HomeMy WebLinkAboutPermit Signage 2010-6-1
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFI~LD
Building/Combination Permit
PERMIT NO:. COM201 0-00668
ISSUED: 06/0112010
APPLIED: OS/25/2010
EXPIRES: 06/01/2010
VALUE:
SITE ADDRESS: 2147 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364203500
Springfield TYPE OF WORK: Banner
TYPE OF USE: Addition Commercial
PROJECT DESCRIPTION: Banner Permit - Removed..per,Code Enforcement. Permit is Finaled at Issuance
I CONTRACTOR INFORMATION I
License
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Owner:
Address:
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MY 40lK LLC
1417 WIMBLEDON PL
SPRINGFIELD OR 97477
Contractor Type
Contractor
BUILDING INFORMATION ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
, :; ,,'~' of St~ries; ,,'
'I H,eight of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building;
Expiration Date Phone
Lot Size:
Sq Ft 1 st Floor:
, Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
nla Occupant Load:
I DEVELOPMENT INFORMATION ~
Frontyard Setback:
Side 1 Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
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,;Q~\irlaY'R,ist:
. iI Streei Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
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Notes:
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I Valuation Description ~
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Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Tvpe of Construction
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REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DowrispoutslDrains:
Value
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone -
541-726-3676 Fax
541-726-3769 Inspection Line
. ;," ';' 1;otal Value of Project
I Fees Paid ~
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Amount Paid
$10.00
$5.00 ,
$100.00,-M:~1~, f'",4';:,':'?b'," ~
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Total Amount Paid
$115.Q9.il(;! i
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I Plan Reviews ~
Date Paid
6/1/10
6/1/10
,6/1/10
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00668
ISSUED: 06/0112010
APPLIED: OS/25/20]0
EXPIRES: 06/01120]0
VALUE:
Receipt Number
2201000000000000602
2201000000000000602
2201000000000000602
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.
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LReouired Insuections ~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information 'hereon is true and correct, and I further certify that any and ~1I 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 fnrther certify that only contractors and employeeS'W'ho .i'c'e"lli cOl;'pli~nce with ORS 701.005 will be used on this project.
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I further agree to ensure that all required inspections:are'requested at the proper time, that each address is readable from the
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street, that the permit card is located at the front oHh'e'property, and the approved set of plans will remaiu 011 the site at all
times during construction.
Owner or Contractors Signature
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Date
ZZ5 FIrnI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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"~ Job Location
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r-~ Assessors Map
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CITY OF SPRINGFIELD, OREGON :-
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Addres~J a..r\'l \~il::>\1Q\6.()1'\ \JldlSL..,
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State O~
Address
Phon"
City
State Zip
Construction Contractors License #
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Description
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Date of Installation
Date of Removal
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 tirneline
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 of the 30th day to request an inspection to verify the removal of the banner(s) and/or portable
sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
portable sign(s) has been removed.
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Date ~;~;:~li~:::n ip /t )t;::,;~;r;~ ht Y Receipt # ~20 i ~ ~o 2-
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Shared IJtivc (T:)lBuilding FonnsIBanncr]ortable Sign Permit CSD 7"()8.doc
225fifth"'Street
Springfield, Oregon 97477
541-726-3759 Phone
City iJf Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000602
Date: 06/0112010
1:09:15PM
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Item Total:
Amount Due
100.00
5.00
10.00
$115.00
Job/Journal Number
COM20 I 0-00668
COM20 I 0-00668
COM20 I 0-00668
Description
Banner Special Pennit
+ 5% Technology Fee.......
***+ 10% Administrative Fee**!~.tip:,
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Payments:
Type of Payment
Cash.
Paid By
ROGER TILLER
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
cjc
In Person
Payment Total:
$115.00
$115.00
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Page I of I
6/1/2010