HomeMy WebLinkAboutPermit Building 2010-3-17
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00149
ISSUED: 03/17/2010
APPLIED: 02/04/2010
EXPIRES: 04/04/2010
VALUE:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-36'76 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 28 W Q ST C
ASSESSOR'S PARCEL NO.: 1703271003500
Springtield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Portable Sign - 02/04/2010 - removal date 04/04/2010
Commercial
Owner: BOSISTO MALCOM J TE
Address: 1484 CHECK ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
M
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
" EriergyPath:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Vlhr
n/a
I DEVELOPMENT INFORMATION I
Front yard 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 valu.ation Description I
Description
Type of Construction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I 01'2
Issued
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726.3676 Fax
541.726.3769 Inspection Line
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00149
ISSUED: 03/17/2010
APPLIED: 02/04/2010
EXPIRES: 04/04/2010
VALUE:
Total.~~lue of Project
L.Fees Paid I
Amount Paid Date Paid Receipt Number
$20.00 2/4/10 1201000000000000103
$5.00 2/4/10 1201000000000000103
$100.00 2/4/10 1201000000000000103
$100.00 2/4/10 1201000000000000103
$10.00 3/17/10 1201000000000000242
$5.00 3/17/10 1201000000000000242
$100.00 3/17/10 12010000000000q0242
, I'
$340.00 .
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. ...::.~-
.,tr;, .~, ,
Reiiuired lrisnections I
Banner Removal: To be requested the day following the expiratiou of the permit. If inspection is not requested,
the applicant may forlietthe deposit.
By signatnre, 1 state and agree, that I 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 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.
[ 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 durin nstruction.
Date
'('~ .
"I
'Paee 2 of 2
225 Fifth Street
., , ' '
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Publie Works Department
RECEIPT #:
1201000000000000242
Date: 03/17/2010
1 :40:07PM
Job/Journal Number
COM2010-00 149
COM20 10-00 149
COM2010-00149
Payments:
Type of Payment
Check
cReceintl
Description
Banner Special Permit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
ROBERT TIMMONS
,- Check Number
Rec~i;ed By . Batch Number
. djb
/;
Page 1 of 1
Item Total:
Authorization
Number How Received
Amount Due
100.00
5.00
10.00
$115.00
Amount Paid
28168
$115.00
$115.00
In Person
Payment Total:
3/17/20 I 0