HomeMy WebLinkAboutPermit Signage 2009-3-25
225l1ITH STREET. SPRINGFIELD, OR 97471 . PH:(541)7Z6,3753 . FAX: (541)726,3689
~ CilyJobNumber{Olo1.1z.,ob ~7 O.C> 39jt( 'o;.
:~ lobLocation ':332,J... ~CA.-\ ec..JC<..",1 ~---t.if-ee..+
~ --......p"
.,~ Assessors Ma~' 170:S ZZZO'--J \2;:) . ~ ,rrrh Lot
Q
~
'..~ Owner of Property
~ Addreso
.~
___ City
~ j_0;~J:;Wt7ftti'~~fi'1~~'l\;~:t18/t'"
- ~~;s~~rtg~~?j;{[rffg0?7' ,
.. '.: ~; '. Contractor
~
~' Addr"oo
~ Ciry
.~.
II
~
..~
,is
~,
~
~~4
~
~
..~
~
~
i
~
~"
I
~
\ \ '
"y&~f.;'9o 0
,
.3-:$
<is'f 0 IS r.-IItue
$. 'f>f' ~
I ,
5+z... zoL 'P~(1n"
i2-.J
z gy - 062 if
~ 7lf7 '7
State
'C>(L
t'J v,VEIL. _ "nil to'
/ laW \equ"v- D utility
N' oregon the orego ",I\O\the-f\~ ,r 3C'\ /c::-r,7
",,,,"N,IO : ."nt"cJ bY .'^" "rePflnl'e....:;;-J J .J. f .-b 1'7
Co' . ,jlp'5 ~..-, ,nos" 'v.. p.R 9!:l~ U' ' .
io\\O~N ! . 0;' center. (\ thrOUgh 0 e rules b'1
~\r.tI\\C"t\ _^ r,f'l1-001Statl':'f'lleS 0\ th'^rnone Zip
111 op.\'I ~;~rnaY oot"'I'~N~t\W N~\I\icatiO\\
[)090. center. U\illty
Construction Contractors License # _";nO tne . _ ,....,,,0011 __ n"A4). Expire.
. l,..... ,m \.1 ,..... 801J~"jV'-' -
.......,hef.;c '\~
(f) ,,- lJe\\\v'
Descriptior 'Dr. ,^v.....e..J ~/ IiU A"PII1.K~ s:.fl CE
~ate ofInst3l1atior PS; ~7 Date of Removal . 0~ '7
Permit Fee: $225.00 including $100.00 Deposit and applicable fees. :5 Cl cr.,! s:
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 30th day to request an inspection to verify the removal of the banner(s) ant (or portable
sign(s). This inspection will begin the process to return the $100.00 deposit if~~~ -{IDd/or
portable sign(s) has been removed. \C~: \..\; 'i:.'f..?\?'i:. \ R~\I \S:~ .
;f.1<Fi" ",4-lre- A-~~kl ~ ?~~~~ ~~7~~~~'i:.U ~ZJ k> 9
lob #
Receipt #
Issued By
z-zs--
Amount Collected
Shared Drive (T:y:Building F~er_PortabJe Sign Permit CSD 7-08.doc
03/25/2009 02:54 FAX 541 746 2590
V~/~D/V~ nnu ~i;ye r"AA D4i1~~~~aH
SYCAN B CORP
crl'Y OF SPRINGFIELD
141001
141001
, .' ,H M ,,; ,. . '. . .,~ '. >- -f 1 " , . ~
:. . -.. <. :::,' CT"'P~7-'O[;' sn, '. 1BLD'; ^" -~r'" - ';,.. -,'
r,. ':'_;:7.:":~:.~'., +:'J..'.1:'. .~~,,~.;i ,;'W. ~ i"> 'J,.'.-:::~":.
w ".. ~_' . ....~" J ,t., ,".,"" . '._ . . _'. H'
'H' " "'
[<7-371
-:j 3~d-- ~CL..\ ~o-Jc....j ~-tif-eJ
. ";- ,...... 1,....,- ...
~...' \ (~.~;" . ."
Assessors Mal' - .:: 'Tlix La<-
""'-:0';;.;s;:Z'~<!~~~ii'.Mf"'!'~~ ?'o"'kt-'''~,''::', ~":. "'~1l;:."iOf;'.;gf,;~~~~~~$.!ijI'~'it\i'~IIMl&.tr'jf~;~'''h>''~
~=:~'::~~~~~U; "-~' - ~.~- ~ I C Jill J :Li1!~~~~i.~~m~~~~~
-I ~ y-,lo.f1 ~ 0 fI Vb .JJb, -s{lU!bl- ;;:;:.J( --n:;, 24-
. ~ Cio/ ~61 'Jl State_f) L Zi~ c} 71..//7
~ ';>I';~';:~'~:NJ~~""'::".""w'" .'!.'Ji.~"" ~.. .~~."'~.~,._..., . "'.'~"~""'~~!~~"'''''''~I~211;
f!.'Conti'iidii';niii ' ':. ~ 'itc. '~~~~:~F~r"... '.-< ..:: . _ .~': '~7i1'g'~~;.~.,....~:.~~~,~~~~~ ~~~~J}
..~ ;"~;::::'l":'c. ". 1:.'" rt.:.., ~, ~tlI.,;k- ".!-';.:n:~;-'''~ \I0'U to'~~~~!! "-~"''''~~~~-f"i;;,;,@;
01 ATTENTION: oreyvti't-'\he Oregon Utility I
Address InlloW rules ado~te~r';:''' rulp.s are set~o SO?;; ~ ~.3 g ~6'997
NotilicatlOll "'0;"0010 through OAK \:lo~' ubY I .
~ City in OAR 952-~ _..-nh'oir: CJO!ta!te' olth:~~I;:~" 7;n .
~ OU\JU. lUU ..,-, (Note' \"v ..L,.. . I
calling the center'uii\ily NotilicatlOn
, COIIlrtrllction Corrl:l:ad:ors Lic~#nbo' In' the Oregon _:On MU) BAy:"',-
. ' 1 U. .. (;pnter \5 \-QVU-........... -- . I
~ . . Descrlptln.. "8t'l '^~" ~/ IU A-M" ~s: R,.q t.C I
I
Perll1it Feel 5225,00 includiDg S100.00 Deposit and applicable fees. 3 c ""7 S-
all inf=ation hetein is Uue aod ~~~~~.. I further agree and mdetstand tb.at the ab c described
a b=er(s) and/or portable sign(s) is not larger tbm 60 square feet,.lIIld will be ed within 30 days
..~ from the date listed above. I:(the biillUl.cr(s) mdlor portable sign is 110t removed wi - the timeline
.~ specified, I will forfeit the 5100.00 deposit. I elso.U'tId-.,;....d that this :;;pecial;peaclt CllIl be i5SUed
only twice per ca1e.tIdar year per deVelopment area. I also agree to call the insp=~ line at 726--3769
~ by the end of the 30th day to request an inspection tDverifytbc n:mowl of the b s) andlorportable
1 sign(s). This inspection -will begin the process to retum the S100.00 deposit if$.V:.bl'llmer{s) and/or
. ~bleSirn(S)~~ -' ~,/S\?,t\r~~~~a;?jG);/:,/ k9
. Sl~..Y f!/ I _ --;; \t" \- &'.o~n ~""'l '(j
. '--"""" ~n ~'i_. -....l\-"\\v. . " . ~_~
~ ~"'(tt- , . ~~~ - _~_ ~.~lI,'J:l;!,\
:. . Date of ApplicatiO" ~"t~~~~~; \'~?,\C\\). Rel2i( #
f. Issued By r>.~'l '\ Amount Collecte..!
~ii
225 ,!''IFI'H STREF.'l' . SPJIlNGml.D,OlUJ7.{77 . ~H,(54l)726-5753 ol'<\X; (541172tH,689
eJ
~ City Job Num.ber
..~
"'~ Job Location
?!
Date ofInstillatiol'
Date ofRemov->l
::
I'
: I
SIIInd~(l'.)'Dm'1dim.B"~Si~~CSD'1~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line ^ to..Q
. '0) .
SITE ADDRESS: 3J12 Gateway St
ASSESSOR'S PARCEL NO.: 170322200t900
CITY Vi' I'lrIuNGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00394
ISSUED: 03/25/2009
APPLIED: 03/25/2009
EXPIRES: 04/25/2009
VALUE:
Springfield TYPE OF WORK: Banner
PROJECT DESCRIPTION: Banner - iustall 032509 remove 042509
TYPE OF USE: New
Commercial
Owner: 3346 GATEWAY LLC
Address: 840 BEL TLlNE RD STE 202
SPRINGFIELD OR 97477
Contractor Type
Sigu
Contractor
OWNER
I CO~TRACTOR INFORMATION.
License
I BUILDING INFORMATlONllUto
_ ern law ,v~O' egon Utlil\'1
.'l ,rli of's\~I'i~~:b'l tne reset \orth
. ,'. . ~r''-'''''- ~J"\es ar 00'1-
: ,.\1\'1 r',Ji\He,ight.of Strilet re OAR 952- b
11....'( . - (,~t\tC" .\ {ougll \eS 'I
., t\\icatl')'fype ~fll-\eat" . 0\ the ru
,,0 95n 'nJl v . copies hone
'In O!\R Wa!er C);y.pe,:' . the telep . n
" '<' rn<l~ 'Note" J atlo
0090.. Ol~aeng\',i'lype" \ UtilitY Notl Ie
. ca\\lng 11~~'i.~Y3Rilfh~~~_332-2344).
nurnbe~J\\'/-.""~E1 BJhtnug: . u/a
I DEVELOPMENT INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustructiou Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
Overlay Dist: .
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2ud Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I \NO?>"
'. ,""o,~\\W1IRtfYJl\\lOI
O:nC\:", ur>-\.\.. t."r nc~'1 l'j
~ t?>\-lI\I Sf' ?> 1\-1,<;yow,Nf~"f~raius:
1\-1IS? \\17.tD \\I'\Dt r>-'OI\~DO~
1\\\1\'\0 tD 0\\ ,S
CO\-ll\-lltl'\C 1\'1 ?t?>,OD.
,,,'V ,\\',0 D .
c ~l -
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Page I of2
Value
Date Calculated
Status
Issued
CITY OF SPRINlil'lELD
Building/Combination Permit
PERMIT NO: COM2009-00394
ISSUED: 03/25/2009
APPLIED: 03/25/2009
EXPIRES: 04/25/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 t -726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
. Fees Pair! I
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$100.00
$ t 00.00
3/25109
3/25/09
3/25/09
3/25109
1200900000000000214
1200900000000000214
1200900000000000214
1200900000000000214
Total Amount Paid
$225.00
I Plan Reviews .1
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. ~~(I."~rer! Inspections I
Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested,
the applicaut may forfiet the deposit.
By signatul'c,1 state and agree, that [ have carefully examined the completed application and do hereby certify that all
information hereon.is tfue 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, aud
that NO OCCUPANCY will be made of any structure without permission of th~ Community Services Divisiou, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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 frout of the property, and the approved set of plans will remain on the site at all
times during construction.
//~~74/---c
Owner or Contractors Signature
3/d ~- /0 C;
Date
Page 2 of 2
225 Fifth -Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00394
COM2009-00394
COM2009-00394
COM2009-00394
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200900000000000214
Date: 03/25/2009
Description
Banner Special Pem,it
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
SLEEP COUNTRY
Item Total:
L:heck Number Authorization
Received By Batch Number Number How Received
djb
003321 In Person
Payment Total:
Page I of I
3:05:46PM
Amount Due
100.00
]00,00
5:00
20.00
$225.00
Amount Paid
$225.00
$225.00
3/25/2009