HomeMy WebLinkAboutPermit Signage 2010-3-11
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
~ FIREWORKS SALES LOT /CHRIS1MAS TREE WT Banner/Portable Sizn Permit
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Assessors Map_170Z '3 ') L{ L( Tax Lot
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Owner
Owner of Property 1Ac'~iJL C IfW;'\~ b.......\.r?c..A...us\-'f
Address 2'611 E.. 5\-.,-tLt S-.li\-~~ Phonp 7Dl-lj'i2-'62'b~
City F-,,/"{...6., State (' ""
Zip 9 S'i) ()\
Contractor/Installer
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Address~ '6ox <l ?:l...J> '-/D ..k.~~.'Y~
City C.lo..c\:.o............s State~
Phonp Sl)3-t<f.;3-%sO;;: (i'~) 5'1HJ5-'/Ii I (1:':')
Zip Q70\<O;
Construction Contractors License #
Expire<
Description.:!-po.ufhr....-r1 VIl\yl b"v 4..'f'wj' "~)T ~;~I~ i"
Date of Installation ~\)"'~ 2.3 20\0 Date of Removal
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_\ ~y (0, 2010
Permit Fee: $] 15.00
Permit is valid for 30 days from date of Installation
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.
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Datp 3 - II .\ 0
Date of Application 5 -'f-f 0
For Office Use
lob# C,D -00560
Receipt # 120( -DliOS-
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Issued By
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Amount Collected
Shared Drive (T:)IBuilding FonnsIFireworkslChrislmas Tree Banner-Portable Sil:,'11 Permit 1.20JO.doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00560
ISSUED: 05/0412010
APPLIED: 05/0412010
EXPIRES: 07/0612010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5755 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334400800
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Bannerlportable signs - Fireworks Sales install 062310 removal date 070610
Commercial
Owner:
Address:
MCKENZIE CROSSING PARTNERSHIP LTD
2811 E ST STE B
EUREKA CA 95501
,
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMA TlON ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:"
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occnpant Load:
nla
I DEVELOPMENT INFORMATlO~
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Di-ive Rqd:
% of Lot Coverage:
..".- ..,,,.
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I V _Iu_tion Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 01'2
-~. i ;';1\ !. . .. CITY OF SPRINGFIELD
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i' ...... .. Building/Combination Permit
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Status Issued PERMIT NO: COM2010-00560
225 Fifth Street, Springfield, OR ISSUED: 05/04/20 I 0
541-726-3753 Phone APPLIED: 05/04/20 I 0
541-726-3676 Fax EXPIRES: 07/06/2010
VALUE: ,
541-726-3769 Inspection Line
Total Val~e of Project
''I . Fees Paid'~
Fee Description Amount Paid Date Paid Receipt Number
***+ 100/0 Administrative Fee*** $10.00 5/4/10 1201000000000000405
+ 5% Technology Fee $5.00 5/4/10 1201000000000000405
Banner Special Permit $100.00 5/4/10 1201000000000000405
.'.
Total Amount Paid $115.00".;. L "!," .
I Phin 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.
LRetluired Insoections ~
Banner Removal: Tn be requested the day 'following the expiration of the permit. I f inspection is not req uested,
the applicant may forfiet the deposit.
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 coneel, and' further certify that any and all work performed shall be done in nccordancc 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 he made of any structure without permission of the Community 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.
I further agree to ensure that all required inspections:are r~quested 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
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Owner or Contractors Signature / Date
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Page 2 of2
_.'N."~_
225 Fifth Street
Sp,'ingfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000405
Date: 05/04/2010
11 :33:07 AM
Job/Journal Number
COM20 1 0-00560
COM20 I 0-00560
COM20 I 0-00560
Payments:
Type of Payment
Check
cReceintl
Description
Banner Special Permit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
AMERlCAN PROMOTIONAL
EVENTS
Amount Due
100.00
5.00
10.00
$115.00
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
$115.00
30002156
In Person
Payment Total:
$115.00
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5/4/20 I 0
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