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Home My WebLink AboutPermit Signage 2008-11-17 225 FIITH STREET. SPRINGFIELD, OR 97.477 . PH:(54I)726-3753 . FAX: (541)726-3689 ~ .' (C1AA?OOf-O{bb7' ..S; City Job Number " v_ \ C- . , r ..~ JobLocationC)7 ~() mcuv\ ~. ..~ /702 3"3((( Qi Assessors Ma!" '\ ~ I ) ~ Owner of Property \ A (? If\ ..~ Address 4-\ ~I CJL/\"(\o'j ( ~. 'r.~,,\jO~onp ~ ~ ~~ -'- - le:# teLl'" ~ti'M1 ~ lf~~:Z~~E:~:!':J~:I~;~~~~~I~~~:~;~~;l:~~;!i9~~~i~;:;~~~~~~~~~::~::~lf~f,i~~~ "--- lif,ContractorlInstaller::::fu::7l':ii~~~t~N~\\\bJ:\\l,C)~,:f;O<,,'~()()Ax.N:cfO?\e~.:)".f"e:~e~noP:.~l:;Z::l:llifjjji~:~~!lT1:."l'~~a;~iI-~\;f!!Ii0\jlJ1. ~"'o '~J&':il:'~Wfti,",:M,'i'lf::"g:jjxfi&:i:::,jj:[::.li:.t\jO' ":~g'3'2.f"."..f'b\\\a.\tI:, '''o(e:!\\\e:''l\\\C~\iOl\~'i''''~:''::~~x:"".::Jiil\'li~~ifli~~~ ~::; contracto. 0 I~ -J,,1l tn'il.':Ip'''t. l~ ~.\\Wf ~o\ ' .. ()\J"V'. \nel.,v"Ote90\''2.'~'''' @l C'il.llltl9 \ot\ne. ,.~oo.~ ' ~ Addres< :"ir(l'oet;;,;1."p,{ 'S Phnnp I ~~ y II I. '. ._~ ~ ~i ~ ~) ...~ ~ ~ 1 ~ ~ ~ ~ ~ ~ ~ c;, _ _;1 'Spt=d DK 0r74l0 O( 100 Tax Lot City -"State Zip Construction Contractors License # Expir,,< Description r", r h~(yH),_,S -t-r.e.. e 5 ; Cj VI Date ofIn~tallationlr r J~l () <i-- Date of Removal / if/ JLf / O~ . ' ~- . Permit Fee: $225.00 including $t.f.\l\-a.pe~O:itr..~'t~l!l~~~~.~Oi , ^ ,\~, II' :1.. ,.~' ~. !:f\l't. By signature, I state aDd agree that I have caretuJt~\~ iili~a~l' O\l\Otl flereby certify that all information herein is true and correct. I further ~ lI!I~ e above described banner(s) and/or portable sign(s) is not larger than 6€~ '~\QD} be removed within 30 days from the date listed above. If the banner(s) and/or p_1&&X 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 of the 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) has been removed. " SignatnT" ~.J..l / t'. JW~ Date of Application Job # c.'3 ~ oll:,b z Receipt # Issued By bl7 , Amount Collected zzr-- SlLm:d Drive (T:)lBuilding FormsIBannei]ortable Sign Permit CSD 7~08.doc We the owner(s) of Cash connection give Crossfire Ministries permission to use our property on 5790 Main st in Springfield, OR. for the purpose of selling Christmas Trees' for the Christmas season' of 2008.' ' '" r//llllt/iLt d vV J Cash Connection ~~~~~~~~J~;1!t: I' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-01662 ISSUED: 11/17/2008 APPLIED: 11/1712008 ' EXPIRES: 12/24/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5790 MAIN ST ASSESSOR'S PARCEL NO.: 1702334101900 , Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner - ] ]2508 removal date 122408 Owner: POLEN DEVELOPMENT LLC Address: 2197 OLYMPIC SPRINGFIELD OR 97477 Contractor Type Sign Contractor OWNER I CONTRACTOR INFORMA TlONI License Expiration Date Phone # of Units: . Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: . I ,BUILDI~G INFORM~TIO~}les 'fouta ,~'()N' Olegon I'''' ,- oregon \Jt\\\W p,11'f!tof Storj:Qbpted b'f the \es ale set !ollllot Size: \O\\O'HeIg\l't~S fe;;~,tq~tli\j\6'se lU h oM'- 95'2.-00~9 Ft 1st Floor: Notilif,ft2Ur ~at<01 0 throU,g s olthe lules 'S~ Ft 2nd Floor: in aMi" ~f- ~J'fobtain cof'~ the te\ephonE!>g Ft Basement: 009~~~~\ B\l~,tel. \N~ ~ti\i\'f Noti\icat\~ Ft Garage/Carport c~W;)' ~&a..\lR Olego 0_33'2.-'2.344). Sq Ft Other: n4lji\li'l. 1l!ll.tlln!fiIi\;~O n/a Occupant Load: I DEVELOPMENT INFORMATION 1 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: _ # Street Tiees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS 1 i\'lt 'NO?'I<. . w&t W ~OI . \,\O"{\ct. \i S~rtr.\':.nu:..I\sP~t?N"lII IS 1\'11S pe?N"I I) ~l,~}~W&D I'O? 1\\lI\'10RIle OR IS I\\)~ COW\N"le~Ce~ peRIOI). I\~'{ "\ <00 I) Notes: I Valuation Descriotion ,I Description Tvpeof Construction $ Per Sq Ft or multiplier Square Footage. or Bid Amount Value Date Calculated Page] of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 5% Technology Fee Banner Special Permit Deposit Total Amonnt Paid Amount Paid $20.00 $5.00 . $100.00 $100.00 $225.00 Total Value of Project Fe,,, Paid' _" II. , Plan Reviews I Date Paid CITY OF SPRINGFIELD Building/Combination Permit PE~IT NO: cOM2008-01662 ISSUED: 1lI17/2008 APPLIED: 1111712008 EXPIRES: 12/2412008 VALUE: 11/17/08 11/17/08 11/17/08 11/17/08 Receipt Number 1200800000000001143 1200800000000001143 1200800000000001143 1200800000000001143 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. R.eH~I!re,1 lnsnections I Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applic~nt may forfiet the deposit. By signature, I state and agree, that,J.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 withont 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 reqnested 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. jhkA~ ~~# v , Owner or Contrac rs Signature . Page 2 of2 1I/lt/6'l Date 225 Fifth Street Sprinifi~ld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1662 COM2008-0 1662 COM2008-0 1662 COM2008-0 1662 Payments: Type of Payment Check cReceint 1 RECEIPT #: Description Deposit Banner Special Penn it + 5% Technology Fee + 10% Administrative Fee Paid By CROSSF1RE WORLD OUTREACH City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000001143 Date: 11/17/2008 8:22:36AM Item Total: Check Number Authoriution '. Received By Batch Number Number How Received Amount Due 100.00 100.00 5.00 20.00 $225.00 Amount Paid djb $225.00 2637 In Person Payment Total: $225.00 Page I of I 11117/2008