HomeMy WebLinkAboutPermit Signage 2010-8-5
,
~~~- -";. '. CITY OF SPRINGFIELD
I
I
( -. .,. Building/Combination Permit
~__'__'_.~'~.,.__. ...,_ .,~ '...-..:...,k;" - ~j
"~.-..!/
Status Finaled PERMIT NO: COM2010-00991
225 Fifth Street, Springfield, OR ISSUED: 08/05/2010
541-726-3753 Phone APPLIED: 07/27/2010
541-726-3676 Fax EXPIRES: 02105/20 II
541-726-3769 Inspection Line VALUE:
SITE ADDRESS: 2053 MAIN ST Springfield TYPE OF WORK: Banner
ASSESSOR'S PARCEL NO.: 1703364203900
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Banner -COD20l0-00616
Owner: V AJGERT WAYNE M
Address: 4355 SPRING BLVD
EUGENE OR 97405
Owner: ROSSI SANDRA L
Address: 4355 SPRING BLVD
EUGENE OR 97405
I CONTRACTOR INFORMATION ~
Contractor Type Contractor License Expiration Date Phone
I BUILDING INFORMATION ~
# or Units: # of Stories: Lot Size:
Primary Occnpancy Gronp: Height of Structure Sq Ft Ist 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 Garage/Carport
# of Bedrooms: Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
I DEVELOPMENT INFORMATION .
REQUIRED PARKING
Frontyard Set hack: Overlay Dist: Total:
Side 1 Setback: # Street Trees Rqd: Handicapped:
Side 2 Sethack: Paved Drive Rqd: Compact:
Rearyard Setback: 0/0 of Lot Coverage:
Solar Setbacks:
I PUBLIC IMPROVEMENTS i
Street Improvements: Sidewalk Type:
Storm Sewer A vailahle: DownspoutslDrains:
Special Instruction:
Notes:
Paee 1 012
-"
.,....IIr:R~~~ '" c
r ' ~,
- -,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00991
ISSUED: 08/05/2010
APPLIED: 07/27/2010
EXPIRES: 02/05/2011
VALUE:
Status
Finaled
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
l.Fees Paid I
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Amount Paid
Date Paid
Receipt Number
$]0.00
$5.00
$100.00
7/27/]0
71271]0
7/27/]0
220]000000000000880
220]000000000000880
220]000000000000880
Total Amount Paid
$115.00
I Plan Reviews I
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.
I Reouired Insnect~
By signature, ] state and agree, that] bave carefully examined tbe completed application and do hereby certil'y that all
information hereon is true and correct, and] 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 structure without permission of the Community Services Division, Building Safety.
] further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
] 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
times during construction.
Owner or Contractors Signature
Date
Page 2 of2
--;:'
. ,.
\. .f
11. , bl"
W: (.,O\J .
CITY OF SPRINGFIELD, OREGON .
225 FIml STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
""'"~
~~
(Q)
....~~
~l 9053 IY\ <<'-<, SPRIN,t:i\;Lb
..~ Job Location L- AIN :=....!
"-4 Assessors Map
Ql
CJ.(1)1
~-
<:.:))
...~~
~
~
rttQl
~>
I~
.....~4
~~
~I
~1
~~~
~~
-~
.~~
~I
-I
e?;
U
IJ
I. '.
"-~~l
~I
r~
-I
~
fI'l,
~I
~,
~:{i))
..~,
rttQl
<!1l)(.
,-I
..JQ)
~,
g
-~
~
~~
~i
~J
I-I
-I
~I
~i
. !}
Ml
. ~ "~IO .-"-" 9~ I
CIty Job Number ~ .....--
l'l'"
Tax Lot
Owner
Owner of Property S?AI\lDI~A RbSS i
Address.!::I ~<;'" 5" SPr, ..l(, is LA! 1\
City EU66NS State ('),
Phone
ContractorlInstaller
Contractor ,f).b~ ~""'.
Address 2tj'1\.,
j4:SSl>/" PT\r..,.-)
Phon"
--.
~\
City
Evti";N.;
State OR
Construction Contractors License #
cnLJ'll
Zip ""(<'iDS
rAY
6C3 ~ 9C(o.r
Zip 411102..
Expirc<
~" ~;.. <2:. "",\',
Description S\6~ ~ \...;(.,~
Date of Installation 1- \1 ~ t l>
Date of Removal
Cflet..>/J\..Jl
....., -2.'}- (~
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. Tfthe 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. 1 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). T is inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
portable si (s) has been rem ved.
Signatur
Date of Application
7- 27-/0
-C!$
For Office Use
Job # Cf c). 00 ? 71
Issued By
Amount Collected
Dat" '1 - "2- 'l - I ()
2"0(. ()380
Receipt # e.-
llS' -
Shared Drive (T:)/Building Fo~anner]ortable Sign Permit CSD 7-08.doc
, ,Isi':rt :\'.:,~l~:.'~>'t~\',; ,
~,~~~~.~: .
, ", 1 ~., .
225 Fifth ~treet
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000880
Date: 07/27/2010
9:49:31AM
Job/Journal Number
COM20 10-00991
COM2010-00991
COM20 I 0-00991
Payments:
Type of Payment
Check
cReceint 1
Description
Banner Special Pennit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
NIGHTSTALKER
'Check Number
tReceived By ,Batch Number
djb
711397
,-,,';
~,i' ,'j',' ; j(
"
, ~,.'" h
:,,! ;'ii,,!
Page I of I
Item Total:
Authorization
Number How Received
Amount Due
100.00
5.00
10.00
$115.00
Amount Paid
In Person
Payment Total:
$115.00
$115.00
7/27/2010