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Home My WebLink AboutPermit Signage 2009-2-2 .' IJ 1",0 oO~l, ~~ ~ "." ' ~j ~I ~" . ~;{j)) ..~~ ~ ~ ,~~ ~. ~ ~ f" Ij -::-: i~; ~I ~ ~J M \Ze''':-: COh ZOO c:; - OOOO~RINGFIELD' ~ CITY OF SPRINGFIELD, OREGON ~ -OD/~/ CityJobNnmbe~ ,OIA/lZOO I .Jb L-/ Z-70 IAA Auv OD2323 ( ':::.T TaX Lo' 22511rrn STREET. SPRINGfIELD, OR 97477 . PH:(54])726<1753 . FAX: (54])726-3689 ~ O.~ O.~ Job Location ~ o. ._I~ Assessors Ma!, ~l ~ ~ (;:)) ..~. C' ~ ~ ~ ~ ...~, ~~ ~t ~ ~l ~ u OWI/er ~' /) C\ /.;/ Owner of Property './ ~\j JelA d.J...J if'.:7./ ~ ,- Address /;, r! 't. Ln7 d.--t-, / ._ PI,,,np City iJijd' State@-1-.... CUI/tractor/II/staller / Contractr,' = W ~_ .. ,__ ._." 'O"1<irp.s vou to rATTENIIV,", v'~"-"b" the Oregon Utility fo\l~w ru~~~~~~f,te~hdse rules are set lrfit~p ,"UlIUVQl.-.... -1 0010 through UI-II1 ,,;:>~-'iSu<t in OAR 952-00 - , ies of the rules by City :)Cnn Vn1< mav obtain C:;Rate- _ '_'Mhnnp ~~\ling the centoer. \lo'lnO ~ii;;i; N-otiiication . . ~,,~her for the reg ConstructIOn Contractors Llcell'5e'"' ' 1 n')n ~~0_?~44\, lIeIlltll \.:1 J___ Addres< OZ-'2'6( -~.!~ 7~:{/~'-:L : I " "'/ Zir q 74Z<f': Zip Expirp< Description -g..t NNrn Date oflnstallation / -F .Y Date of Removal / r ' Permit Fee: ~Iud~ and applicable fees. / / .) By signature, I state and agree that I have carefully completed this application and hereblrtifY that all information herein is true and correct. I further agree and understand that t~e ~~ ed banner(s) and/or portable sign(s) is not larger than 60 square. feet, and wi~ ~~ 0 days from the date listed above. If the banner(s) and/or'~ffii~~~Wi ~e'i1imeline ' specified, I will forfeit the $100,00 deposit. I also ~s~,~e~~ ~~ can be issued only twice per calendar year per development area. ~i!s'1'llpe\l.t~nspection lineat 726-3769 by the end of the 30th day to request an inspection to %' ~ ~~lft"e banner(s) and/or portable sign(s). This inspection will begin the process to retuNr_~. deposit if the banner(s) and/or portable :ign~S been removed. ' fo: Signatl'rp ------ CLJuL.J.J Q \y l.n-",~ (./ - Date of Application ~ft;6 , ,')... r( For Office Use Job# C '7 ~OC IJb Iss:ued By Amount Collected ":' .., Dap~-d-O '[ Receipt # 07L IIr ,.' ., , " Shared Drive (f )lBwlding FormslBann~]ortable SIgn Penmt CSD 7'()8 do.:: ' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00156 ISSUED: 02/02/2009 APPLIED: 02/02/2009 EXPIRES: 08/02/2009 VALUE: Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line. SITE ADDRESS: 4270 MAIN ST ASSESSOR'S PARCEL NO.: 1702323102201 Springfield TYPE OF WORK: Banner PROJECT DESCRIPTION: Banner - ref:C0D2009-00006 TYPE OF USE: New Commercial Total: Handicapl!~~ , com~~~ f:)'\ '- ~~ l\\~~ c.~\~\\~~~ ,,<I';:)~ ' I PUBLIC IMPROVEMENTS ~~. ~ ~y..~~~~ '\'(-.;'~I';:)I';:)~.,. ~$) \ ~~\'s"i'00w),)~~~~~ y..f:> Q,\l.;~~~~n.\I';:)I';:). '\ ~,\y..<:)~~",~~~w.,rains: ~ 0J\~~ ~ I';:)'f. C; ;-( \'0 "'~ Owner: HEACOCK INVESTMENTS LLC Address: 6893 MAIN ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION' Contractor Type Sign M~nse _, \i\e~d ,\\,\\\'1, .OJ 1-' -"'" " ~')\ '-" I BUILDJ.lN~'INJia!l-M;\;;mQN')Cl\- ~\o"" - Q9~eo "'se (\ll~O~?'''~\es 'O'l ~:t'i~~tu\es 1lP~.t(k.'Th'~io\l\i'(l 0\ \'(16 \~'(IO\\6 \0\\0~ \\0\\ C~i.llPj\~~t,\Cf~6 \6\6\\c,<>\\O\\ ~o\'\\C~ 9S'2.-~~$1l~~!b\e', ~\\'l1;,\o\' \\\ oJ>.' '10\1 ~~tl"l\qiy?&O\\ \J\\2._'2.?,.:'A~' 009Cl~\\\\\i \~a~1l11t~0Cl-':)':) C~ 11''06\ 'F:I\~;llY''Path: flU <8~~inklcd Building: Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: n/a I DEVELOPMENT INFORMATION' Frontyard Setback:' Side I Sctback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction:, Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Paee I of2 Expiration Date Phone Lot Size: , Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Value Date Calculated Status Finaled CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00I56 ISSUED: 02/02/2009 APPLIED: 02/02/2009 EXPIRES: 08/02/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid' Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Amount Paid Date Paid Receipt Number $10.00 $5.00 $100.00 2/2/09 212/09 2/2/09 1200900000000000071, 1200900000000000071 1200900000000000071 Total Amount Paid $115.00 I Plan Reviews , 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, in,spections requested after 7:00 a.m. will bemade the following work day. I Rell~ired Insnections I By signature, I state and agree, that I have carefully examined the completed application and do hereby 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 tlie Ordinauces oftlie City of Springfield and the Laws of the State of Oregon pertaining to tlie work described herein, and that NO OCCUPANCY will be made of any structure without permissiou of the Community Services Division, Building Safety. I 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, that the permit card is located at thc front of the property, and the approved set of plans will remain on the site at all times during construction. r:::::VY11 I ~.dtt -, U Owner or Contractors Signature Date ~h./)..t:Ji.1 I I Paee 2 of2 225 Fifth Street Sprtngfiellt, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00 156 COM2009-00 156 COM2009-00 156 Payments: Type of Payment Cash Change Job/Journal Number COM2009-00 156 COM2009-00 156 COM2009-00l56 Payments: Type of Payment Cash Change cReceintl RECEIPT #: 1200900000000000071 Date: 02/02/2009 Description Banner Special Pennit + 5% Technology Fee ***+ 10% Administrative-Fee*** Paid By JACK HEACOCK JACK HEACOCK Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person djb In Person Payment Total: Description Banner Special Penn it + 5% Technology Fee ***+ 10% Administrative Fee*** Paid ily JACK HEACOCK JACK HEACOCK Item Total: Check Number Authorization Received By Batch Number Number How R~cei.ved djb djb In Person In Person' Payment Total: Paee 1 of I 1:45:19PM Amount Due 100,00 5,00 10,00 $115.00 Amount Paid $120,00 ($5,00) $115.00 Amount Due 100,00 5,00 10,00 $115.00 Amount Paid $120,00 ($5,00) $115.00 212/2009