HomeMy WebLinkAboutPermit Signage 2010-7-2
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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CITY Of SPRINGFIELD, OREGON _. .
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Description ~0""{()., h \-e
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Date of Installation "-'l. - ( () Date of Removal '7r -7.: I U
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 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 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 emoved.
Amount Collected
225"-
Shared Drive {T:)lBuilding FormsIBanner ]ortablc Sign Permit CSD 7~08.doc .
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_..:>"..',.'.h....... ._"",.,._,.... ~ ,............;-_. t CITY OF SPRINGFIELD
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t Building/Combination Permit
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Status Issued PERMIT NO: COM201O-00880
225 Fifth Street, Springfield, OR ISSUED: 07/02/2010
....,.-'- " APPLIED: 07/02/2010
541-726-3753 Phone . ~c;"",\} :.:'1:. " " EXPIRES: 08/02/2010
54]-726-3676 Fax ;':;:-::',! ". ;..1" VALUE:
541-726-3769 Inspection Line . -: r '"~f
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SITE ADDRESS: 28 W Q ST A Springfield TYPE OF WORK: Banner
ASSESSOR'S PARCEL NO.: 1703271003500
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Portable sign - install 0702]0 removal date 0802]0
Owner: MALCOLM BOSISTO REV TR
Address: ]484 CHECK ST
SPRINGFIELD OR 97477
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I CONTRACTOR INFORMATION ~
Contractor Type Contractor License Expiration Date Phone
Sign OWNER
I BUILDING INFORMATION ~
# of Units: #' of Stories: Lot Size:
Primary Occupancy Group: "'Height'of,Strnctnre . Sq Ft 1st Floor:
Secondary Occupancy Group: Type of Heat: ' Sq Ft 2nd Floor:
Primary Construction Type '''-Water Type: Sq Ft Basement:
Secondary Construction Type: "Range Type: Sq Ft GaragelCarport
# of Bedrooms: Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
I DEVELOPMENT INFORMA nON ~
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side] Setback: # Street Trees Rqd: Handicapped:
Side ~ Setback: Paved Drive.Rqd: Compact:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks: . ','.""'" ,,,',
I PUBLIC IMPROVEMENTS ~
Street Improvements: Sidewalk Type:
Storm Sewer Available: DownspoutslDrains:
Special Instruction:
Notes: 'j: ':~;J
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I V aill~f;on D~scrintion I
Description Type of Construction $ Per Sq Ft Square Footage Value Date Calculated
or multiplier or Bid Amount
Paee I 01'2
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Status
Issued
225 Fifth Street, Springfield; OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
-', Total Value of Project
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[2:Fees ~aid'_
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Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
$20.00
$5.00
$100.00
$100.00
7/2/10
7/2/10
7/2/10
7/2/10
Total Amouut Paid
$225.00
PI~n Rey\e~.s, I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00880
ISSUED: 07/02/2010
APPLIED: 07/02/2010
EXPIRES: 08/02/2010
VALUE:
Receipt Number
2201000000000000785
2201000000000000785
2201000000000000785
2201000000000000785
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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.
Remiired.lnsDect~
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Banner Removal: To be requested the day ,f:;r{;'i~'i't~"~ ~xpiration of the permit. If inspection is not requested,
the applicant may forfiet the deposit. ,. .
By signature, I state and agree, that I have ca."erully examined the completed application and do hereby certify thilt all
information hereon is true and correct, and 1 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, aud
that NO OCCUPANCY will be 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 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 on the site at all
ti~~cti.on,<', 1-~ _ I cJ
Date
225 FifthStreet
Springlield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000785
Date: 07/02/2010
8:55:20AM
R,e.ceived By .
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Check Number
Batch Number
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Item Total:
Authoriza'tion
Number How Received
Amount Due
100.00
100.00
5.00
20.00
$225.00
Job/Journal Number
COM20 1 0-00880
COM20 1 0-00880
COM201O-00880
COM20 1 0-00880
Description
Banner Special Pennit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Payments:
Type of Payment
Check
Paid By
ROBERT TIMMONS
Amount Paid
28472
In Person
Payment Total:
$225.00
$225.00
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7/2/2010