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Home My WebLink AboutPermit Signage 2009-2-20 225 FlITH STREET. SPRlNGJ1ELIj, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ (.OVV\'z:OO 'f~ OOZ-41 ~ City Job Number . ::! Job Location qJ t/ ;iJ1aif; s/rtL0 ~rl/~/d ..~ A' M /7033SLfZ- " .J Tax Lot Q ssessors Pp .~~ > ~ - n " I ~ City . ~.(l.t;,'::" lYl r, c.' d -/ / ~ "';"~"'~""'-'-V'"f''' . ,u~ tN{-"~~'d'A"';i'f*~'];:':-'r::;;"~j,, ""-- '.1Contractornns a e . ~~ ~;&,;~~::';~;Si;,~;>j7,:-;-d;~':_rj:;t<\}i1;~'~;f: "~: ~; ContractoT' ~() g ~ Addr,,<. i .~. II ~ "~ 'is ~. ~ ~.14' '.~ -.,""""" ~ 1 ~ 1 M . Q7c/T7 DblOO Owner of Property Addres< "X Lc;l?/=) . PIJ-1.t () I Phrm" . ?;'.A r State Zir q7tDL- 1J,~ .~ ~: I CI" IIUI~: uregon law requires yo fo..ow rules adopted by the Or . IHt I\lr'll'ifi,....!)+i.......... r-.,..,,,,~..._ "":,. . _ h nf! Y . - -,..-.. "''-'-.1v H:;;,,:,cH\jse torth In OAR 952.001.0010 ough OAR 952-001- 0090, You may . "State oies nf thp ,,0100 h\Zip calling t enter. (Note: the telephone numb or the Oregon Utility N tl . Construction Contractors License # ~:_'. " ...... 0 llcatlon ExpiTP< """-'"'''' I"" l-uuuMvv'::::~':::vq4). City Descriptipn 7 ~a_P1fl.Q.-f .3 X ,:;z.&; /o~. I I }") Date ofRemov~l (~//~/o ) Date of Installation Permit Fee: $225.00 including $100.00 Deposit and applicable fees. By signature, I state and agree that I have carefully completed this application and hereby certify that all information herein is true and cOITel@er agree and understand that the above described banner(s) and/or portable sign(s) is not an 60 square feet, and will be removed within 30 days . from the date listed above. If the bannl#~ dfiijMSIj1idJW.llt~M~J1iW_lrthin the timeline specified, I will forfeit the $100.00 de~Qi .HqJl1jgJi~llH:/Bt~'!lJ~yn:nit can be issued only twice per calendar year per devel61Qll~fDIOOsI$~~pection line at 726-3769 by the end of the 30th day to request arf1M'p~fJ.dH\lb~eremovar of'the banner(s) and/or portable 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. Signaturp ~'. Wv-J.efT'\. Dat" cZ /;)...0/89 , ,- Issued By b~ Receipt # z-z r - . Amount Collected Shan:d Drive (T:)lBuilding FonnsIBanner_Portable Sign_Permit eSD 7-O~.doc _~I;'mr\lp..~!~ ~,;H',;;.. <;. .,1-',:;: Status Issued CITY OF SPRJ1~\.Jl'IELD Building/Combination Permit PERMIT NO: COM2009-00247 ISSUED: 02/20/2009 APPLIED: 02/20/2009 EXPIRES: 08/20/2009 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 924 MAIN ST ASSESSOR'S PARCEL NO.: 1703354206100 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner - ref:COD2009-00151 Install 021609 removal date 031609 Owner: MCKENZIE ENTERTAINMENT LLC Address: 924 MAIN ST SPRINGFIELD OR 97477 Contractor Type Sign Contractor . OWNER I CONTRACTOR INFORMATION' ATTENTION- 0 License Expiration Date. Phone fol1ow rule." ~,,::.~o,n_ law reqUires Vo" In BUILDiNG~iNF()RM~if0N;i:';:,~;egOn Utility . 0090. Yo~- --, -UlJ/U rnrough OA~e9~et_fOr:h # Of,Stone~:may obtain copies of the' E'oPgke: .........'WILl e CAntF-r (N r!JJ~t' hv l;I/tig\JMf rJry~~ure . ole: the telepl\1iltrut Floor: Type of l:!&~'\:er i Or:gon Utility Notifilft fit 2nd Floor: Water Type: S 1 800-332-2344). ~~ 'tfl Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: . Sprinkled Building: nla Occupant Load: # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks:' Overlay nist: Total: # Street;.I;)<<....~w!:' - Handic. apped: Paved D~iVeIRI(d<: _ Compact: % of Lolk1J&ffiiglMlT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER TffIS PERMIT IS NOT I ~UBLIC IMP~~~~~IE~;~;tlf\IWUNtU fUR Sidewalk Type: Downspouts/Drains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I V ~Iuation Description I. Description Tvpe of Construction $ .Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pace I of2 . . GI!'RINOP,IIlLD, -- -~"~'~",r''''--''~''-'''',~,,>,,-f':1''~,._.- J- \- Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00247 ISSUED: 02/20/2009 APPLIED: 02/20/2009 EXPIRES: 08/20/2009 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 I Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Numher $20.00 $5.00 $100.00 $100.00 2/20/09 2/20/09 2/20109 2/20/09 2200900000000000192 2200900000000000192 2200900000000000192 2200900000000000192 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 Reolliredlnsnections I 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 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 descrihed 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 employees who are in compliance with ORS 701.005 will be used on this project. I fnrther agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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. ::~"O" f!.~:::,kmsA" f ~/d-f;k Date Paee 2 of2 225 Fiftli Street Springfield, Oregon 97477 541-726-3759 Phone ~~~;ii.~'..'..'.'''''.' ;i iii: .. : . ;.t,-, j -,. - .- __~ .....~ ;;..l._, Job/Journal Number COM2009-00247 COM2009-00247 COM2009-00247 COM2009-00247 Payments: Type of Payment Check cReceintl RECEIPT #: 2200900000000000192 Description Banner Special Penn it Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By Received By SPRINGFIELD TIMBER BOWL djb Page J of J City of Springfield Official Receipt Development Services Department Public Works Department Date: 02/20/2009 Item Total: Check Number Authorization Batch Number Number How Received 2373 In Person Payment Total: 9:26:55AM Amount Due 100.00 100.00 5.00 20.00 $225.00 Amount Paid $225.00 $225.00 2/2012009