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Home My WebLink AboutPermit Signage 2009-3-31 225 FIm! STREET. SPRINGFIELD, OR 97477 . PH:(541)726-:H53 . FAX: (541)726-3689 g:: (0 6C 004-:11 ~) City Job Number >VI Z-O ,- ...~~ ~l ..~ Job Location "'"""~Assessors Ma:,' to r-l ~J ~ Owner of Property ~) ..~~ -~ I' I~ ~ ~ ~> -.. 'r-I~ ~4 ~4 ~' ~:: _4 ~~ ~~ -4 ~ U IJ. I~ "~l r-4 -4 ~ fh I~ c~ 'r-""--~ ~ ...~~ ~ ~ , J~ .~ ~ ~4 ~ f" I~ ~ i ~~ 4 ~ 4 iia' - !I ~l" ~ ,: -'\ CITY OF SPRfNGFIELD, OREGON L~ ~~ /.9,{) '7 0 !-'-I fIA r?\ L. . (703253 \ $11?1=1i- I Tax Lo' 07/0(:::, OWfler k??,hA- ~_~. . 'Olio ~VT/~ . /:'d.'" A.--7 A-/' Atolif. W t: : 0, f......-: 'J J "- Address >'r r I / / ./ / ~::CR'tlJ b_R".tp~~()~ ,:f~onp.\..::'?2' 7 Z ~ /2&,0 C"'." -: / 0090 R 9S2'0 S~d1&Y I rSqlli, 'i:e:: City "1 /A.LL.VCZ" rd&!l"~ "'/1: 1'01, -,,&f'e . 0_ 'he n._"~".:: 7-V -; 7 r / I) '''Ig I 1P,,,y 'h ~ 'll/, t.if<5i{ <I 0 ' limber {, 'he'cen~bt'lin C rOllgh ~S i'lre S Utility Or th e, /A, oPie :<JJj> et fa Cente e Or;,.,"VOte'l,fOfth 9S2'00rth r IS 1 _"on II,: 'Ie ,_, e rIJln t. UUO'J - ; ""y tv, .""Ph v oy J2'<'~A Otl/ic One 'PhI!lnp i'ltIO,? COfltractor/Iflstaller Contractor o (,~ II t-t'-- Addres< City ">tate Zio Constructipn Contractors License # Expirp< l?AN',v't-, l "< /Z7//oc' ~ Date of! nstallation ---'/ ~ Descriptio - 0;~1 Date of Removal Permit Fee: $225.00 including $100.00 Deposit and applicable fees. . By signature, I state and agree that J 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 ~I'"rger than 60 square feet, and will be removed within 30 days from the date listed above. If the b~ ?Cf!!1d/or portable sign is not removed within the timeline specified, I will forfeit the $1 OO.OXle!. c&'&i.t!llso understand that this special permit can be issued only twice per calendar year perae~l~ itr)~fWlre,.,4~ [llso agree to call the inspection line at 726-3769 by the end ?fthe 30th day to re~.~~6'nm B.:J,Jfflft4elifpfiJ<:: removal of the banner(s) and/or portable sign(s). This inspection will bi2fgin t~8l\lJ salJ'~l(j'n\Jl9S?$<fQ,o.f}), deposit if the banner(s) and/or portable Sign~S) h, e n removed Y- 'E:RIO 484IVDPER41/l'E: WOR/( , 'D. OIVED IS IVOl Signatu.p ~__' FOR Datp -S" - !M~ 0 "7 Date of Appl ication 5/J 0 T )..,~ For Office Use lob# C 7 - OOlf) I Receipt # ?'7~'\ ,.- 3/6 Issued By Amount Collected Shared Drive (T:YSuilding FonnsIBanner]ortable Sign Permit CSD 7-C;18.doc Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2009-00431 ISSUED: 03/31/2009 APPLIED: 03/31/2009 EXPIRES: 04/27/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: IS07 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703253107100 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner - install 032709 removal date 042709 REF: C0D2009-00276 Commercial Owner: LANGAN ROSE MARIE Address: 2]SO WESTERN HEIGHTS LOOP NW . SALEM OR 97304 Contractor Type Sign "I 11::111 1(!}"',".",,^\_'vRflNif!Ut{~.0r9 I follow I u1lJf!JJtltf:i'u l,)'Y lilt;; ,.J'G~Ull'u~H{y Contracto.Notification Center. Those rules arllJi@~\lY1!l OWNER in OAR 952-001-0010 through OAR 952-001- "'''''\l'\ 'I..... .........r ~.............:.... .........f'''''.... .-.4o'.I-t........ ....'...-::- ':0.;,' call in'll mll'IJWING ~a:R~T>ro~lne numbtil fI,l lilt' l.,r",!,jJ.I'ulldly I~u~i~,a,"ion Cent#lO~lo~~:332-2344). Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Spriukled Building: Expiration Date Phone # of Units: p,'jmary 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 Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I ~~~IF'lMr.ijQ~g(Slr~ If lHt vvvn~ (r.,~- ER rt.h~ PER.Nlll IS NO AUTHORIZED UND BANDONroerot\' Type: COMMENCED OR'\SO~ DownspoutslOrains: ANY 180 DAY PER . Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amount Value Date Calculated Page] of2 _$P.RI NllIlll l:I!-O: I Ii 'J Status' Issued 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 Deposit Total Amount Paid Amount Paid $20,00 $5.00 $100,00 $100.00 $225.00 Total Value of Project ":eex P~irl .1 Plan Reviews I Date Paid 3131109 3/31109 3131109 3/31109 CITY OF ~rJ:(1J~GFIELD Building/Combination Permit PERMIT NO: COM2009-00431 ISSUED: 03/31/2009 APPLIED: 03/31/2009 EXPIRES: 04/27/2009 VALUE: Receipt Number 2200900000000000316 2200900000000000316 2200900000000000316 2200900000000000316 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 Reouit'er! Tnxnectionx 1 " . Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may fortiet the deposit. By signature, I state and agree, that I have carefully examined the completed ap-plication and do hereby certify that all information hereon is true and correct, and I further certify that any and all w~rk performed shall be done in accordance with the Ordinances of the City of Springlield 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 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 times during construction. I. A~A :jZ,l)A-~ Owne;-or CQractors SignaiJre Paee 2 of2 ,3-3/-07 Date 225 F.ifth Sireet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0043I COM2009-0043I COM2009-0043I COM2009-0043I Payments: Type of Payment Check cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000316 Date: 03/31/2009 Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By HOLE IN THE WALL BBQ SPFD Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1780 In Person Payment Total: Page I of I 2:42:23PM Amount Due 100.00 100.00 5.00 20.00 $225.00 Amount Paid $225.00 $225,00 3/31/2009