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Home My WebLink AboutPermit Signage 2008-11-17 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ~ City Job Number ".~ ..~ Job Location ~ ". ._1< Assessors Ma:> Q ~ ~ ..~ Address (11 q I ()/um ,o/e ~ ~~~~~Qld, ; ~ "III~'!Jf(J.S/(J.lll'J~t!!ll .. ~~ ~; Contractor ~ ~ a e: 'rB i). _ _ 'I Ii I. '. ".~ ~ ~ ~. ~ ...~ ~ ~ .~ ~ ~ 1 ~ (OM ZOoX-;;' c, bb:l 9/97 () fYlfV1Pl(, St 1705. '2 ~4 1.. ~. ORQ7l11'l D(Zo "l Tax Lot Pnnnp State () K , les'~9!.h'9 . fif;#8'oll:,l~t. < '''\\\ 0re9''''e\:\ot\\\ (f2lJif) ~~\eo 'o'1^_ ",1eS aJ~ :.".00\- N Pl1";~- t \\\0...5. "'0;\"".)...1- b" \ __iI"\'. (on cen\e '10 \nrou9" H\'Ie rules '. ",\,U\\C;~<;?__001-0~.n\" copies.o_ ."lel?\'Ione _ Pnr\np In vP"'1 \J n18.'I 0.1-'- t\,\o,e: (:.~ \,\o\i\iCa""''' 0090. 0 tne cen\el. on U\\I\W 4A) no\\inQ \"0 OleQ -..,"'?~'re . - mber \VI . \5 "\~t)Vv ...- nU center Construction Contractors License # . Zir 97tf77 Addres< City Zip Expir,,< , Description ('jn r ; L:.., -t-ffiQ.S -h: ..z ~ '5; 9 Vl. ' Date of InstallationiL! '+5/0,"7< Date ofRemo~al .. J ;pI J-4/0 'K . Permit Fee: $225.00 'including $100.00 Deposit.and a~~'tees. By signature, I state and agree that I have carefyJ,ly comRli\ef~~~~i'b}P~ hereby certify that all information herein is true and correct. l~~.m:M ~~~ ~P/ibove described banner(s) and/or portable sign(s) iS,not larg~~ll~\SI'lO~ M.\b~ removed within 30 days from the date listed above. lfthe banner(s) ll}~ ',. !;\'ful~~~ot removed within the timeline specified, I will forfeit the $100.00 deposit. I ~lti ~~ld'r8lat this special permit can be issued only twice per calendar year per development~. so 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 $100.00 deposit if the banner(s) and/or portable sign(s}has been removed. Sign"tllrp._~ .~~ Datp II~ Date of Application 11-( 7- OX ~~ Amount Collected Receipt f 7"2 r - Issued By sbaied DriVe (f:)lBuildii1g FormslBanner_Portable Sign Permit CSD 7-OB.doc >./ "J / j I { . We the ()wner(s) of Cash connection give Crossfire Ministries permission to use our property on 5790 Main st in Springfield, OR. for the purpose of selling Christmas Trees for the Christmas season cif2008. . ' i ' / il.! / 111t1;t,y /;0/{} vV J Cash Connection Status Issued 225 Fifth Street; Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01663 ISSUED: 11/17/2008 APPLIED: 11117/2008 EXPIRES: 12/2412008 VALUE: Springfield TYPE OF WORK: Banner SITE ADDRESS: 2197 OL YMPIC ST ASSESSOR'S PARCEL NO.: 1703254201202 TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner - 112508,removal" date 122408 Owner: POLEN DEVELOPMENT LLC Address: 2197 OLYMPIC SPRINGFIELD OR 97477 Contractor Type Sign Contractor. OWNER # of Units: Primary Occup~ncy Group: Secondary Occupaucy Group: Primary Construction TYl'e Secondary Construction Type: # of Bedrooms: Front yard Setback:. Side 1 Setback: , Side 2 Setback: Rearyard Setback: Solar Setbacks: . Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description' Tvpe of qonstruction I CONTRACTOR INFORMA TION ~ License Expiration Date Phone I,' BF~~~~~~ I~FORMA nON ~ follow 11 . regon law reqUIres you to . . Notific i(P'r'SfdlMP:ed by the Oregon Utility Lot S~ze: . , in OAR~$~./?!J9'ijIi'sli:U'Htmle rules are set forth~q Ft 1st Floor. 0090. ' ~~9HQlMO thro~gh OAR 952-001_ Sq Ft 2nd Floor: cal/in jhmaY!.aln COpies of the"ru/es b Sq Ft Basement: numb ~~~ ~!. (Note:. ~he telephone Y Sq Ft Garage/Carport , 1 ~ernx,.a !1gon Utility Notification Sq Ft Other: Sprlli'R'telPB'u~~ilr~2-2344).n/a Occupant Load: I ,DEVELOPMENT I~FORMA nON 1 . REQUIRED PARKING '..Overlay Dist: # Street Trees Rqd: Paved Drive Rqd:" %of Lot Coverage: Total: Handicapped: Compact: IPUF.~~ROVEMENTSI THIS PERMIT SHAll EXP1REfi!'ffi@I~ AUTHORIZED UNDER THIS PE!MMfS~_rains: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I ,Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 _l5!iIl1.~I~~~"'l;g,: ~" ' tp_ ..- Lll t' OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-01663 ISSUED: 11117/2008 APPLIED: 11/17/2008 'EXPIRES: 12/24/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone " 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P~id I Fee Description + 10% Administrative Fee + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Nnmber Total Amonnt Paid $20.00 $5.00 $100.00 $100.00 $2'25.00 11/17/08 ni17/08 11/17/08 11/17/08 1200800000000001144 1200800000000001144 1200800000000001144 1200800000000001144 1 Plan Reviews 1 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, Re'iilJjre~ '~~ne~t.jon~ I Banner,Removal: To be requested the day following the expiration of the permit. If inspection is not reqnested, the applicant may forfiet the deposit. By signature, I state and agree, that I have carefully examined the completed .lpplication and do hereby certify that all information he~'eon is true and correct, and I furthe;.. certify that any and all work performed shall be done in accordance with the Ordinances ofthe City of Springtield 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 aud 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 streei, 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. . 2 j~ ,~ /I !tl/b~ Owner or Contracto '5 Signature L Date Page 2 of2 225 Fifth Street, Spririgfieid; Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1663 COM2008-0 1663 COM2008-0 1663 COM2008-0 1663' Payments: Type of Payment Check cRcceintl 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 1200800000000001144 Date: 11/17/2008 Item Total: Check Number Authorization Received By, Batch Number Number How Received djb 2637 I n Person Payment Total: j Page lof I, 8:23:29AM Amount Due 100,00 100,00 5.00 20.00 $225.00 Amount Paid $225.00 $225.00 11/17/2008