HomeMy WebLinkAboutPermit Building 2010-4-15
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2454 10TH ST
ASSESSOR'S PARCEL NO.: 1703261200100
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00468
ISSUED: 04/15/2010
APPLIED: 04/15/2010
EXPIRES: 10/15/2010
VALUE:
Springfield TYPE OF WORK: Sign
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner- Expires 5/16/10.
Owner:
Address:
Owner:
Address:
Owner:
Address:
Owner:
Address:
WILKINSON WILLIAM H TE
34725 DEVONSHIRE DR
EUGENE OR 97405
WILKINSON BONNIE JEAN TE
34725 DEVONSHIRE DR
EUGENE OR 97405
WILLIAM H & BONNIE J WILKINS
34725 DEVONSHIRE DR
EUGENE OR 97405
REVOCABLE LIVING TRUST
34725 DEVONSHIRE OR
EUGENE OR 97405
~~#.tItE5 ~ t (JJ,g
ATTENTION: Oregon law requires you to ( ·
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001.
0090. You may obtain copies ofthe rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
I CONTRACTORINFORMA TlON ~
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING INFORMATION.
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
. Water Type:
~ange Type:
!Cnergy Path:
Sprinkled 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 ~
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:
Paee I of 3
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Street Improvements:
Storm Sewer Available:
Spedallnstruction:
Notes:
Description
Tv>>e of Construction
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fcc
Banner Spedal Permit
Deposit
Total Amount Paid
\ "J,.
'".;t.. 'r
".,-,\
I PUBLIC IMPROVEMENTS ~
I Valuation Description I
, ~..... " ., .'
$ Per Slj Ft Square Footage
~'. hI
or mult,ip}!,er or Bid Amount
Total Value of Project
~
Amount Paid
Date Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00468
ISSUED: 04/15/2010
APPLIED: 04/15/2010
EXPIRES: 10/15/2010
VALUE:
Sidewalk Type:
Downspouts/Drains:
Value
Date Calculated
$20.00
$5.00
$100.00
$100.00
'4/15/10
4115110
4/15/10
4/15/10
Receipt Number
2201000000000000359
2201000000000000359
2201000000000000359
2201000000000000359
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, ir)~'p,ectionsrequested after 7:00 a.m. will be made the following
work day. Ii:,;'
,.\.
$225.00
I Plan Reviews I
~eoHiredJ.nsnections ,
Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested,
the applicant may fortiet the deposit.
Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
","
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00468
ISSUED: 04/1512010
APPLIED: 04/1512010
EXPIRES: 10/1512010
VALUE:
By signature, 1 state and agree, that I have carefully examined the completed application and do herehy 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 herein, and
that NO OCCUPANCY will be made of any strncture withont permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used 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 the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
......,
""
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:_"i
,; ).
Paee 3 00
Date
CITY OF SPRINGFIELD, OREGON
SPRINGFIELD
~~
ZZ5 fIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689
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City Job NumberV M 7 A'7W - 4/:}Z,
2-15f ,-. U3TH
t71:::332-t:-. L7
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Tax Lot
Owner
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151'1
Owner of Property
Address "2 l/5
City ,Sf ,p~4J
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Contractorllnstal/er
Phon~
Zip
State
Contractor
Address
Phofl~
City
State
Zip
Construction Contractors License #
Expireo
Description ''13A-1tJ /iJ ~
Date of Installation ~- .1--5 - .l--i;r
- E _ J.6 - 1 /:l- ;Y --!;:..-
Date of Removal O' yv rr
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 time line
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 ofthe 30th day 0 request an inspection to verify the removal of the banner(s) and/or portable
sign(s). This inspectio ill begin the process to return the $100.00 deposit if the banner(s) and/or
portable sign( has b remov~
Signatur ~ Date t/1r-;ltJ
f I
For Office Use
Job #!"AJA/1 urw~ -{t,8 Receipt #
Amount Collected f2-7-5 cO ~
Date of Application CJ~S /;~
t I
Issued By ~~;---=--
Shared Drive (f:}lBuilding FormslBanner_Portable Sign Permit CSD 7-08.doc
225 Fifth Street
Springfield, Oregon 97477
54]-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECE]PT #:
220]000000000000359
Date: 04/]5/20]0
9:39:05AM
Paid By
JOHN ERICKSON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
100.00
100.00
5.00
20.00
$225.00
Job/Journal Number
COM20 I 0-00468
COM20 I 0-00468
COM20 I 0-00468
COM20 I 0-00468
Description
Deposit
Banner Special Permit
+ 5% Technology Fee ' ..
***+ 10% Administrative Fee***
. Payments:
Type of Payment
Cash
Amount Paid
KLK
KLK
KLK In Person
Payment Total:
$225.00
$225.00
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Page 1 of. 1
4115/2010