HomeMy WebLinkAboutPermit Signage 2010-4-27
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00515
ISSUED: 04/27/2010
APPLIED: 04/27/2010
EXPIRES: 10/27/2010
VALUE: $ 500.00
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1600 H St
ASSESSOR'S PARCEL NO.: 1703362105700
Springlield TYPE OF WORK: Sign
TYPE OF USE: New
PROJECT DESCRIPTION: Sign - Wall sign for McKenzie Willamette Sleep Center
Commercial
Owner: WILLAMETTE COMMUNITY HEALTH SOLUTIO
Address: 2650 SUZANNE WAY STE 200
EUGENE OR 97408
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor License
E S & A SIGN CORP 163470
BUILDING INFORMATION ~
Expiration Date
03/16/2011
Phone'
541-485-5546
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Constrnction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Strnctnre Sq Ft 1st Floor:
Type of Heat: \0 Sq Ft 2nd Floor:
Water Type: laW requ\1es ~ll\'lsq Ft Basement:
Jl~l4>eegon '0'1 \1'16 Olegon 'o~q Ft Garage/Carport
PilT'Ey&{i~ Il.Eill{l\ed se rules ale s8\ ,OO~ Ft Other:
10\~~~RtiilWl!d~1l1IfblW:IOU.gh OAIW~Je8 tijecnpant Load:
.1 D~i~;J~1$i~:u:n
calling \~~~;e Olegon 33~-2344).
lIU~~ ~:is 1-800-
# Street rees Rqd:
Paved Drive Rqd:
0(0 of Lot Coverage:
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
if (ll" '. I' ~.':'
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Description
Type of Construction
I Valu~t;.ptiOi1 ,~. ".; . . "=',:" '-'i..",."!....
$ Per Sq ~HIS PERMJja~m\..~PIRE IF THE WORK
or mnltipl!l:~THORI~f.I~:tiiIS PERMI't'lS't,JOT
liuMMENCEO OR IS ABANDONED FOR
. ANY 180 DAY PERIOD. ..'. .'. .
Page I of2
Date Calculated
rt~.".."~~,.,~\....;"...c..",.,,~,..,. -'.'" '-. !\ CITY OF SPRINGFIELD
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"'", ." ".; i1 , Building/Combination Permit
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Status Issued PERMIT NO: COM2010-00515
225 Fifth Street, Springfield, OR ISSUED: 04/27/2010
541-726-3753 Phone APPLIED: 04/27/2010
541-726-3676 Fax EXPIRES: 10/27/2010
541-726-3769 [nspection Line VALUE: $ 500.00
":.', ,
Sign Use Bid Amount $1.00 500.00 $500.00 04/27/20[0
",l'
:rYotal Value of Project $500.00
,
I Fees Paid ~
Fee Description Amount Paid Date Paid Receipt Numher
***+ 100/0 Administrative Fee*** $8.00 4/27/10 1201000000000000384
+ 5% Technology Fee $4.00 4/27/10 1201000000000000384
Sign 0-35 Square Feet $80.00 .4/27/10 1201000000000000384
Sign Plan Review $42.00 4/27/10 1201000000000000384
, , ..
Total Amount Paid $134.00.
I Plan Reviews ~
Sign Review 04/27/2010 04/27/2010 APP DJB
To Request an inspection cail 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. .1"'"'-.-. "'1"
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J
I Reouired Insoections .
Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts or welds.
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
By signatnre, 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 fnrther 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 without permission of the Commnnity Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
[ 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 froittOf the property, and the approved set of plans will remain on the site at all
ti7~~ tj- ;n-,3..o I D
Owner or Contractors Signature Date
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Page 2 of2
._.~
225 Fifth Street
S'prin'gt'Ield, Oregon 97477
541-726-3759 Phone
8~~~;t-!
WtL, '
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000384
Date: 04/27/2010
1:47:5IPM
Job/Journal Number
COM20 I 0-00515
COM2010-00515
COM20 I 0-00515
COM20 I 0-00515
Description
Sign Plan Review
Sign 0-35 Square Feet
+ 5% Technology Fee
***+ 10% Administrative Fee***'c'~~' ~.'\, 1,
':';~' . "'... ..
Item Total:
Amount Due
42,00
80,00
4,00
8,00
$134,00
Payments:
Type of Payment
Cred itCard
Paid By
LINDA PADILLA
Check Number Authorization
Received By Batch Number Number How Received
DJB 027116 In Person
Payment Total:
Amount Paid
$134,00
$134.00
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