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HomeMy WebLinkAboutPermit Signage 2009-1-26 ZZS FIITII STREET . SPRINGFIELD, OR 97477.. PH:(S41)7Z6-3753 . FAX: (541)726-3689 8J ..~ ..~ Job Location ~ e. ~ Assessors Mar (Q ~ ..~ "'-.. Addres< ~ ~ City ~ ~ ~ Contractf'T ...~ 5 11 City .~ State Zip NOtIC~]. . u~,' F;(P1RnkJtlE ~~R\( Construction Contractors License # 1Hlt> n:Rly~l~ €,~' 0 T\-II~ PE~\~" 1f.)1 < / . AUTHUKILCU \,;.!SE. ANDONED ~U,K DescriptioI' !? ~~ C;::J:M,~,:M~~[) OR IS AB . , I ~ ~..-ANY 180 DAY PERIOD. J' . Date ofInstallation~j 2, (f('tJ. y .... Date of Removal .~ :2:.~/d '1' Permit Fee: $225.00 including $100.00 Deposit and applicab~e fees. 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 aboye 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 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. 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 ofthe.banner(s) and/or portable ...Jif:JJ 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. i Signa1ur~ hA / ~ 07 ~. ~ ~ Date of Application ~ Issued B? m Ii ...... e'~J ~. ~ ~ ~ e.~ .~ [.7-'2-0' . , . /Ze:::. C'tyJ bN b C-OWl'ZOD'7-00 I 0 urn er . lee cou2ooB. c:>o&"lC{ // 7 t.} C; Af tf W;K. . I / (70S. 22.Z0 L-n> fJ . Tax Lot 024lD Owner of Property. J f.v.-/ / PI- I ~!) 3/() f~~ i 'J8lua~.oLH UU!IIOv '4' ulBlqo kew no).. .060Q.....,.., / " J Fir " ^ , M_ , M.Phon~'n UI / ..L l4 ,... "7 , -l--UU-0::JU QVV '1~"-"-,n..."~" . -- --- - n 4lJOl18S 8JE S81nJ 8s041 'J~~~~IIE~lbION L: .',""n "nn"'r\ flShiteP8ld lI~p /' }'-/ 0/ '."" . ME U058JO :NOI1N3l.L~' ) Ad"'p<< PhoJ1P Job # Receipt # Amount Collecter1 /I~ - Shared Drive (T:)lBirilding FormsIBanncr ]ortable Sign Permit eSD 7-08.doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00120 ISSUED: 01/26/2009 APPLIED: 01/26/2009 EXPIRES: 07/26/2009 VALUE: Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS:, 1174 Gateway Lp ASSESSOR'S PARCEL NO;; 1703222002410 Springfield TYPE OF WORK: Banner PROJECT DESCRIPTION: Banner -'ref:C0D2008-00644 TYPE OF USE: New Commercial REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd; Handicapped: ~d"mWe Rqd: HE WOR~ompact: o),iAWV~~'l"IDW\ll EXPIRE IF T T IS NOT AI ITHORIZEO UNDER THIS !E~~~ en!:! I PUBLI(lJIMP.Rg~EfMiN.t.sliD/"ID",jvO".:- I v U~ J -n . . f'li I I U " .- S'd' Ik T I ewa ype: Owner: SHEILA S LLC Address: 3194 GATEWAYLP SPRINGFIELD OR 97477 I CONTRACTO~ INFORMATION I Contractor Type Sign License Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1':BUlLDING,INFORMATION.,'nu UOIl'8~li - i:lO 6UOUd8161 6uj :ajoN) 'JawaCl 64\ UU!II ,Iq salnJ auj IJli.o~Stories:lqo ,I~W nOA '060~ _ ~OO-(;S6 \:NCl!,e)ght,,!f Str.ucture-(;S6l:l'tfO . ujJOI jas mil sJ\ypelofllJ.~"f:}jUeO UOi\BCl!I!ION Ajlllln u05eJ&,at~r,\'l1y:pe:doPIl salnJ MOllol o'l'no,l seJ!nRange;Tjipf:eJO .NOI1N311'tf Energy Path: Sprinkled Building: nla I DEVELOPMENT INFORMATION I Front yard Sethack: Side 1 Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: Downspoutsmrains: Notes: I Val~ation Descriotion' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Paee 1 on Value Date Calculated Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description ***+ 100,10 Administrative Fee*** + 5% Technology Fee Banner Special Permit Total Amonnt Paid Amonnt Paid $10.00 $5.00 $100.00. $1l5.00 Total Value of Project Fees Paid 1 I Plan Reviews I Date Paid CITY OF SPRIj~\.jnJ!,L1J Building/Combination Permit PERMIT NO: COM2009.00120 ISSUED: 01/26/2009 APPLIED: 01/26/2009 EXPIRES: 07/26/2009 VALUE: . Receipt Nnmber l/26/09 l/26/09 1/26/09 1200900000000000049 1200900000000000049 1200900000000000049 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, inspectionsrequested after 7:00 a.m. will be made tIie following work day. I Rep,uired.' nsne~th'"~.1 By signatnre, , state and agree, that 1 hav'e carefnlly examined the completed application and do hereby certify that all information hereon is true and correct, and I fnrther certify that any and all work performed shall be done in accordance with the Ordinances oflhe 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. 1 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 requested at the proper time, that each address is readable from the street, tliat 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. Owner or Contractors Signature Paee 2 of2 Date 225 Fifth Street Springfield,'Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00120 COM2009-00 120 COM2009-00 120 Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000049 Date: 01126/2009 Description Banner Special Permit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By MICHAEL SCHWARTZ Item Total: Check Number Authorization Received By Batch Number Number How Received djb o 1365d In Person Payment Total: Page 1 of 1 3:02:ISPM Amount Due 100.00 5.00 10.00 $1l5.UU Amount Paid $115.00 $1I5.0U 1/26/2009