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HomeMy WebLinkAboutPermit Signage 2010-6-9 .' .1 --- ?eP: eeo z-O/O . csoS6..i CITY OF SPRINGFIELD, OREGON 225 FWfH STREET. SPRINGFIELD, OR 97477 . PH:(341)7Z6-3753 . FAX: (541)726-3689 o o -- 00 -- ;> -- Q U') (t) u -E <l) ifJ b -- o ~ o U I ......... -~ <l) ~ o bI) -- r./) <l) - ,.0 ~ t:: o ~ ~ CJ S ro ~ CilyJobNumber COW'! z:c,/D -007 ~ 7 Job Location jqg Q S*- 02100 Assessors Map-' 70 :3 Z b s ( sL+ OWller Owner of Property Q Address 20 b '7 City /..wt-t-l.. C c-'i\/hL ~b---J COlltmctor/hutaller . Contractor Dl...; N ~ Address pr~?, '-__ ~ e:-s. , c...1i- \ Phonp. 97lfJ'i State De- Tax Lot 'Zip CIO'737 $P'RINGP.ELD L ~d\~' L~~ J LLL Phone:- ',----? State ~ZiP City Construction. Contractors License # Description 7>A-NNhL. Date of Installation f,-z-/c::> Date of Removal 7-2. -( 0 Expire< Permit lice: $225.00 including $11111.110 Deposit anll applicable fees. By signature, I state and agree that I have carefully complete'd this application and hereby certify t all information herein is true and corrccl. I further agree and understand that the above described banncr(s) and/or pOltable sign(s) is not larger than 60 square feet, and will be removed within 30 day from the date listed above. Ifthe banner(s) and/or portable sign is not removed within the timelinc specified, 1 will forfeit the $100.00 deposit. 1 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 726-37( by the end of the 30th day to request an inspection to verify the removal of the banner(s) and/o~ porta 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. Signaturp rya~ 'OVt. ~1tdr 6 Date of Application <" b- 1-(0 'b'1' Job # C/o -00 7 ~ 7 Receipt # /2-01- b 3 ( 22S'- Issued By For Office Use Amount Collected Oat" (o-q- ID Shared Drive (T:YBuilding Fomu/Balmer]ortablc Sign Pennil CSD 7-08.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 199 Q ST ASSESSOR'S PARCEL NO.: 1703263102100 . .' ,~' j-;':\":': i U. " ',", I .".' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00737 ISSUED: 06/09/2010 APPLIED: 06/09/2010 EXPIRES: 07/02/2010 VALUE: Springfield TYPE OF WORK: Banner Commercial TYPE OF USE: New PROJECT DESCRIPTION: Banner - install 060210 removal date 070210. REF: COD2010-00565 Owner: Address: , Q STREET PROPERTIES LLC 2069 CEDAR CRT NORTH BEND OR 97459 Contractor Type Sign Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I CONTRACTOR INFORMATION I BUILDING INFORMATION ~ " ," 'r""" "'-'" fof Stories: Height of Structure Type of Heat: Water Type: ,Range Type: Energy Path: Spriukled Building: License Expiration Date Phone n/a Lot Size: Sq Ft f st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Front yard Set hack: Side I Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: Street Improvements: Storm Sewer Availahle: Special Instruction : Notes: Description Tvpe of Construction ' Overlay Dist: . # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: I PUBLIC IMPROVEMENTS I ,:," I Valuation Description ~ $ Per Sq Ft or multiplier REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Sqnare Footage or Bid Amount Date Calculated ~a2e I of 2 Value Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Total Amount Paid ,I' ,,-~~;'~;f: : -#. ~~::~'.:. ," ',.; ;'1. ,_' , """.Total Value of Project ",.:. LFees Paid . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00737 ISSUED: 06/0912010 APPLIED: 06/09/2010 EXPIRES: 07/02/2010 VALUE: Amount Paid Date Paid Receipt Number $20.00 6/9/10 1201000000000000631 $5.00 6/9/10 1201000000000000631 $100.00 6/9/10 1201000000000000631 $100.00 6/9/10 1201000000000000631 $225.00 I. Plan Reviews I To Request an inspection calrthe 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. . :\'f ','}.L:',;;'>:" : Re.?:~~ed In~nections ~ By signature, I state and agree, that 1 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 all work performed shall be done in accordance with the Ordinances of the City of Springtield 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 reque,sted '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 times during construction. ! '.:;:," ., rv~ c~46 Owner or Contractors Signature . ,.~ ", \ .~;;-'~ .,;,'1~ " ,-' ',. Paee 2 of 2 (p /!lJ I 0 Date City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone RECEIPT #: 1201000000000000631 Date: 06/09/2010 9:26:33AM Job/Journal Number COM20 I 0-00737 COM2010-00737 COM20 I 0-00737 COM2010-00737 Payments: Type of Payment CreditCard ; cRcccintl Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Amount Due 100.00 100.00 5.00 20.00 $225.00 Paid By VAL KO Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb 03544g In Person Payment Total: $225.00 $225.00 d..... ("10, ',1 Page lOr I . 6/9/20 I 0