726-3753 . FAX: (541)'726-3689
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rermifF~: '$225.00 including $100.00 Deposit and applica~le 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 ~.. ..'.,.
barmtJr(s) and/or P9"rtable sign,(s).is not larger than 60 square feet, and will be removed within 30 days
. froni"thediite listed above. If tlie o~el-(s faiid/orpofuible sign ishotreinoved witliin,the timelilie -
specified, I wil]'forfeit the $1 00.00 deposit; '1 also understand,that this(special permit can be isstled '
only twice per calendar year per development area. ,I also agree to call the inspection line af726-3769
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 ifthe:banner(s) and/or
portable Sign~asbe~n removO ~.
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01726
ISSUED: 12/03/2009
APPLIED: 12/03/2009
EXPIRES: I 12/23/2009
VALUE:
Status
Issued
22~ Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2656 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254100102
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner/portable sign - install I 12309 removal date 122309
ref:cod2009-00803
Commercial
Owner: HOWARD KEVIN
Address: 14855 SE 82ND DR
CLACKAMAS OR 97015
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bcdrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
R:wge Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft ht Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
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:
Speciallnstrnction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I. Valuation. D~scriDtion I
Description
Tvne of Constrnction
$ Per Sq Ft
or mnltiplier
Sqnare Footage
or Bid Amonnt
Valne
Date Calculated
Page I of 2,
Status
.lss u ed
225 Fifth Street, Springfield, OR,
541,726-3753 Phone
541,726,3676 Fax
541-726"3769 Inspection Line
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Total Amount Paid
Total Value of Project
Fee. Paid'
..1'
Amount Paid
Date, Paid
12/3/09
12/3/09
12/3/09
12/3/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01726
ISSUED: 12/03/2009
APPLIED: 12/03/2009
EXPt'RES: 12/23/2009
VALUE:
Receipt Number
2200900000000001350
2200900000000001350
2200900000000001350
2200900000000001350
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
$225.00
I Plan Reviews I
I, Relluired In.nedions I
Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested,
the applicant may forliet the 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 1 further certify that any and all work performed shall be done in accordallee 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 tbe Community Services Division, Building Safety.
1 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
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 construction.
P--h-:;~-c: ,~~~
Owner or Contractors Signature
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Pa2e 2 of 2
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Date
225 Fifth Street
Spri,ngfi.el,~, Oregon 97477
54-1,726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/J~urnal Number
COM2009-0 1726
COM2009,O 1726
COM2009-0 1726
COM2009-0 1726
Payments:
Type of Payment
CreditCard
cReceiotl
RECEIPT #:
2200900000000001350
Date: 12/0312009
Description
Banner Special Pennit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
KEVIN HOWARD
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
, djb 018734 In Person
Payment Total:
Page I of I
1:31:56PM
Amount Due
100,00
100,00
5,00
20,00
$225,00
Amount Paid
$225,00
$225.00
12/3/2009