HomeMy WebLinkAboutPermit Signage 2010-8-2
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. CITY'OF SPRINGFIELD, OREG0N
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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Tax Lot
Address
Phon"
City
State
Zip
Construction Contractors License #
Expire.
. Description
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Date of Installation
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
banoer(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 banoer(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 calenillir 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 banoer(s) and/or portable
sign(s). This inspection will begin the process to return the $100.00 deposit if the banoer(s) and/or
portable sign(s) has be roved.
Date of Application
Issued By ~ '3
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Receipt # (lO,.Oa-~.3
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Amount Collected
Shared Drive (T:)lBuilding FormsIBanner]ortable Sign Permit CSD 7-08.doc
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00880
ISSUED: 08/02/2010
APPLIED: 07/02/2010
EXPIRES: 09/02/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 28 W Q ST A
ASSESSOR'S PARCEL NO.: 1703271003500
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Portable sign - install 070210 removal date 090210
Commercial
Owner: MALCOLM BOSISTO REV TR
Address: 1484 CHECK ST
SPRINGFIELD OR 97477
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I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type,.'''' . "
, '. Energy P~t~t., ,
Sprinkled Building:
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 I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%of LotCoverage:
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Total:
Handicapped:
Compact:
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I PUBUCIMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description ~
,.1 .F
Description
Type of Construction
$ Per Sq'Ft '
or multiplier
"Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I of 2
Status
Issued
225 Fifth Street, Springfield, 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
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Total Amonnt Paid
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,......;
, Total Vaine of p'~oject
Fees Paiil~'
l.:.",,!,, ,
Amonnt Paid
$20.00
$5.00
$100.00
$100.00
$10.00
$5.00 '"" b','"""
$100.00'" ...
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$340.00 Ii"'"
I Plan Reviews ,
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Date Paid
7/2/10
7/2/10
7/2/10
7/2/10
8/2/10
8/2/1 0
,8/2/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00880
ISSUED: 08/02/2010
APPLIED: 07/02/2010
EXPIRES: 09/02/2010
VALUE:
Receipt Nnmber
2201000000000000785
2201000000000000785
2201000000000000785
2201000000000000785
1201000000000000853
1201000000000000853
1201000000000000853
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. . .,., -0" ,.;,
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Retftiired hisDe~tions ~
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, 1 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 Springfield and the La~~. oq~eiS.l~te,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.
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I further agree to ensure that all required inspection~iare 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 S' ature
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Page 2 01'2
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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 #:
1201000000000000853
Date: 08/02/2010
10:49:IOAM
Job/Journal Number
COM20 I 0-00880
COM20 I 0-00880
COM20 1 0-00880
Payments:
Type of Payment'
Check
cReceintl
Description
Banner Special Pennit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
ROBERT TIMMONS
'.Check Number
,R~cei~ed By Batch Number
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Page 1 of 1
Item Total:
Authorization
Number How Received
Amount Dut'
100.00
5.00
10.00
$115.00
Amount Paid
28546
$115.00
$115.00
In Person
Payment Total:
8/2/20 I 0