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HomeMy WebLinkAboutPermit Signage 2010-2-5 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(54I)726-3753 0 FAX: (541)726-3689 g, ~ ~ City Job Number ..~< os~ Job Location .. .~~ Assessors Mar Q ~ .~ Owner of -.:2:>0 Os ~ Addreso I ~ City &--u..G.-e:::-rVe ~ fffff!l~f!lltf~I1;rt1 o. ~ rt:~~::~:::: =: ~ I ~ u II I, '., o'~l ~ I, ~. ~\Ji ~~ ~ o.~ ~ ..~ 1 ~ ~ ~f i ~ M ., CO~" co.......pLl~C~ ~: Cohz<>,O - DOO~b C0w12c>rO - 6 <:::> 1-;- b <6V'f\,(\~ ~ \ e Id ( 011 q~ Ll l-l IOL(~~ \\5 ~ ~fu 1703. 353 Tax Lot Prnnp State oiL Zir 7 7'-(02.. OL./ N (; A.... Addreso Phonp City <:;tate Zip Construction Contractors License # Expireo D .. k*NN~O't /f!.c7": Cobz,o,o- QCOS-b, . escnptlOn <-> / Date ofInstailatiw (2;/0 Date of Removal 0 c:; / c:> 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 ail information herein is true and correct. I further agree and understand that th,e above described banner(s) and/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 of the banner(s) and/or portable sign(s). This inspection wiil begin the process to return the $100.00 deposit if the banner(s) and/or portable sign(s) as ;:er rem01d. Signa Huffia...:J Datp O:L~{) 5 - / D_ "'-- Date of ApplicatioT' Job # Receipt # //j~ Issued B~I ~q Amount Coilected Shared Drive (T:}lBuilding FormslBanncr]ortable Sign Permit CSD 7-08.doc Status Finaled CITY OF SPRINGFIELD Buildi,!g/Combination Permit PERMIT NO: COM2010-00156 ISSUED: 02/05/2010 APPLIED: 02/05/2010 EXPIRES: 08/0512010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 175 S 5TH ST ASSESSOR'S PARCEL NO.: 1703353110400 Springfield TYPE OF WORK: Banner . TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner - ref:COD2010-00056 Owner: ROY AL BUILDING L TD PARTNERSHIP Address: PO BOX 24608 EUGENE OR 97402 I CONTRACTOR INFORMATION' Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: EIlergy 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' . REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Totat: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sto'rm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion , Description . Tvpe of Construction $ Per Sq ,Ft or multiplier'" Square Footage or Bid Amount Value Date Calculated Page 101'2 Status Finaled CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20]0-00156 ISSUED: 02/05/2010 APPLIED: 02/05/2010 EXPIRES: 08/05/20]0 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone .541-726-3676 Fax 541-726-3769 Inspection Line. Total Value of Project Fees p'aicl I Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Amount Paid,:,,;' $10.00 $5.00 $100.00 Date Paid 2/5/10 2/5/10 2/5/10 Receipt Number 1201000000000000106 1201000000000000106 1201000000000000106 Total Amount Paid $115.00 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 following work day. I Rellllirecl Insnectitlns I By signature, I state and agree, that I have carefullyiex'amined the completed application and do hereby certify that all information hereon is true and correct, and I further"~~'rtify 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 onty contractors aud employees who are in compliance with ORS 701.005 wilLbe used on this project. I further agree to ensure that all required inspections are requested at the proper time, tbat 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 dA'jOn. /. /~ il/tut.1a/ ()c2-05-/0- ~ner or Contr~c~ors Signature Date Page 2 of 2 t'.:,:;. ,. . .,). :.,. 225.Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM20 1 0-00 156 COM20 I 0-00 156 COM20 1 0-00 156 Payments: Type of Payment Cash cRcccintl RECEIPT #: 1201000000000000106 Date: 02/05/2010 Descripti()D Banner Special Permit + 5% TechrlOlogy Fee ***+ 10% Administrative Fee*** Paid By CRICKET Item Total: Check Number Authorization Received ,By Batch Number Number How Received djb In Person Payment Total: "l!!'. ~, ~ . ,,,' ,; . ~. .;..,,; .".. " Page 1 of 1 2:43:58PM Amount Due 100,00 5,00 10.00 $115.00 Amount Paid $115,00 $115.00 2/5/2010