HomeMy WebLinkAboutPermit Signage 2010-6-16
225 FlITH STREET . SPRINGFIELD, OR 97477 . PH:(54])7Z6-3753 . FAX: (54])726-3689
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COfltractor/Illslaller
Contractor
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Address
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Phone.
City
State
Zip
Construction Contractors License #
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Description
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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 time line
specified, I 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 726-3769
by the end of the 30th day to request an inspe 'on to verifY the removal of the banner(s) and/or portable
sign(s). This inspecti . begin the pr ess 0 return the $100.00 deposit ifthe banner(s) and/or
portable sigri(s) a,(b eire 0
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Date of Application
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Job #
Issued By
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Amount Collected
Shared Drive (T:)lBuilding Forms/Banner_Portable Sign Permit CSD 7~08.doc'
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00830
ISSUED: 06/25/2010
APPLIED: 06/25/2010
EXPIRES: 07/05/2010
VALUE:
Status
Issued
SITE ADDRESS: 3260 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703222002300
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner - install 062110 removal date 070510
Commercial
Owner:
Address:
DEFOE RONALD MAJOR
90751 PRAIRIE RD
EUGENE OR 97402
I CONTRACTOR INFORMATION ~
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION ~
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
H,ight,of',Structure
Type Of Heat:
,.Water Type:
"'R,i'uge Type:
Energy Path:
Sprinkled Buildiug:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
Front yard Sethack:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
i:t~:i' ";,Sl ~ J' ! I '
I valuli~;~~"6~~criPtion I
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Description
Type of Coustruction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I of2
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Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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,..' o1'otal Value of Project
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I 'Fees Paid ~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00830
ISSUED: 06/25/2010
APPLIED: 06/2512010
EXPIRES: 07/0512010
VALUE:
Fee Description Amonnt Paid Date Paid Receipt Numher
***+ 100/0 Administrative Fee*** $20.00 6/25/10 2201000000000000749
+ 5% Technology Fee $5.00 6/25/10 2201000000000000749
Banner Special Permit $100.00 6/25/10 2201000000000000749
Deposit $100.00 .. 6/25/10 2201000000000000749
Total Amount Paid $225.00 I,"
l Plan 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
workday..'
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Re,tl,uiJ'ed I,nsDections ~
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Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested,
the applicant may forfiet the deposit.
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 all work performed shall be done in accordaoce 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 required inspections are reqheste.d at the proper time, that each address is readable from the
street, that the permit card is located at the front oLlhe propJriy, 'and the approved set of plans will remain on the site at all
times during conshiuction.
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Date
225 Fifth Street
.
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000749
Date: 06/25/2010
1 :58:05PM
Job/Journal Number
COM20 I 0-00830
COM20 I 0-00830
COM20 I 0-00830
COM20 I 0-00830
Payments:
Type of Payment
Check
cReceintl
Description
Banner Special Penn it
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
OREGON HORSE CENTER
Check Number
Batch Number
..~ecei~ed By
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Item Total:
Authorization
. Number How Received
5438
In Person
Payment Total:
Amount Due
100.00
100.00
5.00
20.00
$225.00
Amount Paid
$225.00
$225.00
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6/25/20 I 0