HomeMy WebLinkAboutPermit Signage 2010-4-21
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CITY OF SPRINGFIELD, OREGON
City Job Number CO","" z.o 10 - 004 '1 ,
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Assessors Map ( 7 () '1 "3 ~ Z I..(
Job Location
04 )"00
Tax Lot
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Owner of Property J/U /r:-N 0 L- ..,
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Address
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Phone
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9720'2.
City
State
Zip
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Contractor
Address
Phonp
City
State
Zip
Construction Contractors License #
Expire.
Description
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Nit
Date of Installation
Date of Removal
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 $100.00 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 $100.00 deposit if the banner(s) and/or
portable sign(s) has been removed. . / /
Signatur~~ ~. ---.---.----.. Date L{ !!...( 110
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Date of APPliC::~~-q/~~'C>-"'~-"~';Ob'~"C;O'-=-O~ 4'rr"- Receipt # '-'~~'8-('"
Issued By
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Amount Collected
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Shared Drive (T:)lBuilding FormslBanner]ortablc Sign Permit CSD 7-Q8.doc
Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00491
ISSUED: 04/21/2010
APPLIED; 04/21/2010
EXPIRES: 04/21/2010
VALVE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 138 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353204500
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner-ref:C0D20Iq:0,~31~.
Owner: MANOA L TD
Address: 2215 SE DIVISION ST
PORTLAND OR 97202
I CONTRACTOR INFORMATION ,
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 Structurc
. Type of Heat:
Water Type:
Range Type:
Energy Path:
Spriukled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
"O~erlay"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:
Downsl)Outs/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footagc
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00491
ISSUED: 04/21/2010
APPLIED: 04/21/2010
EXPIRES: 04/21/2010
VALUE:
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees Paid ,
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Amount Paid
Date Paid
Receipt Number
$10.00
$5.00,..
$100.00: .,
4/21/10
4/21/10
4/21/10
2201000000000000381
2201000000000000381
2201000000000000381
'.
Total Amount Paid
$115.00"
I Plan Reviews ,
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.
Reouired ,lnsDections ,
By signature, 1 state and agree,.that 1 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 .with'ouf pentiission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees,>>,ho are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections aOre 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. "
Owner or Contractors Signature
~~I 7-(
Date
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Pace 2 of 2
225 Fifth Street
Sprlngfielil, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000381
Date: 04/21/2010
8:40:17AM
Job/Journal Number
COM20 1 0-00491
COM20 1 0-00491
COM20 10-00491
Description
+ 5% Technology Fee
***+ 10% Administrative Fee**'"
Banner Special Penn it
. .j\
Amount Due
5.00
10.00
100.00
$115.00
Payments:
Type of Payment
CreditCard
Paid By
GERALD STREBENDT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
00240b In Person
Payment Total:
$115.00
$115.00
I ~ ~.,
cReceintl
Pa.ge I of I
4/21/2010