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Home My WebLink AboutPermit Building 2010-4-7 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00429 ISSUED: 04/07/2010 APPLIED: 04/06/2010 EXPIRES: 10/0712010 VALUE: $ 1,200.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 353 DEADMOND FERRY RD ASSESSOR'S PARCEL NO.: 1703154003700 SPRINGFIETYPE OF WORK: Sign PROJECT DESCRIPTION: Freestanding sign TYPE OF USE: New Residential Sidewalk T, yn,e:",""t~,;.,:.!;i!f,,:A,:;~'d:\,~~~ r.....~:l'i'il.....'r'. DOWrispi;t~~}~{~~ 'NO?-~~: ,Cf:. ~\.. tt.?\\'It \ \'IUI\1 ,S \0\0, ;;~: "0\ t\'l\o1l\1 S\-\t>: \'I1\\\'O?f r:D fO?> :'.;::l'tj.:, 1\\\S? lr:D m-lDt o.}\DQ~-- "" "\ ?" , ,\ 1 0\'1\-- \S ~o" , ,,' , ~nNI\ . ~ ?t\'l\ Valuation Descri tiom Dr>; Owner: PEACEHEAL TH Address: PO BOX 1479 EUGENE OR 97440 Contractor Type General I CONTRA0TOR INFORMATION ~ Contractor License ANSLOW & DEGENEAULT INC 49169 BUILDING INFORMATION ~ . '" .-'i:',~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories:-' Height of Structure t Type of Heat; ... requireS you,\~ , Orl,a;", on Uti", ~'TTENT\Clkt P by ~he Ole~e set 10rth 10110'14 rull$l~ ' ose rules a R 952-001- Hot\1lcat~~~~ 'IlrC1ugh ~hB rulll,s by mOAR1~iE;:r~.. ~ eoter Is 1-800- &verlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: , . .~ "'.' " , Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . ~-".' ,-,. .-.' . ",.,. ,--", ",' - ~ - . I PUBLIC IMPROVEMENTS. Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description $ Per Sq Ft or mnltiplier ,I Square Footage , or Bid Amount Type of Construction Paee I 012 Expiration Date 10/16/2010 Phone 541-484-0070 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated Status Issued '.A:., . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00429 ISSUED: 04/0712010 APPLIED: 04/06/2010 EXPIRES: 10/0712010 VALUE: $ 1,200.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sien Use Bid Amount $1.00 1,200.00 $1,200.00 $1,200.00 0410612010 Total Value of Project L Fees Paid i Fee Description Sign Plan Review ***+ 100/6 Administrative Fee*** + 5% Technology Fee Sign 0-35 Square Feet Amount Paid' Date Paid Receipt Number $42.00 $8.00 $4.00 $80.00 416/10 417110 417110 417110 3201000000000000127 1201000000000000307 120io00000000000307 1201000000000000307 Total Amount Paid $134.00 .fl!1,n~eYJews.~ Sie:n Review 0410712010 04/07120 10'~ APP DJB ReslNon-Res Pro. sign district 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. L Reauired InsDections i , ' Sign Location: To verify the location of the proposed sign.; Sign Footing: After excavation and forms are in place, but prior to concrete. Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds. Sign Final: After all required inspections are conducted and approved and the sign installation is completed. By signatnre, 1 state and agree, that 1 have carefnlly 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 structu~e_with!,ut permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employee~:Jvho \frelin.compliance with ORS 701.005 will be used on this project. 1 further agree to ensure that all required inspectio';'~~h ~eijti~sted at the proper time, that each address is readable from the street, that the permit card is located at the front of jh~'property, and the approved set of plans will remain on the site at all times during construction. o!!a::1i-r! ::!:::J--- Date Paee 2 of 2 ',: "I d: 225 FIFTH STREET. SPRJNGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (541)726-3689 0; City Job NumberC/O -00t.{ Z. 9_ ,,~, ~: I t1, ~~ li~\ ~~ ~ ; Description of Proposed Slgn(S): (Please check and complete all appropriate information) ~~ X f?\" - Wall Freestanding Projecting Roof ~ Single F.ce X Double F.ce Billboard Other <.' Square Footage: L I fJ S'L Total Hei~t a";:ve Grade: It I $' ~ " .,.) Vertical Dimension of Sign or Enclosure: 1 "i 2,./3" Horizontal Width o~ or Enc~ure: Dimension from Grade to Boltom of Sign Enclosure Electricallnstallation' Yes QL.No , (If yes additional electrical pel1llit required) Value of Sign: It~-J: I , ~". ~ ~" f4 ~... i '; '~ ~ '. ,., ", ; ,,~ Tt./Ii 'j' '\II~ 04/02/2010 15:50 FAX 541 736 1021 l.tJ 002 CITY OF SPRINGFIELD PW ': . . CITY OF SPR:lNGFIELD, OREGON: Piau Review Fee of $42'per sigu is due with application. '57()() Owner: ~ l'fAte~ Address: ....f .ill. ~ t!i.11 City ~.)J.E' Business Name, Firm, etc_ftACL~ ~,) ~Kl" tZ 0 P oue: ~ '~'21 ~1f1/ : PlfllA P FAAA~~ State ~fL- Zip 11f(o Marquee Material Sign is Constructed of: ---/fL1!.M,iAlII;^ List ALL existiDg signag. and attach. photograph of each sign: (.) Type (c) Type Sq. Ftg. Sq. Ftg. (b) Type (d) Type CoutrOCtor/lnstaller:~A1I~- IlU-flt"! !4.vCUJI.J ij,{)f/~LJrU.t5 Address: t tit ~3 (pbhJ ()lli'. . Sq. FIg. Sq. Ftg. Phone~~f- IJ-,g; City: Construction Contractors Registration Number: St.te: d?!l- Zip 1.7'10/ E;Pires:~ft/ OFFICE USE SignDistriCt:J2-f"~.j NON- eES ?~ ZoniDg: f L'hL By signature, I state aod agree, that 1 have carefully examined the completed application and do hereby certify that all informatioD herein is true and correct, and I fulther celtify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, aod the L.ws of the State of Oregon pertaining to the work described herein. I ftmher certify that Dnly contr.ctors 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 rtquested at the proper time, that project address is readable from the street, that the permIt card IS located at the frODt of the property, and the approved set Dfplans will remain on the SIte at.ll times during ~1~ ~the~S). '~~ \ ' / ~I Slgnature~ ~ Date if't5.,!1() ~hll=i nriVllIT'VRlIi1r1inP Fl'W'm~~ipn Pflrm;1 AtlnliMI;0f11..o? 1'If1t: 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~- City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: ~.. 3201000000000000127 12:07:48PM Date: 04/06/2010 Job/Journal Number COM20 I 0-00429 Payments: Type of Payment CredilCard cReceint\ Description Sign Plan Review Paid By PHILLIP FARRINGTON Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 42,00 $42.00 Amount Paid djb $4200 $42.00 015634 In Person Payment Total: "-:-:1~"''''"' '":";,~,. ;~.'i\rq ,f';,/ .j'f .......,.i.;,..;.. . ..,',. ,;,~.{. '1,;...." , , '1\j J ~\" t'l ...":.c",, . .1." Page I of I 4/6/20 I 0 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone fIt.I...J;....~"""e...,...... ..'..'...... \ .' ........ ' ,- .... ...,..... " .. ,,-tt ~..- ...', . -.... -.' " . City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000307 Date: 04/07/2010 ]] :44:02AM Job/Journal Number COM20 1 0-00429 COM20 1 0-00429 COM20 1 0-00429 Description ,/':,,? Sign 0-35 Square Feet .,.,,, + 5% Technology Fee i,!' f' ***+ 10% Administrative Fee***'" .' ~ Paid By Received By ANSLOW AND DEGENEAUL T djb Item Total: Check Number Authorization Batch Number Number How'Received Amount Due 80,00 4,00 8,00 $92.00 Payments: Type of Payment CreditCard Amount Paid 09174d In Person Payment Total: $92,00 $92.00 , ,. ;::, cReceintl Page I of I 4/7/2010