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HomeMy WebLinkAboutPermit Signage 2009-1-23 225 FIFTIl STREET 0 SPRINGFIELD, OR 97477 0 PH:(541)726-3753 0 FAX: (541)726-3689 =: ..~ . City Job Number ..~ Job Location ~ "~ Cl ~ ~ ..~ ~ ~ ~ ~ ...~ ~ I ,~ Ii I. '> ..~ ~ ~ ~i ~ ~) -. ,.....4< ~ ~ ~ ,4g..l ! ~ ~ ~ i ~ ~ I -I. . \ \ coVV'\ ZOO, -oD / oJ' Gre'~-!-- Okp S'~ /f 73 (1'0/7 eer P hw(,j E, S aYJ hCIJf-1'~ fa () ({ {(7et 7 7 r (I Tax Lot ~ O\VIler of Property )' L L{ - '333,3 J~-w (+-:-d ~ Y~{[~WPhonp' H;.-dc--' (JAIlk- (u~~r:^';;.5!tte' N,V Addre.. City J!l~v If 6 L( L ~ST~('3iJ'$~l"f5!J.k?<tcf.t:0\~'i{;L~t~, s"Coiiira'CiorlJizsta ;.,4t)mit~t;3TSL-st1}l1illf'';;;;i':~~~~rf; Contractor ,U . 0, Yn" _'OOI'on;~ hOSA"~ reonn.au to -""ling II "'''Y Obt :'lnroUg'h'"O are S ~"lIty ,~~~~;':~~er. a/~/~~~ies n~~,*'i~~~~~t~ e/]ter I rego/] U " The tel rUles b s l.soO Mly No epho/] .r <;tate '3300 n. Min.., ZIp ~v."'fq). -'fUn Addres. r:.. :flJ-:?- 'I City Construction Contractors License # Expirpo D .. ]3, {{nil er- ,escnptJop , Date of Installation 1~3 /0 fi / Permit Fee: $225.00 including $100.00 Deposit and applicable fees. Date of Removal ~ 1~3 J ot/A " 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. ' .' ~ ,--,,' I. I ,I(, b- ,_ ,//~ {)a Sio-n~hlTP ~ " r Datp / " 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