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Home My WebLink AboutPermit Signage 2009-1-16 225 FIITH SrnET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . fAX: (541)726-3689 ~l --~ ~) --~ -. ,_I~ Assessors Mar Ql ~l ~ ~) ..~~ .~ ~ City ~ ~, -. ~i Contractor ~j ~~ ~. 1-1 -~ _I _I -~ e?J Q IJ 1~ -.~ ~ "''--11 By signature, I state and agree that I have carefully completed this application and hereby certify that all information herein is true and correct. I further agree and understand that the above described banner(s) and/or portable sign(s) is not larger than 60 square feel, and wili be, removed within 30 days from the date listed above, If the banner(s) and/or portable sign 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, 1 also agree to call the inspection line at 726-3769 ,~r. by the end ofthe,30th day to request an inspection to verify the removal of the banner(s) and/or portable ,'f:""l; sign(s). This inspection will begin the process to return the $100,00 deposit if the ~(s) and/or ~l portable signc;l1ias"been remove.d, NOi\Ct:. \.. tI:.". IRE \Fl\-\E~.i ~ i. QUL 0---'7'./ iHIS PERMII S\-\~~R iHIS PERMli ,IS /~ e!\.!..... Signaturp J (7 yc.. "J~\\'}?\7fO UND rt:' ~Nomtli.D F0 10 0 7 ~ ""'. .. 1\.' ED OR I;:' ",,,, . . ~ . . /, / Fo~~g~~'{ PERIOD., _. , li~ Date of Application (/~' lob# (9-000 7'( R;~~ ,..~ Issued By Amount Collected ','~l . . 't;~:; : ~. . ~, ~.. ~:li)) ..~~ ~ ... .' SPRINGFIELD. ,'~. - ......,......), _<z City Job Numher .('()/A/\ z.c 0 7 - 000 7l.( ~ ~ ~ ~ Job Location 51 Ynmu iA.41,' IkiJ_( /~(;/7? mOiM Sl / 170~3 S"'Lf7.. ."-___T~~OC CITY OF SPRINGFIELD, OREGON Owner / {J).pA/ ~L J i3 jJld State ('JT(. Zir Owner of Property Addrp<< '341t{ ~ o...-fUJ d 0,_ I ~crrl na , / Phonp Q7q{)~ .} ." Contractor/lnstaller ('~~-fL ,~rTENTlON: Orpry~~ '_ Phon'; -"'-'.vv JUles ad - ....n Il:::YUlres Notification Cen Opted by the Ore 0 you to City /n n.:l 0 "r~ _, ter'SUtes...!W.Jl'o _9 n UtllltZip 0090, y~~--;:v '-uu i 0 through OAFt 0'" rorth . iF 1/' ay obtain co ' 952'00~ . Construction Contractors License ilL a /nQ thp '~o~::., .. p~es of tho .~!:s b xpirp< . Umber for th~ C\, lIVVIe, the fI'IO,",h"._. , , of).. . . Center is-I~''U'' UI/lIty Notifica-tt, DescnptlOn I LY:l.N1 A:1)'./\ 800'33:>.?~4" on _ ". '71/- / " Date of Removal '1 ' Z/" , Addres< Date ofInstallation I I z...~ ., / Permit Fee: $225.00 including $100.00 Deposit and applicable fees. " ~, : ... Shared Drive Cf:YBuilding Fol1Il5fBanner_PortableSi~ P~iinit C:SD 7-08.doc ., Status Issued CITY VI' M'KlNGFIELD Building/Combination Permit PERMIT NO: COM2009-00074 ISSUED: . 01116/2009 APPLIED: 01/16/2009 EXPIRES: 02/12/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 868 MAIN ST ASSESSOR'S PARCEL NO,: 1703354205800 . Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Bannner - Jimmy Lane Deli. ref: COD2009-00033 instan 011209 removal date 021209 Commercial Owner: Address: KRYL PETER J 3474 SPRING BLVD EUGENE OR 97405 Contractor Type Sign Contractor OWNER I CONTRACTOR ~NFORMATION I ,.""",~to E . . D I '" leqU\<:JI"" el't" xptratlOn ate o egon a" gon 1I I, ,__r:~rnoN: (. ," h" \\1e Ole _", lNtn \~i\(IWBuiLI;iN'(iiNF0RMATioN '152-001' Notil'v''''-' Oi' 001 U li"! - - f tne rules bY in 0/'.1' 9c-J-o? St~.rtes1in copie~\1~ telepnone B 0090 '{9i~lg'ht'of<Str~'t\<(Nt.'I,\t" NotificatIon. \' a 1\\0""'''' \l \,j\ J ca\ In~r,p,eWI3H-e'if/9~0_332-2344). VB numb 'tt\'lf~TYi>J:8 Range Type: Energy Path: Sprinkled Building: Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Han~pped: Paved Drive Rqd: i\'\~rn'( % of Lot cover"{~: tf-.?\'f..'t. \r \i \S ~Q \-\'?~\~:F~~\~ S\'\~:O ,\,\\S ?tj~n rQ'f.. I PUBLIC IMPRt9',~[S!u\l~", \S JI-'OJI-\'W rCQ~~'t.~~JI-'1 ?~4Ik '!'ype: [;.~'/ '\ ~ DownspoutslDrains: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid $20.00 . $5.00 . $100.00 $100.00 1116/09 II16/09 1116/09 1116/09 Total Amount Paid $225,00 I Plan Reviews I CITY OF SPRINGFIELD' Building/Combination 'Permit PERMIT NO: COM2009-00074 ISSUED: 01/16/2009 APPLIED: 01/i6/2009 EXPIRES: 02/12/2009 VALUE: ., Receipt Number 2200900000000000062 2200900000000000062 2200900000000000062 2200900000000000062 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(J'~,ire~ ~nsnect,i~~~, I Banner Removal: To be requested the day fonowing 'the expiration of the permit. If iuspection is not requested, , . the applicant may forfiet the deposit, By signature, I state and agree, that I have carefuny examined the completed application and do herehy 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 without permission of the Community Services Division, Building Safety. I further certify that only contractors and einployees who are in compliance with ORS 701.005 will be used on this project, 1 further agree to ensure that an 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 the property, and the approved set of plans will remain on the site at all times during construction. ~4--4/~ /1 ~/..-I~-(/? . Owner or Contractors Signature Date Paee 2 of2 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00074 COM2009-00074 COM2009-00074 COM2009-00074 Payments: Type of Payment Check cReceintl RECEIPT #: 2200900000000000062 10:01:27AM Date: 01/16/2009 Description Banner Special Pennit Deposit ***+ 10% Administrative Fee*** + 5% Technology Fee Amount Due lOO.OO 100,00 20,00 5,00 $225,00 Paid By JiMMY LANE DELI Item Total: Check Number Authorization Received By Batcb Number Number How Received Amount Pajd djb In Person Payment Total: $225.00 $225,00 'l260 Page 1 of 1 , 1/16/2009