HomeMy WebLinkAboutPermit Signage 2010-2-26
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CITY OF SPRINGFIELD, OREGON
225 FlFI1J STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
SPRINGFIELD
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City Job NumberCOM'(':OfO - 0 0 zb b
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Assessors Map /7 0 3.::S b L( 2.
Job Location
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Tax Lot
Owner
Owner of Property 'k:o:i'" \' \ \).... If'
Address III \"1 w'\ ""lol...cl o.u fl
City q!?U)
Phon~
Statel1r'
Zip ~Yl.I))
Contractor/Installer
Contractor
Oc...JNevL
Address
Phone
City
Zip
State
Construction Contractors License #
Expire'
Description
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Date of Removal
~4y(~
Date off nstallation
Permit Fee: $225.00 including $100.00 Deposit and applicable fees.
By signature, 1 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 ofthe 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 $ I 00.00 deposit ifthe banner(s) and/or
portable sign(s) has been removed.
Signatur~.~ 1:'~
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Date of Application _~ .
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Dat~ ~-2-{d
For Office Use
Job # Ct ~ -CO "lbG
\'70100- 1(17
Receipt # 1\ (.. ~
Issued By
1/ j--
Amount Collected
Shan:d Drive (T:)lBuilding FonnslBanner]ortable Sign Permit CSD 7-08.doc
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Finaled
PERMIT NO: COM2010-00266
ISSUED: 03/02/2010
APPLIED: 03/02/2010
EXPIRES: 09/02/2010
VALUE: .
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2147 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364203500
Springfield TYPE OF WORK: Banner
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TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner - ref:COD20IO,00I83 .
Owner: MY 401 K LLC
Address: 1417 WIMBLEDON PL
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
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:
Energy 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 DEVEUOPMENT INFORMATION ~
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Description ,
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Page 1 of2
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Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00266
ISSUED: 03/02/2010
APPLIED: 03/02/2010
EXPIRES: 09/02/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid ~
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Amount Paid
Date Paid
Receipt Number
$10.00,.
$5.00":')'
$100.00 .,,;
3/2/10
3/2/10
3/2/10
1201000000000000193
1201000000000000193
1201000000000000193
Total Amount Paid
$1l5.00,
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 Insoections ~
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 accordauce 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 structur~with'out permission of the Community Services Division, Building Safety.
I further certify that only contractors and employe~s ';ho 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, t the permit card is located at the front of the property, aud the approved set of plans will remain on the site at all
ti es durin construction.
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Owner or Contractors Signature
Date
Paee 2 of 2
225, FiJth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000193
Date: 03/02/2010
1:54:56PM
Paid By
MAIN STREET COFFEE INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
100.00
5.00
10.00
$115.00
Job/Journal Number
COM20 1 0-00266
COM20 1 0-00266
COM20 I 0-00266
Description
Banner Special Permit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Payments:
Type of Payment
Check
Amount Paid
djb
1008
In Person
Payment Total:
$115.00
$ 115.00
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