HomeMy WebLinkAboutPermit Building 2010-3-9
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00284
ISSUED: 03/09/2010
APPLIED: 03/05/2010
EXPIRES: 09/09/2010
VALUE: $ 250.00
SITE ADDRESS: 3650 MAIN ST
ASSESSOR'S PARCEL NO:: 1702314202501
Springfield TYPE OF WORK: Sign
PROJECT DESCRIPTION: Sign- painted wall sign for Teqnila Jalisco
TYPE OF USE: New
Commercial
Owner: GREEAR JAMES D
Address: 35625 NE WASHOUGAL RIVER RD
WASHOUGAL WA 98671
Contractor Type
Sign
Contractor
OWNER
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Notes:
Description
Tvpe of Constrnction
I CONTRACTOR INFORMATION I
License
BUlLDINGINFORMA TION ~
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
NOTlC!"" 'i'. :U' ,".', ;,.P.nv,~sponts/Drains:
THIS P ., ' ;"""'<"'/' ,
~~~~E~1~[ ~~~~ ~~~i~J~E,~~~:
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amonnt
Page I of 2
Valne
Date Calcnlated
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM201O-00284
ISSUED: 03/09/2010
APPLIED: 03/05/2010
EXPIRES: 09/09/2010
VALUE: $ 250.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspeetion Line
Sien
Use Bid Amount
$1.00
250.00
$250.00
$250.00
03/08/2010
Total Value of Project
Fees Paid'
Fee Description
Sign Plan Review
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Sign 36-60 Square Feet
Amount Paid
Date Paid
Receipt Number
$42.00
$11.00
$5.50
$110.00
3/5/10
3/9/10
3/9/1 0
3/9/10
2201000000000000204
1201000000000000213
1201000000000000213
1201000000000000213
Total Amount Paid
$168.50
I Plan Reviews I
. Sien Review
03/08/2010
03/08/2010
. APP DJB
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 Reuuired Insoections I
Sign Location: To verify the location of the proposed sign.
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I furth"er 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 ofany 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 front of the property, and the approved set of plans will remain on the site at all
times during coostru~~~ ~ C5 /or; j ()
Date / I
;.','
Paee 2 of2
~: 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ft',\ . ///' /1 ---d ~ V
~ City Job Number L U (
.~~ Site Address 3 f;,S0 ))~."[ st ~Vii(Jf (JJ~r'Dr< 971-1'7'(
'l'i'!"'J Assessors Map I 7 02- 3 I L( Z- Tax Lot: 0 2 5'0 (
~l ffi ~r}'f-- 4 r (
~~) Owner , \11/\ J1 ~ P (). r-
Q Address:
City
Plan Review Fee of $42 per sign is due with application.
'l~\
~~
Zip
9'S b 7 !
Business Name, Finn, etc.
~: Descrjption of Proposed Sign(s):
r--~ V
~. "-.Wall
1'V
r.....' I - Single Face, I/J 'Double Face
~: Square Footage: Lf )" Total Height above Grade:
. 2'
;yi Vertical Dimension of Sign or Enclosure:
. 'j Dimension trom Grade to Bottom of Sign Enclosure 7!J" ~.
(Please check and complete all appropriate information)
Freestanding Projecting Roof Marquee, ().: ,^ -b-~
Billboard )---Oth~~
1/'
7'
Horizontal Width of Sign or Enclosure:
Electricallnstallation:_Yes ~
(If yes additional electrical permit required)
ZS'
Material Sign is Constructed of:
~i""T~b.
OA(
CIA>: S
Value of Sign:
z 5C>
~
'i~l
tl
rl
;.. :
~i
tV)
~,
List ALL existing signage and attach a photograph of each sign:
(0) Type
(c) Type
Sq. Ftg.
Sq. Ftg.
(b) Type
(d) Type
Sq. FIg.
Sq. Ftg.
Contractor/Installer:
O(../.IV t'-'L
Phone:
Address:
City:
State:
Zip:
Construction Contractors Registration Number:
Expires:
OFFICE USE
~:
~!<
~)
'I~~
r.
T{jJ)
'L,
Sign District:
cc
Zoning:
LC
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information herein 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. I
further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable trom the
street, that the permIt card is located at the tront of the property, and the approved set of plans will remain 0 the Sit at all
times durin~~llation rthe sr~-----) ~
Slgnatu~ ~ "'-'---<--- L..t \ Date
,
225, Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
r~:Q~;LO~
taIit
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000213
Date: 03/09/2010
9:45:52AM
Paid By
MARIA ALVARADO
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 194747 In Person
Payment Total:
Amount Due.
110.00
5.50
11.00
$126.50
Job/Journal Number
COM20 I 0-00284
COM20 1 0-00284
COM20 I 0-00284
Description
Sign 36-60 Square Feet
+ 5% Technology Fee
***+ 10% Administrative Fee***
Payments:
Type of Payment
CreditCard
Amount Paid
$126.50
$126.50
'."
cRccciotl
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