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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