The URL can be used to link to this page

Home My WebLink AboutPermit Signage 2010-4-21 L.. ~ '.""""", ..~ ..~ Q ~ ..~ ~ ~ ~ ~. ..~ ~ ~ I rr~ y II ..~~ e ~ r'\ t4 ;Sj ~) "~ ~ .~ ..,e) ! ~ ~~ ~ ! ~ ~ M C-IO-4S1\ CITY OF SPRINGFIELD, OREGON City Job Number CO","" z.o 10 - 004 '1 , I 3 t /;lA:A- ( ,v s:t. Assessors Map ( 7 () '1 "3 ~ Z I..( Job Location 04 )"00 Tax Lot :-'Q;.~~; '~': ,.:.~.~~~iT;... ~.:, :l~ .;'~: i ...~. ~;" ;,,;._~~':' _.~.:.~,t:~ '~.i~~:;: ,-,-:~!":':-- . Owner of Property J/U /r:-N 0 L- .., " Address 2Z() Sc- ? c:M-"H",- d. ~i" i ":::,1 ....Ar Phone <;.T o~ 9720'2. City State Zip '.:c4'!.i;'~ft~lIn;,r~t!1f[f};fjlt1:~H~~~;;~~';;~;'~~.j. Contractor Address Phonp City State Zip Construction Contractors License # Expire. Description t:r::': CCJ1\ zoro - 005/ b ,{~ 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 ,.'. ' ;':"":-'::;~~.'- --I;:: ~'.~;':' '.~'::fo;o1[~~}~J~?T:'~:-~--"_o-~'--f?;:(7~"'~;;.:, Date of APPliC::~~-q/~~'C>-"'~-"~';Ob'~"C;O'-=-O~ 4'rr"- Receipt # '-'~~'8-('" Issued By 'h~ Amount Collected ,- II~ 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 1 "'\"7 ~, '\ 'jt' ''','', " 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 L c>f (J J'-,-~ 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