Loading...
HomeMy WebLinkAboutPermit Signage 2010-5-21 ':, 14." " 1 ;1' 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 ,.r:, .,:' ill~:-" :'~:.:c, 1',J., <:' '.i ;':' ';' ~ "1 ' SITE ADDRESS: 4205 MAIN ST ASSESSOR'S PARCEL NO.: 1702323201900 jtl;'~ <i; '. .,._...t '1,' ,,,. 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 . . ,~ 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: / Notes: Tvpe of Construction I V alri~i~OIi;DesCriPtion I ',."" .. $ Pe;:Sq,ict j);f;,. Square Footage or mnltiplier or Bid Amount ~~;' -';;, - -..... './- , Description Value Date Calculated /' Pace 1 of2 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line ,.," ~ j , ~ ~ ' '. \ 0' ~. , 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 '>I"t ~ '\ 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, ~ '. 't.; 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~ k~~~; ':j..'.~,)t~<_. ,; ;~"'. 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. .... '.1 i' ',T ,., '~~ ~ ; .,111 ,;."t,.,. 5/ at I Date dOlO ,c. Owner or Contractors Signature ":,', ~ ""d' ':. 'page 2 of 2 :'>~/t{ . ,~'~.'t. \', ~d;;~, .' il,. . ~:.:J -: '. ~ :'\: ~ . ,. .\ . ~~ 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 ~:.;f ~ 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 djb In Person $120.00 djb In Person ($5.00) Payment Total: $115,00 . ..... . ..U,Jj" ~:,..' . .j, ." ;~' ;'.:- .~: ',~ ,'. ."~~~ /' ,;. Page I of I 5/21/20 I 0