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HomeMy WebLinkAboutPermit Signage 2009-2-25 Status Issued. CITY OF SPRINGFIELD Building/Combination Permi~ PERMIT NO: COM2009-00265 ISSUED: 02/25/2009 APPLIED: 02/25/2009 EXPIRES: 04/25/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line SITE ADDRESS: 790 30TH ST ASSESSOR'S PARCEL NO.: 1702312200500 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner permit- concurrent for 60 days Owner: SCHULZ DANA R & BARBARA A Address: 95950 N BANK RD GOLD BEACH OR 97444 I L ~ . . Contractor Type Contractor i.cqWMG[<V-HNW~l~Ollb.l,to follow rules adopted by the or.egon Ullllty . . Notification Center. Those rul<lIicenset fortlExplrahon Date 1'1. OAR 952.001.0010 through OAR 95;-001- OOf}lfif!o1NG~~(~ltMA'iflONdI:p;;;;eL 1 '''; . 'J' . if ,f/,W; -\ \1t ii, ' I ~. . numbe~9r the. Oregon Utility Notification ~[ftllPUS\ -800-332-2344). eIght of Structure. Type of Heat: Water Type: Range Type: ' Energy Path: Spriukled Building' Phone ) # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Fi Other: Occupant Load: n/a Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 1r~-f~PMENT INFORMATION I THIS PE-RMIT SHALL EXPIRE IF THE WORK AUTHO~tI"~'UER THIS PERMIT IS NOT COMM~~~~e, l{'t~ANDONED FOR ANY1~~ ~~~e: .. REQUIRED PARKING Total: Handicapped: Compact: . I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsffirains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq'Ft or multiplier Sq uare Footage or Bid Amount Value Date Calculated Pal?:e I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00265 ISSUED: 02/25/2009 APPLIED: 02/25/2009 EXPIRES: 04/25/2009 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 Number $30.00 $15.00 $200.00 $100.00 2/25/09 2/25/09 2/25/09 ,. 2/25/09 2200900000000000204 2200900000000000204 2200900000000000204 2200900000000000204 Total Amount Paid $345.00 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. R~~lIir,ed .In,~n~ct~o~,~ I Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may forliet 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 described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Bnilding 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 '=1:::;;:.'JaL<<~ . ~/~/4t ~J:r Contractors Signature' " d Date Pal?:e 2 01'2 ZZ5 nml STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~: /Jet ~ :2 G:, ) e) City Job Number L":-- / _ -. .;:Il ..~ . Job Location ...;...It Assessors Ma~' Q\ ~ ~ ~ -. .,.-j~ .~ ~ ~ ~> ...~, ~J ~;::: -( ~( ~( 8 Ij l~ .'ie~: -~ -( ~ lr~11 ~( ~. ~) -. .,.-1~ ~ ~ ~I-~ . , ""'" , j r- ({'II I~ ..........- .~~'-: ~( ~ .....,~l . J ' CITY OF SPRINGFIELD, OREGON s~~~ '..':'.y"',<o..... .'" ,..",Y.,,'.,' ~ '.",.' " c:"";;".c"'-,,, 'I . " ., . 7iD 36TJ-f 5r, 5f)P..ltJ6cf;8..D ,u/C.. 97<1-78' Tax Lot -:iF -5'0 D , OWI/er OWner of Property ,Dft-AJA -r-- /Jf=t(d1,A-f2..A Sc..-H-ULZ- ~'- Addrp<< ~l/s- 3 4./.5'0 Cit- 5' 1hZ iJJc-'+; 'EL..,O . ' ?)'&g-73Q;}.. Phorp ,9/1-!..7t//-0'108 Zir 9?cf78' -r- 'i"j() 30Tlf sr. State fJ/L -;.- COl/tractor/Il/staller Contractor /J-.8Ai<. Of- ~ .' ~ U.sTP 'I ;rz~;,)..I ~ 6 .57!(-J/1g>-3' 13 i Addre<~ ,5~ Phorp City '>tate Zip Construction Contractors License # Ib752/7 Expirp< ';;0/0 ~~ r-. L II"D _ . l '^' - Description r-D rc E1'l5E t..:>ftNJ'.t G:-IL) E-u.J .5TV R./lb c:. FLit(", PENA!f'rt..a3 ".5115{2.~NB4'NAi.EfC... . I . Date of Installation Date of Removal . J( ,UN IT!; NoW ftvAit.M~l Permit Fee: $225.00 including $100.00 Deposit and applicabie 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 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 30\h day to request an inspection to verify the removal of the banner(s) and/or portable sign(s). This inspection will begin the rocess to return the $100.00 deposit if the banner(s) and/or portable sign(s) s been removed. Signaturp Datp 'd-/dDlo q / /,'. iJr Office' USe' lOb#-e9 :;z'6) Date of Applicatior ?/;2.) jtJ r Receipt # Issued By Amount Collected " ". 'I..' " ,~' .:}.; . ",-" ...., ',':X'." .... Shared Driy~ (T)'l:\uilding FormslBanner]ortable SI&1. ~einli~'qD 7-08.doc "'. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department' . Public Works Department. Job/Journal Numbe-r cOM2009-00265 COM2009-00265 COM2009-00265 COM2009-00265 Payments: Type of Payment Check cReceint I RECEIPT #: 2200900000000000204 Date: 02/25/2009 Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By D-BAR CONST Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 2189 In Person Payment Total: Pal?:e I of I 10:18:57AM Amount Due 200,00' 100.00 15.00 30,00 $345.UO Amount Paid $345,00 $345.00 2/25/2009