Loading...
HomeMy WebLinkAboutPermit Signage 2009-3-9 225 TIrrn STREET. SPRINCTIELD,OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~: (..0lM. ZOO "1- 00 -SIt{ . ~ City Job Number ::~; Job Location 500 ~ 11 oJn c5f. ~ "~ Assessors Mar 170 Z- :5:!.3 Z Cl ~ ~ Q) ....... r"l"'l _. ;;;; _ . ~ddress ~...t ~ City.inCI. St:te-.OK COI;tractorllnstaller' \0 . Contractor Owner a.r 8 usi1f:r~'~u1~~\~~~s fA, (0)'/3-'" Ole e <;e\ 0\" Addre<< ''5-00<) nOlI f),e9i-);fo'1 \'0~. ,\e<; ~\, 9<:,'1;'0 ^ "'i'~ [j .,,' .,. .' ,609'v~'00<;''' ~'0 ur'~e 1\}\V0e City -~,.o. _"~ ., ".' '.~{\\:::'\O \'0I~~..;\e<; o~ ~eW\'~t~ti?{\L? Ie I -, I -- " . J:Jy..r ~i\\\.v- ~e'. \.~'- ~O\W- , ~'1 0'0 I \~o 1,)\\\\\'1 ~~). Construction Coritractors l;ic~nse\#e' ",(){\ n~'~?> . . 0''0 ":",(.1, V\~ <iGQ~'-''''' /I .' '~/' I'~ . Description I R .X;\~.)\-:.e{\\a .h()'hnf'f " ~, ....~( g:l ~' ~, ~~ . ~i _l _l ~i -~ ..U IJ I. " '. !'!='l ~l r. -. ~ ~ ~i ~ ~) ..~~ ~ .~? ~. ~~or _ ~ . ) ""'" :-. ~ ~ ___i " Ii ~) i: ~. c ~ ~l , ~(()~Z-OO~-OD'Z ., S~...~~,'.~.~.t~{. ..:'(".'.':"':'. A!" ....,... ....^.):~'''"'.::,-4,, .JI CITY OF SPRINGFIELD, OREGON Tax Lot OCf rO 0 Owner Owner of Property /' L.A [) D ro,<,-1j 9. F.r'flCrm1'\ es r LL~ Phor p 7.2{, -;)(Ps'-/ zir,1741g Phon/' 1:1G-;){p5if Zip 111f7% Expirp< Date of Installation d.. -(,r 01 Date of Removal..) -(0 - dJ 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 correct I further 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 ~~lh 30 days from the date listed above. If the banner(s) and/or portable sign is not removed w~~~line specified, I will forfeit the $100.00 deposit I also understand that this specij\~~~~ issued only twice per calendar year per development area. I also agree to call ~~I~ll~~~t 726-3769 by the end of the 30th day to request an inspection to veriwhe r~\~~ !{tl~1ts) and/or portable sign(s). This inspection will begin the process to re~~j~'h~~'(t~~<\,~p~~} ~ e banner(s) andlor portable sign(s has bee/ilrerr;' ,\y,\"o 'i' \)~\tS \) \)~ ~\)\). . ,. 'r-'0'\Y\ 'f<:-v<'VS;:l, 'i''\;,'i'' q Signatur _ 'aA _ . ~(\~\l\(v~ \)'" Date J)- /0 ~() ( ~, . For Office ~e 10b# C '7- 3/ll Receipt # /Ih Date of Application Issued By ......;p~ . Amount Collected zz)' - " ..-" Slum:d Drive (f:YBuilding FOrmSlOaim,ir]ortable Sign Permit eSD 7...(18.doc.,', .' . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-003I4 ISSUED: 03/0912009 APPLIED: 03/09/2009 EXPIRES: 03/0612009 VALUE: 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 54]-726-3769 Inspection Line SITE ADDRESS: 5005 MAIN ST ASSESSOR'S PARCEL NO.: 1702333204500 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner - ref:C0D2009-00]29 Owner: CLADD ENTERPRISES LLC Address: 522 N 65TH ST SPRINGFIELD OR 97478 Contractor Type Sign Contractor OWNER I CONTRACTOR INFORMATION I L. .\0 lCenSe ''(e~ J \J\W~),^ C,.,\\, n" \0'\\' .r-. \.. ..\ \ ,. ,\ Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I BUILDING INFORMA'TI-O"~i'~.Cl~ ~'l , - . ,- J~! \)\e ....., -\":: ,;J.-::' ,ose '0~ \~e '<; o(\e ~-, \ #.of,Stories:\"'lo<J co' n'e9X\ n\\O~ 0'''' 0.0:,1 "..'\."'. (\1.\' r.\fY;) \1;\ 'Cv-\. r . :,. ~\\'Heiglit ofeStructure . \X\e ~o,oi.\'\ \\0"" ... \ Ij'" -v ,......\\\ - ~e' ,\ ,-.. \0" .\\c:z,\\l)ye ot,l!eat: ~,O '0i.\\\~1 r:,~~)' \\0\\ !>.?>'\Vate"r-'Typ'e:l. "O~ n.r:,'/.:"- 0, -,LOv c'. Ole" Cl.~ \~ .,(). l{angflTvp.e: ,co\! "Cl'" ,,,v, . ." 'c v .s:Energy'Path)" c Xl\>' (\.,~ , ~SSprin'l<le<l Building: Lot Size: Sq Ft ] st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I <;>~ REQ~IltWARKING . .!- -<.,'0 {o Overlay DlSt: xy)t~f' ~ # Street Trees Rqd: . X-~,~ ~~~p~ed: Payed Drive Rqd: . -x-,"r\'\' -<.,~S~'pa~t: % of Lot Coverage: \C~. ~ S ~''VX-~ ':O"r-~ ~'\\ X-~~ '0'~ ,S ~ ~ .c 9l4Y~ (\~ .f'\\' I PUBLIC IMPROVEMEN11r<~\)'s~'->'<-~ 9,y.-'<"- . . ~~~ ,,'V ,->'V' S\!lewalk Type: ~--1, , - ~ Dnwnspouts/Drains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descrinlion I Description Type of Construction $ Per Sq Ft or multiplier Square Fontage or Bid Amount Valne Date Calculated Pae:e I of 2 _~~A!~.~~I~.' ji....... ... !'. 1ItIL~ ...................,l CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00314 ISSUED: 03/09/2009 APPLIED: 03/09/2009 EXPIRES: 03/06/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fees Paid I Fee Description ***+ 10u/o Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $20.00 $5.00 $100.00 $100.00 3/9/09 3/9/09 3/9/09 3/9/09' 1200900000000000]66 1200900000000000166 1200900000000000166 1200900000000000166 Total Amount Paid $225.00 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, inspections requested after 7:00 a,m. will be made the following work day. I Reouired Insoections I Banner Removal: To be requested the day'following the expiration of the permit. If inspeetinn 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 trne and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ofany 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 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, and the approved set of plans will remain on the site at all times during construction. ow~r~~::::rs~i~~:~ lre / Mt' M.A'( p~ _ lo.t, 1 ;;>/1.' . Date --. Pa2e 2 01'2 225 Fifth Street Springfjeld; Oregon 97477 541~726-3759 Phone GPRPiOFIIU.i:) ...., ~~ City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00314 COM2009-00314 COM2009-003 14 COM2009-00314 Payments: Type of Pltyment Check cReccioll RECEIPT #: 1200900000000000166 Date: 03/09/2009 Description Banncr Special Permit Deposit + 5% Technology Fcc ***+ 10% Administrative Fee*** Paid By MAIN ST MONTESSORI Item Total: <"':heck Number Authorizlltion Received By Batch Number Number How Received djb 5551 In Person Payment Total: Page I of I 8:48:52AM Amount Due 100.00 100.00 5.00 20.00 . $225.00 Amount Paid $225.00 $225.00 3/9/2009