HomeMy WebLinkAboutApplication APPLICANT 2/1/2022';City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
PERMIT REVIEW INTAKE FORM
SPRINGFIELDIL
(City Staff completes form)
Permit Type
DMoVehicles-New: ❑ Land Use Compatibility Statement: ❑
City:
Dept of Motor Vehicles -Renewal: ® Zoning Verification Letter: ❑ UGB: ❑
Project Information
Applicant: Kimberly Nugent Phone: 541-207-9018
Company: B & R Auto Wrecking Email:
Address: PO Box 640, Corvallis, OR 97339
Property Owner:
Phone:
Company: 3000 MAIN ST LLC
Cell:
Address: 635 NW Rondo St., Albany, OR 97321
ASSESSOR'S MAP NO: 17-02-31-00
TAX LOT NO(S): 701 & 702
Property Address: 3000 Main Street, Springfield, OR 97478
Description of Proposal:
DMV Auto Wrecking Renewal
Record Information
Record No: 811-22-000036-TYPS
Date Received: February 1, 2022
Application Fee: $348.00
Technical Fee: $17.15
TOTAL FEES: $365.40 Assigned Planner:
Revised 1 L2.11 ld
Comorate mailing addrear •
Po Baa 5;0 ! � Ph: 541-757-0456
AUTO WRECKING Fax:541-738-4402
3orvalls,OR97339 yyygry .AUT0 VR@GKONO.00M
January 25, 2022
City of Springfield
225 5" St.
Springfield, OR 97477
Attn: Liz
541-726-2301
Hello Liz!
Please see attached check for $365.40 to cover the fees regarding the Local Government Approval for our
Wrecker License Renewal #WR2386.
Please complete and sign off on the included application.
A returned stamped envelop has been included for return of the signed application.
Please email a copy of the signed application to kimberly.nugentt@autwrecking.com
Regards,
Kimberly Nugent I Accounting Manager
B & R Auto Wrecking
PO Box 640
Corvallis OR 97339
541-207-9018(Office)
Kimberly.Nugent@autowrecking.com
APPLICATION FOR ANNUAL CERTIFICATE NUMBER
WR2386
SUPPLEMENTAL BUSINESS CERTIFICATE
EXP
AS A DISMANTLER OF MOTOR VEHICLES OR
SALVAGE POOL OPERATOR
FEE :$500
• PLEASE TYPE OR PRINT LEGIBLY WITH INK.
• ANY ALTERATION OF LINE 2 VOIDS LOCATION APPROVAL. ❑ ORIGINAL PR
BUSINESS NAME
Perlenfein, Inc.
-
BUSINE$$TELE%IONE
(541 )726-7778
SUPPLEMENTAL LOCATION ISTREETgNp NUMBER)
CITY
GpUHTV
21P CODE
3000 Main Street
Springfield
20
97478
MAINSUSINESSLCCATONADDRESS
CITY
COUNTY
LPCODE
MAILINGADORE35
Con
COUNTY
STATE
ZIP CODE
PO Box 640
Corvallis
Benton
OR
97339*
a) THE DIMENSIONS OF THE PROPERTY ON WHICH THE BUSINESS IS LOCATED ARE 2.5 Acres ft. X ft.
b) ORS 822.115(4) requires applicants to file a description of the location of the dismantling yard. Accordingly,
please submit a plat map or similar description of the location of the premises.
LOCAL GOVERNMENT APPROVAL (CITY/ COUNTY)
By signing this application the City or County authorizes a dismantler business to be conducted at the
location listed on Line 2 of this application. If a dismantler business cannot be conducted at that
location, or if any of the conditions below are not met, do not sign this approval.
I represent an incorporated city with a population of 100.000 or more.
By signing on Line 8, 1 certify that pursuant to ORS 822A 10(i)(a) the address listed as the place of business to be approved for use in the motor
vehicle dismantling business is zoned for industrial use or subject to another Zoning classification that permits the type of business conducted by
the dismantler.
I represent a County, or an incorporated city with a population of less than 100,000.
By signing on Line 8, 1 certify the fallowing:
Il CITY
THAT THE GOVERNING BODY OF THE OF HAS:
❑ COUNTY
A) APPROVED THE APPLICANT AS BEING SUITABLE TO ESTABLISH, ♦ PLACESTAMP OR SEAL HERE
MAINTAIN OR OPERATE A MOTOR VEHICLE DISMANTLING BUSINESS
(ORIGINAL APPLICATIONS ONLY),
B) DETERMINED THAT THE LOCATION OR PROPOSED LOCATION MEETS
THE REQUIREMENTS FOR THAT LOCATION UNDER ORS 822.110,
C) DETERMINED THAT THE LOCATION DOES NOT VIOLATE ANY
APPLICABLE PROVISION OF ORS 822.135.
on APPROVED THE LOCATION AND DETERMINED THAT THE LOCATION
COMPLIES WITH ANY REGULATIONS ADOPTED BY THE JURISDICTION
UNDER ORS 822.140.
❑ Restrictions on the location approval are in an attached letter from the
zoning authority.
I ALSO CERTIFY THAT I AM AUTHORIZED TO SIGN THIS APPLICATION AND AS EVIDENCE OF SUCH AUTHORITY DO
AFFIX HEREON THE SEAL OR STAMP OF THE CITY OR COUNTY.
7 NFMEOFGOVERNMENTOFFICML ma PHONE NUMBER
SIGN RE OF GOVERNMENT OFFICIAL ppTE
8 X