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Home My WebLink AboutPermit Signage 2009-3-20 225 FIITH STREET. SPRINGFIEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ /lq - 3;1(.. ..S City Job Nnmber \... y ..~ JobLocation ~f5?JJ_ J11W/f'I st. ..~ ~ Assessors M~I" . Q ..~ Owner of Property ~. I' ..~ Addre~ }S$+-;:;;;'--fllltnJ-fu-:- ~ i,~~;,:ii%!i(C:'>;:~V: ,;' I' - . .~~ ;:I.~iflJ!~g:f!?'/!l~i~-i\ftH~l;f . ~~ ~I _ Contractor . ~ .-..-....--... _.._.._..~-c"~,,....__"' =:,,':'_"'_ _,_ _ ~ -".....::::~=-:~-:-:?~-;~SE~?;:~;_::~.::~~::;:;..-. Pho!'p m=: Add-p<< , City <<.:.~.~:::;:;:::;:... , ~ Co~~ytio1f'Contractors License # Ii Descriptirm b..lA"J/1;;/<', . .. S Date of Installation 311" j ~, Permit Fee: $225.00 including $100.00 Deposit and applicable fees. ~ ~ ~ ~ ..~ ~ .~ .~ ~ ~ 1 M 5j)~/j du Tax Lot KOh\.p( l'h0J1g~1 -t; 6C/-cOj;2.. State ~ Zi.r .-..... .~.~....-.~ ~.....__.....-._~._.~ . ~... ~... _......"..~.. ..... ,..-" ...--.....:............. ;---~:.;.:.:;.::.:.:.::.:.:.:.:-.:..::::.__. -" . Statp --......... ;?iD-"'~ EXpiTP< . A'" Date of Removal ~ /;//J I 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 siin is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understmi'd 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 30th day to request an inspection to verify the removal 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 sy.;S) ~as)e,;e~oved. . ".' . .' .' . Signa~ lP1j~..k.;;' ~/7L.JJ-,4~8tP . Date of A~ation ~ ~ Issue-aB; fa//) ( . I! Tob # Receipt # Ji2::J') ~. Amount Collected Sbam:!. Drive (T:)lBuilding FOimsIBanncr_Portable Sign Permit eSD 7"'{)8.doc CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00376 ISSUED: 03/23/2009 APPLIED: 03/23/2009 EXPIRES: 09/23/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 553 MAIN ST ASSESSOR'S PARCEL NO.: 1703353111000 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner - Install date 03/13/2009 or 04/16/2009 Commercial Owner: Address: BT OFFICE LLC 2941 EDGEWATER DR EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone I BUILDING I:,FORMATION' # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: # of Stories: Height of Strnctnre Type of Heat: "Water Type: , Range Type: Energy Path: Sprinkled Bnilding: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport, Sq Ft Other: Occnpant Load: n/a I DEVELOPMENT INFORMA TlON , Front yard Setback: Side J Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: I PUBLIC IMPROVEME~:T,~'I.:N IIUN: Oregon law requires you to I. ,. rules adopted by the Oregon Utilify NOllflcatIOnSille,valkiFype:, rules are set forth In OAR 952-001-0010 tr"'1lwh OAP 0"2001 0090 Y DownspontslDrains: .' v.' - " ., au !Hut Vl...U::t111 t;UfJ10S oftl1e rules by call1ng,the center. (Note: tile telephone number fm the Oregon Utility Notificdlion Center is 1-800-332-2344). Storm Sewer Available: Special Instruction: NOTICE: Notes: I'~~.J~~~7~~ ,~.~~~~ ~XPIRE IF THE WORK .._-~ ....'.'-'L.fl 11110 rChlVII' .~. "."'-'-' . COMMENCED .1 'v ,"v, , I ; ~I\I l8-n. OR IS ABANDONED WlIluation Descriotion ".1. DAY PEI1/0D. " ... $ Per Sq Ft Sqnare Footage or mnltiplier or Bid Amonnt Type of Construction Valne Date Calcnlated Description Page I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit . PERMIT NO: COM2009-00376 ISSUED: 03/23/2009 APPLIED: 03/23/2009 EXPIRES: 09/23/2009 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fees Pail! .. II II. " . Fee Description Banner Special Permit Deposit Amount Paid Date Paid Receipt Nnmber $100.00 $125.00 3/23/09 3123/09 3200900000000000180 3200900000000000180 Total Amonnt 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 Required Insnections ~ By signature, I state and agree, that I have carefnlly 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 structnre withont permission of the Commnnity Services Division, Bnilding Safety. I fnrther 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 du ring construction. Owner or Contractors Signature Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00376 COM2009-00376 Payments: ' Type of Payment Check cReceintl RECEIPT #: Description Deposit Banner Special Permit Paid By MACA BAA 3200900000000000180 Received By njrn Check Number Batch N umber Page I of 1 City of Springfield Official Receipt Development Services Department. Public Works Department Date: 03/23/2009 Item Total: Authorization Number How Received 1052 In Person Payment Total: 1I:42:3IAM Amount Due 125,00 100,00 $225.00 Amount Paid $225,00 $225.00 3/23/2009