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Home My WebLink AboutPermit Signage 2008-6-9 225 tit nI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 Q /'r_nAl (..008- 00 8' z6 ~ City Job Number ~u ::i Job Location ~+(P5 J-tv~ ~ ~ ~ (:) e", ~1 Assessors Map /7 0 ~ 2 2-2- "'\ k-=-J4 "- ~ ~ ~ .~~^' , -~ ~ ~ ~^,,,...) it e,".~t~ ~; ~; d1 ~ ~~ ~/ ~~ ~ lIT l.r ~p .~~^ e~ ~;".A~ C.:.l. ~: ~~ ~tl: .c~,~ ~ ~ ,~,jj ,Ai '-~$ t4. ~~ ~4 Q ~~,~g -- $00.-4: ~ C1 [] ~ m SPRINGFiELD fiB _~~ H~__V~~ __ , s~b. Tax Lot bD80S Owner (~~) -/ Phon~ 54-( -l41. -/,0'0 Zip 0;14- 17 Owner of Property ()u-rt!:/rL.tL Hvl~ ~ ~t.fIw< f5 ~T. " Address 3~ '5 City S?<Z.-tc..Jf, P (tc"'L.0 Stat!" ~ ContractorRnstaller Contractor D Lv'" AI' c-v'L / --- Addres<;: Phon~ - / - -- quires YOU to . - r......--O.3'1nn~ee _ ___, Itility ZIp AiT~ ru,~s~~d~pted bYs~r~\~~ I;;~;' ~;t ion" Construction Contractors Lice 'iic~nn Center. Th~ . \Jgr. o.A.R 952-001- Expires I Q~?_001.00'U\ IIU_, ~ nHhe ru\es D'/ \11 :)~f\.jou may omalll "'''t~ the te\epho~e IS ~ .:.. ~"'g...eentef. (No Ue'l'rt.. l\.1^tifi~at,on call II ,~ \I. 0 egon III'~ . . J I u~er tor the.s ;_800-332-2344). / 1 Date of Installation &, 4-' dy Center' Date of Remov~ l --Z 4- 0 Y City Description - Permit Fee: $161.75 including $100.00 Deposit. 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. Ifthe 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) h been removed. -m~~~~!D y . t)t?\"'"f. ,~ \1 \~ -r..if' f:.' . ~~\Y~~\~~i~ 1~\S ~':O fO\\ \~\S f'{~ta U~v ~tZ.b ~~? "C~~-O Receipt # CO\'J\\'J\tN O~'{ \">t.~\\J . 7.r ~~'l '\ ~ount Collected / t I - r Signaturt' . Date of Application '~r ~S'"J Issued By Shared Dnve (T )lBwldmg FormsIBanner ]ortable SIgn PermIt CSD 8-06 doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00826 ISSUED: 06/09/2008 APPLIED: 06/09/2008 EXPIRES: 07/04/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3463 Hutton ST ASSESSOR'S PARCEL NO.: 1703222000805 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner - removal date 070408 REF:COD2008-00321 Owner: TRA VESS GEORGE T & MARY M Address: 1495 CHEEK ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: ATTENTION: <!>W~~t1~~rr<<fIUites you,t,o follow rules a~~~f\:J1~ Oregon Utility NotifIcation Ce~tel'~rules are set forth , OAR 952-001~ U'tfpeliJh OAR 952-001. ~090. You mayij,~,l Elipjes of the rules by calling the cEfhttibk4NDiJijitbft.t.e'~~ho~e n/a IIYIIII..U. ~o U:: ~'''.rn Iltilitv ~o!lflcatlon I a}\ISU)PM:EN'P~~i1\1tA TION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 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: Street Improvements: Storm Sewer Available: Special Instruction: ~IC IMPROVEMENTS I T~~ 1~:RM1T SHAll EXP1R~'~9'Pl~WMK AUTHORIZED UNDER THIS ~kpdStOO;rains: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: I V aluation Descriptio~ Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pal?:e 1 of2 Value Date Calculated CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: cOM2008-00826 ISSUED: 06/09/2008 APPLIED: 06/09/2008 EXPIRES: 07/04/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid' Fee Description + 10% Administrative Fee + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $14.50 $2.25 $45.00 $100.00 6/9/08 6/9/08 6/9/08 6/9/08 2200800000000000853 2200800000000000853 2200800000000000853 2200800000000000853 Total Amount Paid $161.75 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. ~ Reouired Insnections I 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 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 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. ~ c/q/lIS' Owner or Con Date Pal?:e 2 of2 225 Fifth Street Spr.ingfiehl, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00826 COM2008-00826 COM2008-00826 COM2008-00826 Payments: Type of Payment Check cRecemtl RECEIPT #: Description Deposit Banner Special Permit + 5% Technology Fee + 10% AdministratIve Fee Paid By EVERGREEN RESTAURANT City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000853 Date: 06/09/2008 Item Total: Check Number AuthorizatIOn Received By Batch Number Number How ReceIVed dJb 2417 In Person Payment Total: Page 1 of 1 2:35:58PM Amount Due 10000 4500 225 1450 $161. 75 Amount Paid $161 75 $161.75 6/9/2008