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Home My WebLink AboutPermit Signage 2008-10-27 ZZ5 fIITH STREET 0 SPRINGfIELD,'OR 97477 0 PH:(541)726-3753 0 FAX: (541)726-3689 ~; ~ -", '7'-_1,; '. ~ Job Location ~ .. ,~_I. Q) ~j ~ ..~ ~ ~:"'_I; ~ ~ v,_ ,~ ~ .m~ = 1;:1 -if 4 ~ U II I. " ell' 'v--J4 ~li """, ~ ......, ~ ~_Il =i ~) .",~ ~ ~ '. !j .~ ~~ t~~ ~ ~ --:::;:;:;,:,j ~ ~) ~ ~l ~ City Job Numbe- COIMZOO$- 0/ '>8' '"l 2'0 S:S 1/1/1 A I fI-( 170J1bliZ W: c.oozo08.00bttS" sr Tax Lot O:]'?OO Assessors Map .----.. , -"'-"""^T'''^ , ldJ~i~,i: '..' 'S'~:_ -~~:[':('1 Owner of Property IN ,'" f:::- Addreso l{ 5 s"S- 5 ~ (L\..... , V I c. e=-lL 1- 7?!vJ Phon" Cf 7 '-t o~-- City t::: v...;. t=7UC , State ,f> rL Zir r"1;f::r,;;--:-:;'C''C'?i '/ " .: ,{ '!'i.:ilt ;~;';:':Yf;::::,:...... ':'. .::,;l$:i'r'':....,~, ~~.:J~~\\\~":;":.;iT""., ,::fr(},ntr!!'f!o.!IlIlJtlfl!f!.!: . '._ '1;l:~,::{r,: :i::::";:' i" . e~:') 9\':"""'0\\\\ '-:';::::::::"", ~... _,"4, ',-"'&;-- '~----~-"'-'-'" \e."""Ole~e"e\'C\\l"-:' .,~. Contractor Ot.V NL.-0..<\o(\'~'I\'(\eY'c,0.':.n"''I:-: "":'1 ~ , O~.V' :l.eo~ !;e\v.O"''''\\l\<:l3,.........- ~~ e.oo'Q ,'(\0 o~g,'(\ 0\ ,'(\e.~~\lg- , Addrf'OO \"~ .,\\ese^,,\e':,.C\\'(\' <-',,,!; ~"A\l}Y.,':o"Fll' phon" \0\\0.... . !,}O\' ~\-I,)'" \\' CV\e';'\~\" \-\gW"'- City ~O":~~: 9~'l:~e.'l o~~~~ \)\\~'iai~1!" \\' ~90' '\o-;;~e e O\6i,09:g;> . ()\) ~\\'~ 0' \~ ,0. \ ' Construction Contractors Licef/ r''''\ ... \'~ l.J"'" Zip ExpirM DescriptioI' 7.S4 ,vi<lb'L Date ofInstallation ./0 - '- 7 -0;'- Date of Rem ow I (-Z 7 -C r Permit Fee: $22~cIuding $100.00 Deposit and applicabie fees. Bysignature, I state and agree that I have carefully completed this application ~ereby certify that , all information herein is true and correct. I further agree and understand that ~~~ described banner(s) and/or portable sign(s) is not larger than 60 square feet, and wi~~~~~d within 30 days from the date listed above. If the banner(s) and/or portable sign is ~.g;:.~~~OO'n the timeline specified, 1 will forfeit the $100.00 deposit. 1 also understand th~l~ ~~"'.ujt can be issued only twice per calendar year per development area.)_~~..o. ~~l ~ spection line at 726-3769 by,the end of the 30th day to request an inspectiQ~\~ . ~~'iI:a .fthe banner(s) and/or portable sign(s), T?is inspection will begin the process t~\i\;"'?'~~ ~~ osit if the banner(s) and/or portable Slgn(S) has been removed. '\ 'r~~~ ~x-~'l~~ ~ Signatur::uJl ~"),f'~ (,~~\'O~ Datt' 10 -28--0/ ,:,-;,~,'~~'-"'''''''~~..'~''-'- ,,"'^'r-"I:f-'~~:'-_'~~'.. , _':_,,: ' ~," _, .~ _...-.,,~,-_.._....,- C1"'",,,,,.,,..," c.:..!_::'J~t..... ..IrQr;Offifc.Us~:'~'.., :;~ ..., . - - ' .. "-." '-''';'l?''r'--- .-.", - .._~- Date of Applicatin, 10 . zg <>,F Job # c.8- 0/5" ' Receipt # ~~< ZZf~ Issued By!) Amount Collected Shared Drive (T;)lBuilding Forms/Banner]ortable Sign 'permit CSD 7-08.doc. " Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01589 ISSUED: 10/28/2008 APPLIED: 10/28/20'08 EXPIRES: 11/27/2008 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541.726-3769 Inspection Line SITE ADDm:;SS: 2053 MAIN ST ASSESSOR'S PARCEL NO.: 1703364203900. Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner - install 102708 removal date 1 ]2708 Commercial Owner: V AJGERT WA YNE M Address: 4355 SPRING BLVD EUGENE OR 97405 Contractor Type Sign I CONTRACTOR l~lN'\jfJON I .~mo\~ VIE-H" , I." . '...(, 'u' 't~I'ty .., I EO..... d by the Oregon 11 Contrac~w rules adopte e rules are sel-fu1ense OWNEIlIotiflcati~n cent~~.~~~~nlloh OAR 952:001- In v/'\f",~18~1 . . _ __~ ',J . R~f'.:0&j' y 0090 "ou h'llHT4111mI'\'H"'!'n'lJRM~ IIJ . l' 'tIIii1i f8l IV"" calling thece~t'I.:..,:~~~,'"iil'itY Notiiicalion number for th~11 2-2344). B Center Aelgftpg ructure Type of Heat: Water Type: Range Type: Energy'Path: Sprinkled Building: Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type " Secondary Construction Type: # of Bedrooms: VB Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION ,I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: . % of Lot Coverage: ". . ~Q~~ E \f i\\t. :t :~.t;,: ~:ii\?; ::-.~'\'f \S ~O I PUBfl~}~~ ~~;Q~~O fOR I\\.r'il-\\Jr ~C\:Q'Q~ \ Sidewalk Type: CO'J\\IJ\\: QI\'i p\:\\\OO. I\~'i '\ '0\) REQUIRED PARKING Total:, Handicapped: , Compact: Street Improvements: Storm Sewer Available: , Special Instruction: Downspol,ltslDrains: Notes: 1 V>1luation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 ,..' CITY OF I'JrKll'\iGFIELD Building/Combination Permit PERMIT NO:' COM2008-01589 ISSUED: 10/28/2008 APPLIED: 10/28/2008 EXPIRES: 11/27/2008 VALVE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676,Fax 54]-726-3769 Inspection Line Total Value of Project Fees P~id 1 Fee Description + 10% Administrative F~e + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid $20.00 $5.00 $100.00 $100.00 ] 0128/08 10/28/08 10/28/08 10/28/08 Receipt Number 2200800000000001557 2200800000000001557 2200800000000001557 2200800000000001557 Total Amount 1.'aid $225.00 Plilll 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 Insoections 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. I By signature,' I state and agree, that I have carefully examined the completed application and do hereby ce.~tify 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 7(ll,005 will be used on this project. I further ag~ee 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/he property, and the approved set of plans will remai~ on the site at all v::O:'~.H- If) -ZS-O& Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Street Springfield; Oregon 97477 541-716-3759 Phone Job/Journal Number COM2008-0 1589 COM2008-0 1589 C;OM2008-0 1589 COM2008-0l589' Payments: Type of Payment Check cReceintl RECEIPT #: Description Banner Special Permit + 5% Technology Fee Deposit + 10% Administrative Fee Paid By, WEE BEE THREE City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000001557 Date: 10/28/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1024 In Person Payment Total: Page I of I 1:53:]6PM Ari10unt Due 100,00 5,00 100,00 20,00 $225.00 Amount Paid $225,00 $225.UU 10/28/2008