HomeMy WebLinkAboutPermit Signage 2010-5-21
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00495
ISSUED: OS/21/2010
APPLIED: 04/21/2010
EXPIRES: 06/23/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeetion Line
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SITE ADDRESS: 4205 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323201900
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,,,. S'p~ingfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner - install 042210 removal date 062310
Commercial
Owner:
Address:
PFEIFER VIRGINIA E TE
1810 15TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
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Contractor Type
Sign
Contractor
OWNER
. ,
License
Expiration Date Phone
BUILDING INFORMATION i
# of Units:
Primary Oecupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
..,\Yater,(fvpe:'" '" ' ,
;'R'a'iige''f.)'pe''
;:'Ene'rgy,Path:
'Sp'rinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUB[;(CIMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspoutsmrains:
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Notes:
Tvpe of Construction
I V alri~i~OIi;DesCriPtion I
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$ Pe;:Sq,ict j);f;,. Square Footage
or mnltiplier or Bid Amount
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Description
Value
Date Calculated
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Pace 1 of2
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00495
ISSUED: OS/21/2010
APPLIED: 04/21/2010
EXPIRES: 06/23/2010
VALUE:
Status
Issued
'0: ..,.
Total Value of Project
Fees Paid .
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Techuology Fee
Banner Special Permit
Deposit
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Amount Paiij\~t,i. ;&~'~'1).~.;:.' '. 'Date Paid
"-';j"
Receipt Number
$20.oo~,';;,
$5.00\;' '
$100.00
$100.00
$10.00
$5.00
$100.00
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4/21/10
4/21/10
4/21/10
4/21/10
5/21/10
5/21/10
5/21/10
1201000000000000376
1201000000000000376
1201000000000000376
1201000000000000376
2201000000000000559
2201000000000000559
2201000000000000559
Total Amount Paid
$340.00
I Plan Revie'Ys, ~
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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.
LRemiired InsDect~
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Banner Removal: To be requested the day Jollo)ving the expiration of the permit. If inspection is not reqnested,
the applicant may forfiet the deposit. ':',' .
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 1 further certify that auy 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 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 reqnired 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 oil the site at all
times during construction. ....
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Date
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Owner or Contractors Signature
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City of Springfield Official Receipt
Dev~lopment Services Department
Public Works Department
225 Fifth Street
Springfierd,"oregon 97477
541-726-3759 Phone
RECEIPT #:
2201000000000000559
3:08:59PM
Date: OS/21/2010
Job/Journal Number
COM20 1 0-00495
COM20 I 0-00495
COM20 I 0-00495
Payments:
Type of Payment
Cash
Change
Description
+ 5% Technology Fee
***+ 10% Administrative Fee***
Banner Special Permit
Amount Due
5.00
10.00
100.00
$115.00
Paid By
MARCELINO
RANGEL-SERENO
MARCELINO
RANGEL-SERENO
Item Total:
,Check Number Authorization
Batch Number Number How Received
In Person
$120.00
Received By
Amount Paid
djb
djb
In Person
($5.00)
Payment Total:
$115.00
Job/Journal Number
COM20 I 0-00495
COM20 I 0-00495
COM20 I 0-00495
Description
+ 5% Technology Fee ,,::.',Y "j' ,.''- "
***+ 10% Administrative Fee***j '\W~J ',."
Banner Special Penn it ,t\~':.'i
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Item Total:
Amount Due
5.00
10.00
100.00
$115,00
Payments:
Type of Payment
Cash
Change
cReceintl
Paid By
MARCELINO
RANGEL-SERENO
MARCELINO
RANGEL-SERENO
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
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In Person
$120.00
djb
In Person
($5.00)
Payment Total:
$115,00
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