HomeMy WebLinkAboutPermit Signage 2010-1-25
ZZ5 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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CITY OF SPRlNGFIELD, OREGON
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City Job Nnmber
YO 9 S""VV1A-II\.I
1702- 31l-\ \
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Tax Lot
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Zip
Construction Contractors License #
Expirp<
Descriptio~~~;{ "" 't-r"N"e f
Date of Installation 1- Z ( - ( 0
Date of Remov" I
2-2:1-(0
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) andlor portable sign(s) is not larger than 60 square feet, and will be removed within 30 days
from the date listed above, !fthe banner(s) andlor 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 portable
sign(s), This inspection will begin the process to return the $100,00 deposit if the banner(s) andlor
portable sign(s) has been removed,
Signatur~. \ l ~~ \...u~
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For Office Use
Datp \ -d.- ~-\l ')
I-zo;- /0
Date of Application
Tob# C\O -0010 I
Receipt # 2Zb (- 006.r
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Issued By
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Amount Collected
Shared Drive (T:)fBuilding FonnsIBanncr_Portable Sign Permit eSD 7-08.doc
, Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00101
ISSUED: 01/25/2010
APPLIED: 01/25/2010
EXPIRES: 02/21/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4095 MAIN ST
ASSESSOR'S PARCEL NO.: 1702314104500
Springfield TYPE OF WORK: Banner
TYPE {)F USE: New
PROJECT DESCRIPTION: Banner/portable sign - install 012110 removal date 022110,
ref:COD2010-00053
Commercial
Owner: MILES INVESTMENTS LLC
Address: 2175 HWY 101 N
FLORENCE OR 97439
I C?NTRACTOR INFORMA nON 1
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION'
# of Units:
Primary Occnpancy Gronp:
Se~ondary Occupancy Group:
Primary Construction Type
SeconiIary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strnctnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Base01ent:
Sq Ft Garage/Carport
Sq Ft Other:
, Occupant Load:
n/a
I DEVELOPMENT INFORMATION 1
Front yard Setback:
Side I Setback:
Side 2 Setback:
Re,aryard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING'
Total:
Handicapped:
Compact:
I PUB,L1C IMPROVEMENTS I
Street Improvemenfs:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downsponts/Drains:
Notes:
I Valuation Descriution I
D~scription
Type of Construction ,
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Valne
Date Calculated
".
Pa2e 1 of2
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2010-00101
ISSUED: 01/25/2010
APPLIED: 01/25/2010
EXPIRES: 02/21/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
54f-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
T'
Total Value of Projecf
Fees Paid 1 '
Fee Description
***+ 10u/o Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid'
Date Paid
Receipt Number
$20,00
$5,00
$100,00
$100,00
1/25/1 0
1/25/10
1/25/10
1/25/1 0
2201000000000000065
2201000000000000065
2201000000000000065
2201000000000000065
Total Amonnt Paid
$225,00
P'a.n 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,
I R,eouir~d Insuections 1
Banner Removal: To be reqnested the day following the expiration of tbe permit, If inspection is not requested,
the applicant may forfiet 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 I further certify that any and all work performed shall be done in accordance \"ith
the Ordinances of the City of Springfield and the Laws of tbe 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
stieet, 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. \.;~;:. ,.,:, i'
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Owner or Contractors Signature
Date
Pa~e 2 of 2
225 Fifth Str.eet
Springfield, Orcgon 97477
541-726-3759 Phonc
9
City of Springfield Official Receipt
Developmcnt Scrvices Department
Public Works Department
Job/Journal Number
COM2010-00101
COM20 I 0-00 I 0 I
COM2010-00101
COM20 I 0-00101
Payments:
Type of Payment
Cash
cRcceintl
RECEIPT #:
2201000000000000065
Date: 01/25/2010
Description
Banner Special Permit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By ,
TRUAX 2
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
In Person
Payment Total:
Page I of 1
11:31:37AM
Amount Due
100,00
]00,00
5,00
20,00
$225,UU
Amount Paid
$225,00
$225,00
1/25/2010