HomeMy WebLinkAboutPermit Signage 2010-2-5
225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(54I)726-3753 0 FAX: (541)726-3689
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Construction Contractors License #
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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_
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Date of ApplicatioT'
Job #
Receipt #
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Issued B~I
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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
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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:
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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