HomeMy WebLinkAboutPermit Signage 2010-7-30
225 Firm STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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CI:rY OF SPRINGFIELD, OREGON :
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City Job Number tXJl1 ?-&).<t? -- '868
Job Location 3.(;5@ f1 AT-;J 5l ~-e(
Assessors Map~O~ ~\ ~'2. o'2JC::O \
t?172--31- ~2-5'@J.
Contractor
PhonE'
City
State
Zip
Construction Contr ctors License #
Expire.
Description
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'f5f>
Date of Installation
Date of Removal C"-CO / '!
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 informati on 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 timeline
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 ofthe 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 Yfen ;moved. /J 0
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Date of Applicatio
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Sh=d ~)lBuilWng ForrnslBann~ ]an.hl.Lgn 'onnit CSD ,.o'.doc
CITY OF SPRINGFIELD
Building/Combination Permit
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PERMIT NO: COM2010-00860
ISSUED: 06/30/2010
APPLIED: 06/30/2010
EXPIRES: 07/30/2010
VALUE:
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. 1.1
SITE ADDRESS: 3650 MAIN ST
ASSESSOR'S PARCEL NO.: 1702314202501
Springfield TYPE OF WORK: Sign
PROJECT DESCRIPTION: Banner Permit Expii~S')/30hQiiJ:'"
TYPE OF USE: New
Commercial
: ~"I ,;' [ t.
Owner:
Address:
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GREEAR JAMES D
35625 NE WASHOUGAL RIVER RD
WASHOUGAL WA 98671
I CONTRACTOR INFORMATION I
Contractor Type
License
Contractor
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUILDING INFORMATION I
'."(-<Jf of Stories: ,~
Height ofStii1cture~-- ---".,---
Type of Heat:
Water Type:
Range Type: _-
ATTENTlE\N;:QrNM law requires you to
follow rul~i!rf.OOll . I8f Oregon l,J,WJtY
o . . . e ose rules are setfort
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calling the center. (Note: the telephone
number-fOffitre,pmgcn Utility Notification
C4JIlltlfeill t.eoo.-2344).
Paved Drive Rqd:
% of Lot Coverage:
Frontyard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Seibacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
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Sidewalk Type:
DownspoutslDrains:
Notes:
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I Valuation Description ~
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
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Value
Date Calculated
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.ic
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Fees Paid _
, Total Value of Project
, '
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
$20.00
$5.00
$100.00 "', '
$ 00 OO',:}! ",r,', ,,' ,
1 . ....'i,:{~5: ~.!.u.. ~t,.1.' ."
Total Amount Paid
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$225.00,''''',
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I Plan Reviews ~
Date Paid
6/30/10
6/30/10
6/30/10
, ,:..6/30/1 0
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00860
ISSUED: 06/30/2010
APPLIED: 06/30/2010
EXPIRES: 07/30/2010
VALUE:
Receipt Number
2201000000000000775
2201000000000000775
2201000000000000775 '
2201000000000000775
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested hefore 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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R~~'~i~ed: Ins~~c~
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 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 struct~r.~L~it~,~,~t,p.~r~,i~s.ion 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.
1 further agree to ensure that all required inspectio/ls are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front o((lie'property, and the approved set of plans will remain on the site at all
timeSdUringJ1:;~~o {)o-rJa~ (;/30 / h?
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Owner or Contractors Signature
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Date
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
2201000000000000775
II :26:36AM
Date: 06/30/2010
Job/Journal Number
COM2010-00860
COM20 I 0-00860
COM20 I 0-00860
COM20 I 0-00860
Description
Banner Special Penn it
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee*~~~(:.":l'\
Amount Due
100.00
100.00
5.00
20.00
$225.00
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Item Total:
Payments:
Type of Payment
Check
PefO n:~ ~
cReceintl
Paid By
TEQUILA JALlSCO CAFE
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
KLK
1029
KLK In Person
Payment Total:
$225.00
$225.00
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6/30/2010