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Home My WebLink AboutPermit Signage 2010-2-12 {-'~ 1 1 . T2t'-r-=:'Co ~ZOIO ,00 US- CITY OF SPRINGFIELD, OREGON! , , SPRINGFIELD' .~ ~.~ 225 Flffil STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~l /,,"""""'ZOI()~OO( ?b <e>) City Job Number '--"'" ' ..~~ -:> , b 1 b-A-TewAv S I "~I Job Location ::> ..~, Assessors Ma!, I 70 .3 2:2- Zh ~l r::{i)J ~ Owner of Property ~) ..~ ~I ~ ~ ContractorlInsta/ler ~> .~ . Contractor ~I ~I ~. ;~ -I -I -I -I -I ~ U IJ I~ "fE~1 _I ,I -I ~ ft'_11 Ell . ~:(!)) ."~l ~ <nJ)) " .....Il ,~ ~ -I ~ f" II ---- ~l <nJ)) il -I -I ~! """J ~l Owner , Tax Lot OS! 0 <:::) I~~-~'~l\f:::::. Addres~ -::<;\ 'l001 h(A-e_.(02N"i 8 City- W\-(\<(;~'-Q let State CiL. \\::rNlc' PhonpS~;:\ ~ ' (3-12> Zir 9\, l.lill C>U,vEtL Addreso City ~ . ~hOfP '>tate s:.f(;'~ Date of Removal Zip Expif'>o 06/0 Permit Fee: $225.00 including $100.00 Deposit and applicat:lefees. 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. lfthe banner(s) and/or portable sign is not removed within the timeline specified, I will forfeit the $ I 00,00 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 baimer(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 been removed. , () \\ r-\ Sig~aturp ~ ~-::.., c l Y ~ / Construction Contractors License # Descriptior 'E.MNt:7l/ f:>cYl-"f'l"r~i: Date ofInstallation Z;)O~D' D~tpd . 1.[;;) . I 0 Date of Application z:) ~C> For Office Use lob # C/O - 0 0 lib 13) Issued By ~ Amount Collected Re,ceipt # Z,2"; Shared Drive (T:}lBuilding Forms/Banner]ortable Sign Permit CSD 7-{}8_doc Status Issued CITY OF SPRINGFIELD Building/C~mbination Permit PERMIT NO: COM2010-00196 ISSUED: 02/12/2010 APPLIED: 02/12/2010 EXPIRES: 03/10/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3169 Gateway St ASSESSOR'S PARCEL NO,: 1703222003100 , . Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Bannerlportable sign - install 021010 removal date 031010. REF:COD2010-00115 Commercial Owner: BENTON PROPERTIES L TD Address: 980 WILLAMETTE ST EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # 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: Rapge Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft ht Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DE~ELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I ,i.',!.' ." Description Type of Construction $ Per SqFt or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00196 ISSUED: 02/12/2010 APPLIED: 02/12/2010 EXPIRES: 03/10/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project I 'F~es P~id I .h 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 2/12/10 2/12/10 2/12/10 2/12/10 2201000000000000135 2201000000000000135 2201000000000000135 2201000000000000135 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 Reouirecl Insnedions I :,::':!i. :\;.. cr', ", '" Banner Removal: To be requested the day follo\viniitle',expiration of the permit. If inspection is not requested, the applicant may forfiet the deposit. By signature, I state and agree, that] have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 pe~taining 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 atthe 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. ~ l '---- rJ:-, Q, l~(I() Owner or Contractors Signature Date '. . , Page 2 of 2 225 F~fth Street Springfield, Oregon 97477 541,726-3759 Phone , Job/Journal Number COM20 I 0-00 196 COM20 I 0-00 196 COM2010-00196 COM20 I 0-00 196 Payments: Type of Payment Check cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2201000000000000135 Date: 02/12/2010 Description Banner Special Pemit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By T & C TAX SERVICES LLC Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person Payment Total: 135 "',";'. ,... . . ., ., .Page 1 of I. 9:07:40AM Amount Due 100.00 100.00 5.00 20.00 $225.00 Amount Paid $225,00 $225.00 2/12/20 10