HomeMy WebLinkAboutPermit Signage 2010-4-19
~ (
.~.
0:
....~.
00-
...~4
;;;?-.
.,:,~~
I'f"'.. \
~~
r:.ol
~,~..
0.
." ,._:J~
-~
1:...1;
~1~.
~~
~1
~J
f.,.__'J.
.... ~...-~t
~\
~~
~~;
...-. ~
..-- ~
~1
---(
E')l
.'"
y\
"
t-~
....~,
~'-'i
~,
1.,=,:
~.
~\ l~
=-4,
~1
~i
......41>'
-...,-_14
~
(]:);
" '-I~
..,/!:;;J)
'ro'
. )
~:
e:
-~
,.;!\.- .
~(
----
l' I;
(j;),
~,
~f
~'
~~
l",;}J,~
~l
SPRINGFIELD
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
FIREWORKS SALES LOT/CHRISlMAS TREE LOT Banner/Portable Sign Permit
City Job Number C".......... e.OIO -00 t.(77
1~'1r
Job Location _l5bOO"'71DlAQQ.V 'j)o..(~~1
Assessors Map /7 0 "]. Z. b Z 3.
~(I~f~.\d
C> \2.
Of lLJ 7 7
02362..
Tax Lot
Owner /..
OwnerofProperty \L\W\~ 'fo&;~<, \-\-/')\6~1\P,'" IT,^~I~L "'....e...e-1. f'/A-;!A
Address 14M ?fc,^QV ~kv..:>>-v4n'3 Nt!IVII,ck?tc- ~~hon"
City S...\ ~~~M ew II {it:' P,A t~ State 012-
I IIY".1I0l(l
Contractor/Installer
eu~ti:; Uov,,,,-' S~,?-(T"--~rih
AddressVC~ 'b'b(P t/o M\\.YrQ.lM..0
City . C)"....rk.........., - State e5\L
u.:J-
zip~ll
Ph0l1,,5lJ~'(o'53.(j IS'> b?) s'll..q~ (,,'I:m.'\((~ E.)
Zip
970tS
Construction Contractors License #
Expire<
Description
;.. \.tJI"'>;;"."",,\.,,' ',,,, (i
1M \,,\"'~ ~J ~:\
~u\~ Vi '0v..
Date ofInstallation
~0\A.L ?_ :-;J..
Date of Removal
Permit Fee: $115.00
Permit is valid for 30 days from date of Installation
By signature, I state and agree that I have carefuIly 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.
Siym("~~ ~
Date
7"tI-fc)
. ~-
. . l./ /1/0
Date of ApplIcatIOn I
I I
For Office Use
Job# 00-00477
Receipt # i 2.0/- D:;; S- g
"S-
Issued By
~iS
Amount CoIlected
Shared Drive (T:)lBuilding Forms/Fireworks/Christmas Tree Banner-Ponable Sign Permit 1~2010.doc
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00477
ISSUED: 04/1912010
APPLIED: 04/19/2010
EXPIRES: 07/06/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1891 PIONEER P ARKW A Y EAST Springfield TYPE OF WORK: Banner
ASSESSOR'S PARCEL NO.: 1703262302302
TYPE OF USE: New
PROJECT DESCRIPTION: Banner/portable signs - Firework sales. install 062310 removal date 070610
Commercial
:: .:.:?~'
Owner: KRC PIONEER PLAZA LLC
Address: 3333 NEW HYDE PARK RD
NEW HYDE PARK NY 11042
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMA TION.
# 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:
Rauge Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupa,it Load:
n/a
I DEVELOPMENT INFORMATION I
,i"';)
'"
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
.' OYerlay' Di't:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Dowuspouts/Drains:
Notes:
I Valuation Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
. ii, ,Pa2elof2
,'J'::'!' :.,',
F'".:, .:;'
'f
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00477
ISSUED: 04/19/2010
APPLIED: 04/1912010
EXPIRES: 07/06/2010
VALUE:
"
Status
Issued
.225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
LFees Paid I
Fee Description
***+ 10% Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Amount Paid
Date Paid
Receipt Number
$10.00
$5.00
$100.00
4/19/10
4/19/10
4/19/10
1201000000000000358
1201000000000000358
1201000000000000358
Total Amount Paid
$115.00
Phin 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 Reonired Insoections I
Banner Removal: To be requested the day follo\ving the ~xp'iration of the permit. If inspection is not requested,
the applicant may forfiet the deposit. '.
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 accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described hereill, and
that NO OCCUPANCY will be made IIfany structure without permission of the Community Services Division, Bllilding Safety.
1 further certily that only contractors and employees who are ill compliance with ORS 701.005 will be nsed 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 th.e prOpe.rty, and the approved set of plans will remain on the site at all
times during construction. ";'-;i'.:';~"
;;~"'" :'1 ' '" ~',
Owner or Contractors Signature
Date
Pa2e 2 of 2
225 Fifth Street
. . .
Springfield, Oregon 97477
541-726-3759 Phone
~...,."~L~,Q., F'~.ELD. ......';iJ... .:............
Kit','
. b .
=.,..~.}
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000358
Date: 04/19/2010
2:44:27PM
',\.
. ,~ '~""
:.;.
,,- >".
Item Total:
Amount Due
100.00
5.00
10.00
$115.00
Job/Journal Number
COM2010-00477
COM2010-00477
COM20 J 0-00477
Description
Banner Special Permit
+ 5% Technology Fee
***+ 10% Administrative Fee"'**.
Payments:
Type of Payment
Check
Paid By
AMERICAN PROMOTIONAL
EVENTS
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
DJB
30002154
In Person
$115.00
Payment Total:
$115.00
t "
"",. '\
, . : ~ : 1 . " ~
,....:.
,-','
....:'..
cReceintl
Page I of I
4/19/20 I 0