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Home My WebLink AboutPermit Signage 2010-1-21 \t Status Finaled CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00087 ISSUED: 01/21/2010 APPLIED: 01/21/2010 EXPIRES: 01/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1475 MOHA WK BLVD ASSESSOR'S PARCEL NO,: 1703253403900 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner - ref:COD2010-00015 Owner: MERCURY DIME, LLC Address: PO BOX 26125 EUGENE OR 97402 I CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INFORMATION ~ # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range 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 I REQUIRED PARKING Front yard Setback: Side J 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: DownspoutslDrains: Notes: Description Tvpe of Construction I Valuation DescriDtion I $ Per Sq Ft Square Footage or multiplier,' ,or Bid Amount Value Date Calculated ..... "'" -~'i ,,"'. ;I~' . J . Page I of 2 'f'i Status Finaled CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010,00087 ISSUED: 01/21/2010 APPLIED: 01/21/2010 EXPIRES: 01/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fl'l'S Paid I I ..Ii Fee Description ***+ 10%1 Administrative Fee*** + 5% Technology Fee Banner Special Permit Amount Paid Date Paid Receipt Number $10.00 $5.00 $100.00 " .f 1/21/10 1/21/1 0 1/21/10 2201000000000000054 2201000000000000054 2201000000000000054 Total Amount Paid $115.00 , 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 following work day. ReO! 'red Tnmections I 111.1'1111111 1., , By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all informalion hereou is true and correct, and I further' certify 'that an'y and all work performed shall be done iu accordance with the Ordinances of the City of Springfield and the Lawiof ihe State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will bc madc of any slruct~re without permission of the Community Serviccs Division, Building Safety, I furlher certify that only contractors aud employees who are in compliance with ORS 70'1.005 will be used on this project. 1 further agree to ensure that all required iuspections 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. Owner or Contractors Signature Date Paee20f2 , \i:'~. ,.' , 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 1 0-00087 COM20 I 0-00087 COM20 I 0-00087 Payments: Type of Payment Check cReceintl RECEIPT #: - , City of Springfield Official Receipt Development Services Department Public Works Department 2201000000000000054 Date: 0112112010 Description Banner Special Pennit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By TAME PHOTOGRAPHY Item Total: Check Number Authorization Received By Batch Number Number How Received djb 5107 In Person Payment Total: :i :s:..,~. " , .. ~ '! Page I of 1 9:51:14AM Amount Due 100,00 5,00 10,00 $115,00 Amount Paid $115,00 $115,00 1/21/2010 ~'COIll-O'O _O~O/S- liS ~ CITY OF SPRINGFIELD, OREGON 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~l ~! CO) .JO~~ ~J -.~ Job Location -.-1 Assessors Map nl Owner ~ Owner of Property ,~ ~~ ,),Lf'\ ~) ...~~ ~ ~ ~ Contractor/Installer ~, _'~I Contractc,' ~: ~. ~~ ~I ~l ~I -I <q; U IJ I, '. -'~l i:! ~ f'\ It --~, ~l ~~) ..lo~~ ~ <;!!)) 1 -l~ ."JJ;J) ~, g -I ~ f" I, --- i~: _I _I ~: . !i Ml City Job Number CIO - 0 oo<i57 B75 1J..tivJLLJK 8h1~ \J c: +\- I AddresL'/.!::L7 ~ M b t. (J,,""; I( VS ~ City' ~"rw\'i'~(rj State Addres< ./ ------ City ~ Construction Contractors License # Description ~ \1'\1 d C\Dr:;t-J I D..ate of Installation 0 J - /) , -I 0 &I'lrvr q~{1(Jld, 0\2- 971./77 Phon" aAL- Phor" Tax Lo' ~'-! I-_:J~ ~IJ.O Zir ' "?' 74 '7.2 , Zip ~irp< Date of Removal 01 -l'i"'1=-/O 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 1111 information herein' 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 teet, 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 veritY 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(s) has bee~ Signatu''', /f9 7~ llhvy._..______' For Office Use Date of Application 1- 1'7 -It:> lob # ell) -00027 Issued By --:r>e Amount Collected DatJj;J/; 6 Receipt # ZZO, - 0 0 ~ ~ II\'- Shared Drive (T:)fBuilding fonnsIBalUler]ortableSib>n Permit CSD 7-08.doc