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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 ......, "" .'0-.'" :_"i ,; ). Paee 3 00 Date CITY OF SPRINGFIELD, OREGON SPRINGFIELD ~~ ZZ5 fIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689 ~, ,."",., e>> ."~1 o.~l Job Location .~ 00 """""' Assessors Map ~l ~J ~ ~) ."~i .~ -'" ~ ~ ~, l~ ...~~ ~, -' ~. ~: ~l ~. -. ~ U IJ l~ o'~l ~, ~. ~ ~'14 ~, ~~ ~:{j)J ...~~ ~ ,~(. r=' .JQ) 1__. . ~ ~ -. ~ ~ ~4 t I~ ~) iJi -. ~, roi . ~ ~l City Job NumberV M 7 A'7W - 4/:}Z, 2-15f ,-. U3TH t71:::332-t:-. L7 >tlL/S!3;( ere .J.-ee;- Tax Lot Owner q ?tz '7'7 /1(/>' G W cll(.../ h.5~,J 151'1 Owner of Property Address "2 l/5 City ,Sf ,p~4J /. 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 cRcccintl Page 1 of. 1 4115/2010