HomeMy WebLinkAboutPermit Signage 2009-1-23
225 FIFTIl STREET 0 SPRINGFIELD, OR 97477 0 PH:(541)726-3753 0 FAX: (541)726-3689
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Date of Installation 1~3 /0 fi
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Permit Fee: $225.00 including $100.00 Deposit and applicable fees.
Date of Removal
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By signature, I state and agree that I have carefully completed this application and hereby certify that
all information herein is true and correct. Ui.uther agree and understand that the above described
banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days
from the date iisted aboF.f91f~ banner(s) and/or portable sign is not removed within the timeline
specified, I will forfeit t/WI~ IP'flR~ le'p'osit.' I also unders1al1d that this special permit can be issued
only twice per calendarA'!JffiB'Ri Jh'b%~nt~eaE IflilWERW6~ff call the inspection line at 726-3769
by the end of the 30th defJtJ?rvI[E JlMrl.~FelHIm/tl[~"rifJl&:N~lflI1oval of the banner(s) and/or portable
sign(s). This inspectio.&rw~8'6 QIil,~fr~t,be1flG().OO deposit if the banner(s) and/or
portableSign~S . as beCiUemov .Y PERIOD. ' .' ~
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Date of Application
Job #
Receipt #
Issued By
zz.r
Amount Collected
Shared Drive (T:)!Building Fo.rmsfBanncr ]ortable Sign Permit eSD 7-08.doc
CITY OF SPRINtJ1<lJi;LD
Building/Combination Permit
PERMIT NO: COM2009-00108
ISSUED: 01/23/2009
APPLIED: 01/23/2009
EXPIRES: 02/23/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
, 541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1873 PIONEER P ARKW A YEAST
ASSESSOR'S PARCEL NO.: 1703262302301
Springfield TYPE OF WORK:. Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner - install 012309 removal date 022309
Owner: PK SALE LLC
Address: 3333 NEW HYDE PARK RD #100
NEW HYDE PARK NY 11042
I CONTRACTOR INFORMATION'
Contractor Type
Sign
Contractor
OWNER
License
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUILDING INFORMATION'
ATTENTIC#JofSW1ilJS:1aw requires youto
fa II ow rul eHetgllie'6tc8I)IU~IQ regonseUttflolitrYth
, . ' ~<M>l""" .Thnoe ru es are
NotlflcatJon "n-u'tlt t1e~ough OAR 952-001-
In OAR 952,Wli'nll-aF:f\M1 opies of the rules by
0090., You fRai\gtbWij~90te: the telephone
calling thE~Palll': ~'lity Notification
number fcsJffi\i9~a9PJ1 . I 2' '>44) nla
r...nfer IS '-80\.J- ...
I. DEVELO~MENT INFORMATION'
, Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Commercial
Expiration Date Phone
Lot Size:
Bq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
1 PUBLIC IMPROVEMENTS I
. MU IlL\:. to \fkmq,WORI<
THIS PERMIT SHALL EXI'IM" ~JIOT
UTHORIZED UNDER TttlSJ?iWIJIIFO~ms:
~OMMENCED OR IS ABANDONED f
ANY 180 DAY PERIOD.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction.
Page 1 of2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00108
ISSUED: 01/23/2009 .
APPLIED: 01/23/2009
, EXPIRES: 02/23/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee~ P,a.id ,
,Fee Description
***+ 100/0 Administrative Fee***
+ 5% Tecbnology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$100.00
$100.00
1/23/09
1/23/09
1/23/09
1/23/09
3200900000000000038
3200900000000000038
3200900000000000038
3200900000000000038
Total Amount Paid,
$225.00
I Plan 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 Reauir~~ T nS'l.ecti~ns ,
Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested,
the applicant may forfiet the deposit.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is tru.e and correct, and I further certify that any and all work performed shall he 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 witbout permission of the Community Services Division, Building Safety,
I further certify that only coutractors 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 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, aud the approved set of plans will remain ou the site at all
t2ing constructiou.
fil!.::t! lily- D"! /.A3 / &<j
Page 2 of2
225,Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00 1 08
COM2009-00 I 08
COM2009:00108
COM2009-00108
Payments:
Type of Payment
Check
cRece;otl
RECEIPT #:
3200900000000000038
Date: 01/23/2009
Description
Banner Special Permit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
FLIGHT OF THE PHOENIX
Item Total:
Check Number Authorization
Received By Batch Number Number' How Received
djb 1156 In Person
Payment Total:
Page 1 of 1
10:46:20AM
Amount Due
100,00
100.00
5,00
20,00
$225.00
Amount Paid
$225,00
$225.00
1/23/2009