HomeMy WebLinkAboutPermit Building 2010-2-24
lIItr. 'f..'.' CITY OF SPRINGFIELD
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I Building/Combination Permit
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Status Finaled :.),,' PERMIT NO: COM2010-00246
0, .":1 ISSUED:
225 Fifth Street, Springfield, OR - , , 02/24/2010
541-726-3753 Phone ;' APPLIED: 02/24/2010
541-726-3676 Fax EXPIRES: 08/24/2010
541-726-3769 Inspection Line VALUE:
SITE ADDRESS: 3463 Hutton ST Springfield TYPE OF WORK: Banner
ASSESSOR'S PARCEL NO.: 1703222000805
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Banner - ref:COD2010-00117
Owner: TRA VESS GEORGE T & MARY M
Address: 1495 CHEEK ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration "Date Phone
Sign OWNER
I BUILDING INFORMATION I
# of Units: ~ Of Stori~s: Lot Size:
Primary Occupancy Group: ' Height of Structure Sq Ft 1st Floor:
Secondary Occupancy Group: Type of Heat: Sq Ft 2nd Floor:
Primary Construction Type Water Type: Sq Ft Basement:
Secondary Construction Type: Range Type: Sq Ft Garage/Carport
# of Bedrooms: Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
,
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: Compact:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
I PUBLIC IMPROVEMENTS.
Street Improvements: Sidewalk Type:
Storm Sewer Available: Downspouts/Drains:
Special Instruction: ''I'' ~Jl
,
Notes: .
.)
I Valuation Description ~
Description Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated
or multiplier or Bid Amount'
Pa2e 1 of 2
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Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Fee Description
***+ 10% Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Total Amonnt Paid
> . .." "
TotaIValue of Project
"
LFees Paid-1
Amount Paid
$10.00
$5,00
$100.00
$115.00
I Plan Reviews ~
Date Paid
2/24/10
2/24/10
2/24/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00246
ISSUED: 02/24/2010
APPLIED: 02/2412010
EXPIRES: 08/24/2010
VALUE:
Receipt Number
2201000000000000167
2201000000000000167
2201000000000000167
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.
Reouire~ Insnections ~
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By signature, I state and agree, tbat 1 have carefnlly examined the completed application and do hereby certify that all
information hereon is trne 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.
1 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 ensul'c 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 front of the property, and the approved set of plans will remain on the site at all
times during construction.
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Owner or Contractors Signature
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Date
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225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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CITY OF SPRINGFIELD, OREGON
SPRINGFIELD
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Tax Lot 00 g-OS-
Owner
Owner of Property is- EC)~ -'./Z.A-J~s
Address / L[ 9 S- C r-fe:e f::-
S?iLv, c,..f2z c-( c:l
City
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Phon"
.Zip
9 71-(7 7
State
Contracior/Installer
Contractor
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Address
Phonp
City
State
Zip
Construction Contractors License #
Expire<
Description
73
. Date of Removal
(kl:~{00z010 -60/l"l
Date of Installation
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 $ 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 banner(s) and/or portable
sign(s). This inspection will begin the process to return the $ I 00.00 deposit if the banner(s) and/or
p~rtable Sign(~) ~s .b:;, :~~. .
Slgnaturp ~ iG Oat" -Z;/~ ~/ ~
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Date of ApphcatlOn .I' ,I' c.
For Office Use
Job # C/O ~oo 2 L( b
Issued By
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Amount Collected
'7Z0{- 0/67
Receipt # ~
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Shared Drive (T:}lBuilding FOnTlsIBanner]ortable Sign Permit CSD 7-08.doe
225 Fiftli'Street .
, .
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000167
Date: 02/24/2010
II :35:53AM
Job/Journal Number
COM20 I 0-00246
COM20] 0-00246
COM20 I 0-00246
Description
Banner Special Penn it
+ 5% Technology Fee
***+ 10% Administrative Fee***
Payments:
Type of Payment
Cash
Paid By
OUTBACK STEAKHOUSE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
100.00
5.00
10.00
$115.00
Amount Paid
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In Person
Payment Total:
$11500
$115.00
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