HomeMy WebLinkAboutPermit Signage 2010-2-8
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00165
ISSUED: 02/08/2010
APPLIED: 02/08/2010
EXPIRES: 08/08/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line.
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SITE ADDRESS: 1174 Gateway Lp
ASSESSOR'S PARCEL NO.: 1703222002410
..
Springfield TYPE OF WORK: Banner
TYPE OF USE:
Commercial
PROJECT DESCRIPTION: Banner permit- removal date 3/8/10
Owner: SHEILA S LLC
Address: 3194GATEWAYLP
SPRINGFIELD OR 97477
Contractor Type
General
. 0 l.CON:I'RAG1i@:RINFORMATlON I
ATT~I;JIION. h 'd b' tho uregoll u,~~,l '
. fn'ln'^,{,'lIles adoptG Y ~ t forth .
CIl.\l"!!:(!C tor Center Those rules arese 01 LIcense
m,iia Ion . h hOAR 952-0 .
O.~, :!'" Q~?nn1-0~,~~~ ,~~~.~_ jL .".. h~'
0090. You may o~ILbINj.;1n.'Irb",",j;."r'/ON I
calling the cen ut(My t-.btrfrfJJl.lIo,
number for the, oreg~~!iSB>0C~~). . .
1'"'Center IS 1-81:1er
'.. .,.... .. Height of Structure.
Type of Heat:
\y~twType:
mi'nge:type:
. Energy Path:
Sprinkled Bnilding:
Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
, D"EVELOPMENT INFORMA~ION I
NOTICE:""""'.
THIS PERMIT SH~tt.rIDUI!RE IF TH~ WORK .'
AUTHORIZED UNIb~Rey~epfR~:r IS NOT.
COMMENCED OFf.tS'"A[Artlt'll!fflfD.FOR:,;,<::
ANY 180 DAY ~ER'ld!f.o'i"<':overa~e: '...;;: c...:;..
REQUIRED PARKING
.Total:
Handicapped:
Compact:
I PUBLIC IMPRO~EM,ENTSI
Street Improvemen.ts:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I V ~lu~~.ionDescriDtion I
Description
Type of Construction
$ Per SqFt
or multiplier
Square Footage
or Bid Amou,nt
Value
Date Calculated
Page I of2
Status
Issued
CITY OF SPRINGFIELD
.. Building/Combination Permit
PERMIT NO: COM2010-00165
ISSUED: 02/0812010
APPLIED: 02/0812010
EXPIRES: 08/0812010
VALUE:
225 Fifth Street, Springlield, OR
541-726.3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
Total Value of,Project
Fe.es Paid J
~ 0(;
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid'
Date Paid
Receipt Number
~,. .
$20.00
$5.00
$100,00
$100:00
2/8/10
2/8/10
2/8/10
2/8/10
2201000000000000121
2201000000000000121
2201000000000000121
2201000000000000121
Total Amount Paid
$225.00
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 Reouired Insnections I
Banner Removal: To be requested the day foll,!wing the expiration of the permit. If inspection is not requested,
the applicant may forfiet the deposit. ';7IL."~ e' .
By signature, [ 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 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 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 fronl.of the property, and the approved set of plans will remain on the site at all
times~~trl!Coon,
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Owner or Contractors Signature Date
"'Page ~. of 2
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 0-00 165
COM20 I 0-00 165
COM20 1 0-00 165
COM20 1 0-00 165
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2201000000000000121
Date: 02/08/2010
Description
Deposit
Banner Special Penn it
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
MICHAEL SCHWARTZ
Item Total:
Check Number Authorization
Receiyed ~y Batch Number Number How'Received
cjc
00350p In Person
Payment Total:
.':.("j,. 'J.
"
".f'::'
Page 1 of 1
I :24:25PM
Amount Due
100.00
100.00
5.00
20.00
$225.00
Amount Paid
$225.00
$225,UO
2/8/2010
225 FIITH STREET. SPRINGFIEW, OR 97477 . PH:(541)726:3753 . FAX: (541)726-3689
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State
i:Fn--
Zip
Addreso
1>ho!'''
City
<;tate
Zip
Construction Contractors License #
Expirl'o
. Descriptinn
/
.r:t 7
2- 3'-/0
SA-d>-.-:c'-L... ~.
.5~ $
3)":/c.:::,
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Date of Installatior
Date of Removal
3-8-/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) 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 will begin the process to return the $100.00 deposit if the banner(s) and/or
portable s~ removed.
Si~atUr" __ ~ / /r ~ /%7~
2 -8-/0
Date of Application).! Z/ I V
/l, _.
Job # {.' I 0 ~ / (p !J
Receipt #
1-2- :;g:?..
Issued By
CJ<sL---
Amount Collecter
Shared Drive (T:)IBi:nlding FormslBanner]ortabJe Sign Permit CSD 7-08.rloc