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Home My WebLink AboutPermit Signage 2009-3-6 ",' ,1'- II ~ ..~ ~. ~' e:'4 ~ ~, ..~ ~ ~ ~ ~ ~ ~ I .~ ~ , eL4:col)ZOoCf -(:)O,~o City Job Number COW\Z-OO , - 0 cr3Lr :JIll, YOLmtLJ/f 8vt!' - ,gP,e;/ib//EI.t!J,!Je t/70?? , . ~ i 01 Z-4 \{ 3. Tax Lot D 2.. 1 ( { Owner of Property c7.1:fL--7f!?m./J '(}/h1/' ~ State.~ Ph('n,,~-~I!/) 7'/41 -4{)tJf?' Zip' 971/77 ' - '" 'v . eS ,\o0';.\i\\'\ X\ _"",\1 ~()<:'- ,\01"1 Phor" '" '-Ol"~ e".~_ry:\)~ 0<:'-"'" \'<:'oe es,<>I~~_'.:, .. City ",::,<e~fo~~~\;",\\,~8tt5~e . ;\\O~ oo~ '(\ 10"''0 0' ~e~'<:'o '!..\o'" " . AY:';'\ .,es 'IJ',r \)\'<:'0 e,\es e \e '!..\\\c'lJ' , Construction Contractors .Elce e#CJ\)\_' _ co~ " \'<:' ,.:,.0 ~~~o~"_,^\\o\~ ('f:::/\r r"\'O~().\' \~o\.: \\~\\."L.),~l:\V .-z>~wr ~'J~ ~'<>~e<:,-\e\e9,o\~,?>?i{.:~ !>TW,_ e'w19 ._0, ,0 n<:i "\)Z\);~,~:~'~,::~~~'; \S ',- Date of Installation /"'7U.JVI Ad.J.,,<< ZiD Expire. Descriptinn Y610't Date ofRemov~1 Permit Fee: $225.00 including $100.00 Deposit and applicable fees. By signature, I sta.te and. agree that I have carefully complete.d this a:pplica~~and hereby certify that all information herein is true and correct. I further agree and understand:,~~bove described banner(s) and/or portable sign(s) isnot larger than 60 square feet"an~~moved within 30 days from the date listed above. If the banner(s) and/or portable Sign~' ~t~'tl~thin the timeline specifie~, I will forfeit the $\00.00 deposit. I also understant f4i\l' ~X-~al pen:nit c~ be issued only twIce per calendar ye er deVelopment are}. I al ~~ inspectIon lme at 726-3769 b,Y the end ~f~e30th(diiy t.o req . st an inspe~'tt. . ~rs~val of~~ banner(s) and/or portable Slgn(S). This mspeotlOn WIll be the pro~. ~~'deposlt if the banner(s) and/or portable sign(s) hi been remo d., !V R,x; _, ~x; " ~ (\"1'- -- . y. ~- Signatur" ~ ~ - ~--?--CX- Date of Application '3 Re~eipt # Iff- Issued By Amount Collected' Shared Drive (T:}'Building FonnsIBanncr_POrtable Sign Permit eSD 7"'{)8.doc Status Finaled CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00311 ISSUED: 03/06/2009 APPLIED: 03/06/2009 EXPIRES: 09/06/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2111 Yolanda Ave ASSESSOR'S PARCEL NO.: 1703244302319 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner - ref:cOD2009-00150 for 2095 Yolanda Ave Commercial Owner: EMERALD SQUARE DANCE CENTER Address: PO BOX 70628 EUGENE OR 97401 Contractor Type Sign , '0 "..r>S 'J~y~,,\\\\~ , I CONTRACTORClNFORMA1iWN I , " '000 ,- \'roe - '0001" - S~-IJV ' Contractor O~'. Ole"wo \)'J 'Oe \IJW Ol'-'i\ QLicen~~ ~\\\ 00\' ,'roO 1J9>'ro \'roe 'v 00e OWNER ...,\~\' .$\'0 '<>",,1. ,,'<\10 .,~ o\,oo'ro .'.~\\ , N .. ~ . ....,- -.., ~ _n'.' ',"" "-" ....,.v. \0\\0: G<,\IQBUmDING,'1NEQRMA H0N I "1.,1 . . ~o' n ,,~- 00~ - I." V",. "''''~ I 01'-'<' IJ '" ~<;,\e ,,00 "'~-~ \0 9$' -{O \\,.1t6f'~il!Jles'\)\)-?i ,!\V(j 00\\109> \l:Jel'ilii~\9f\S~ructure G Xlel _\ \ . . 01J'" GOYP 01 Heat: Water Type: Range Type: . Energy Path: Sprinkled Building: Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bed rooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport . Sq Ft Other: n/a . ...' :':Occupant Load: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION , ~~~~'\ .,., ~,\y.,\~~IRED PARKING Overlay Dist: 'i-~\~~ S'i\~\T~ . # Street Trees Rqd: ~\- ~ y.,\S ~ ~\\S%andicapped: Paved Drive Rq.~~. (\ Sy.,'?' S'i\ -<;, '!t-\\\5 Compact: % of Lot co~age~'i\~\ \) '\:)\\\5 \S ~~ , , ~,,~S ~,(\~1-~<:\) ~~,w.~\). . I PUBLIC IMPROVEM'F.N.\r's\~~-\)~ ' . . , '\F:)^'Y. t'" , ~\\..J, \ . Sidewalk Type: Downspouts/Drains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descri~tion I DescriPtion Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paec I of 2 Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Amount Paid $10.00 $5.00 $100.00 Total Amount Paid $115.00 Total Value'of Project Fees Paid I II III Date Paid 3/6/09 3/6/09 3/6/09 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00311 ISSUED: 03/06/2009 APPLIED: 03/06/2009 EXPIRES: 09/06/2009 VALUE: Receipt Number 1200900000000000165 1200900000000000] 65 . 1200900000000000165 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. '1 Reauired Insnecrions I By signature, I state and agree, that I. have carefully examined the completed application and do hereby certify that all information hereonds 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 described herein"and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I fu~ther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree ensure that all required inspections are requested at the prop~r time, that each address is readable from the street, th:lt-1'he pe mit card is locat at th front of the property, and the approved set of plans will remain on the site at all times du(ing con ruction. & \ \../ ;'" /1- r Owner or contr:l.ttors Sign:lture Page 2,of 2 3'~hq / I Date iCii City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street . . ,- Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00311 COM2009-00311 COM2009-00311 Payments: Type of Payment Check cReceinll RECEIPT #: Date: 03/06/2009 3:00:07PM 1200900000000000165 Description Banner Special Permit + 5% Technology Fee ***+ 10% Administrative Fee*** Amount Due 100.00 5,00 10.00 $115.00 Paid By F1REFL Y JEWELRY Item Total: t.:heck Number Authorization Received By Batch Number Number How Received djb 1246 In Person Payment Total: $1 ]5,00 $115.00 Amount Paid Page 1 of 1 3/6/2009