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Home My WebLink AboutPermit Signage 2008-6-18 __$PA.NGF;IELC ;,4jJ!L,,JJW -",I t Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00887 ISSUED 06/18/2008 APPLIED: 06/18/2008 EXPIRES 07/10/2008 VALUE. 225 Flftb Street, Spnugfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769IuspeclJon Line SITE ADDRESS 2197 OLYMPIC ST ASSESSOR'S PARCEL NO 1703254201202 Springfield TYPE OF WORK Bauuer TYPE OF USE New Commercial PROJECT DESCRIPTION Bauuer - Install 061708 remove 071008 Owuer POLEN DEVELOPMENT LLC Address 2197 OLYMPIC SPRINGFIELD OR 97477 Contractor Type SIgn Contractor OWNER f~i~~nf;':;;; ,:",'''iJUII law reqUIres you to NotF CONT&J\'ffl'<9R1FNFIDRMl'\ffiWl'Ilt1Ity , " - -.!, / !(J.}", ufJ, <lre seliorth m OAR 952-001-0010 thr h 1>, ~~~ 0090 You may obt oug 't!i&inse 001-ExPlratJOn Date am copies of the rules by n~a((~~~ ~he ~:fn~r ~t\'^f^ u~~ ~:':,..I''-'I'~. fBtlltD'lNG-fN/10RMlllilVlOMllcatI01l ~ ~ ,.!., f! t U...lu~~";;JI:'-'-o~qJi # of Stones Helgbt of Structure Type 01 Heat Water Type Range Type. Euergy Patb Sprinkled BmldlUg Phone # ofUmts Pnmary Occupaucy Group Secondary Occupancy Group Pnmary CoustructlOu Type Secondary ConstructIon Type # of Bedrooms Lot S,ze Sq Ft 1st Floor Sq Ft 2ud Floor Sq Ft Basemeut Sq Ft Garage/Carport Sq Ft Other Occupant Load u/a Froutyard Setback S,de 1 Setback S,de 2 Setback Rearyard Setback Solar Setbacks ..:--.- I DENELtlPMENT INFORMATION' In'" Il1lil I'ERMIT SH AUTHOalJf@MJPJ~~l EXPIRE IF THE WORK COMMfill'!1J{~tOff~iJ.lklIS PERMIT IS NOT ANY 18fJ'I)'J'lJt'/ftffi 'liANDONED FOR % o( Lol't':1J age. REQUIRED PARKING Total Haudlcapped Compact IPUBLlC IMPROVEMENTS' Street Improvemeuts Storm Sewer Available SpeclSl InstructlOu S,dewalk Type DownspoutslDralUs Notes I ValuatJOn Descrn?tJOn I Descnphou Type of Construchou $ Per Sq Ft or mulhpher Square Footage or Bid Amouut Value Date Calculated Paee 1 on ~~.;~ -... Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO. COM2008-00887 ISSUED: 06/1812008 APPLIED. 06/1812008 EXPIRES: 07/10/2008 VALUE: 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-37691nspectJOn Lme Total Valuc of Project Fees Paul I Fee DescnptlOn + 10% Admmlstratlve Fee + 5% Tecbnology Fee Banner Special Permit DeposIt Amouut PaId Date PaId ReceIpt Number $1450 $225 $45 00 $10000 6/18/08 6/18108 6/18/08 6/18/08 2200800000000000919 2200800000000000919 2200800000000000919 2200800000000000919 Total Amouut Paid $16175 I Plan Reviews , To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7:00 a.m will be made the same working day, mspectlOns requested after 7'00 a m will be made the following work day I Reolllred Insnections I Banuer Removal To be requested Ibe day followmg tbe explratJOu of tbe permit If mspectJOn IS not requested, tbe dpphcant mdY forfiet the deposit By slguature, I state aud agree, tbat I bave carefully exammed tbe completed apphcatJOu aud do bereby certify tbal all mformatIon hereon IS true and correct, and I further certIfy that any and all work performed shall be done III accordance with the 01 dmances of tbe City of Sprlugfield aud tbe Laws of tbe State of Oregou pertammg to tbe work described berem, aud that NO OCCUPANCY wIll he made ofauy structure Without permlssJOu oftbe CommuDlty Services DlVlSJOU, BUlldmg Safety I furtber certify tbal ouly coutractors aud employees who are m comphauce wltb ORS 701005 wIll be used 011 tbls ploJect I furtber agree to eusure tbal all reqUired mspectJOus are requesled at tbe proper time, that eacb address IS readable from tbe street, that the permIt cdrd IS located at tbe frout of tbe property, and tbe approved sel of plaus WIll remam ou the sIte at all times dunng constructIOn . -:' -;-"/ tJ?r Owner or Contractors Signature (,.-, ~-O~ Date Paee 2 of 2 if 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 8; CIty Job Number COi.-vrzo oK' - 0 <:) '8B'7 -- 00, - _ Job LocatIOn :> - - Assessors Map Q 00 CJ U -- t: V r:/) ~ ~ -- Q ;:::$ ~ 0, U\ . ~ -- S ;..... V ~ Q 01) -- r:/) V .......... ....0 ~ t:: 0, ~ $::;- V ~ ~ OL D ( "'-vS ~ " (,..J"- ",...",,-- ~()~ S?~&t\t€:nE='bEL.D (;,--,-:, . -, ;;1../ '17 170s ZS4l. OlYmpic Sf )ofln9.(;'e Id:OI2, (f7'171 Tax Lot o/zoz Owner Owner of Pro pert:' L-ClfN roleVl Addres~ ? 1 97 Sf S'1/-7lfC,-G 9(,~ 01"....."'( , Contractor/Installer Phon" "all \0 ~SfilW'I~~~ , ore90" ,I", \'f\eTji"g~'e\ \onl\ ,- -, "I"" "OIJ\(O D~ 'illeS ale 5"'OO~' ",I- - eu ,roS6' ",,<,,9 <- \_ U'" \ ~\, Go\\IC' 0 '~\'IIOllg\'l OJ \'f\e lilIes b'{ t..\I'"\\\\\ca\\ ::' ('\(y,\~QQ\ ~ ,..."O\eS 0 \~\Dnnone I~ 06'" ~~~ rna'{e~~~~'\~O\~\~~~ ~o\lilcal\OI\ 009 ,...." \\'Ie c ""'90\\, _n 0,<44). P~ on" co.H"."" \at \\1'-' - 80U..,;;)"'- \\Il((\belce\\\el IS ,- State Zip City S.o(, ,,;.-/'-efd ZI[ Y 1477 Contractor Addres< City ConstructIOn Contractors License # EXplfPO DescnptlOn -,( \N\l\'" Date ofReIJ.e:~o\W{\<i:J't!l. \~\ :\W;r;,:. c;,\\"'\' ,\\\'0 ~t. ~tS) rl)'(\ Permit Fee: $161.~~I~~~\9.q~~ 1\' ell \I"\v Ii'- By SIgnature, I state and agree that I have care~ t'\11\'!~~ ~licatlOn and hereby certify that all mformatlOn herem IS true and correct I furtherQffi~~'i:!\~ rstand that the above descnbed banner(s) and/or portable Slgn(S) IS not larger than ~~e feet, and Will be removed WItlun 30 days from the date listed above If the banner(s) and/or portable sign is not removed W1thm the tImelme 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 mspectlOn lme at 726-3769 by the end ofthe 30th day to request an mspectlOn to venfy the removal ofthe banner(s) and/or portable slgn(s) Tlus mspectlOn Will begm the process to return the $100 00 depOSit If the banner(s) and/or portable Slgn(S) has been removed Date of InstallatJor (, -I 7- 0;; Slgnatur"~~..! . ;'. y~ DFtp G -/7-{)~ ,? For Office Use Date of ApplicatJOP 6-(7 -oK Job # c..8 .00 gt7 Receipt # Issued By t>~ Amount Collectec1 /61 7r Shared Dnve (T )/Bwldmg FormsIBanner ]ortable Sign Permit CSD 8.06 doc 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00887 COM2008-00887 COM2008-00887 COM2008-00887 Paymeuts Type of Payment CredltCard cRecelOtl RECEIPT #. DescriptIOn DepoSlI Banner SpecIal Permll + 5% Technology Fee + 10% Admmlsiral1ve Fee PaId By BENJAMIN ELEY 6~ ~, City of Sprmgfield OffiCial Receipt Development Services Department PublIc Works Department 2200800000000000919 Date' 06/18/2008 Item Total Check Number Authorization Received By Batch Number Number How Received dJb 034418 In Person Payment Total Page I of I 100942AM Amount Due 100 00 4500 225 1450 $16175 Amount Paid $16175 $16175 6/18/2008