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Home My WebLink AboutPermit Signage 2009-4-6 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~: ..~ City Job Number '. ~ Job Location ~ "~~ Assessors Mar Q ~ ~ Owner of Property "~ ~ ~ ~ ~ "~ Contract(1" ~ '~ I ,~ ; II ~ -. ,..-.-t~ ~ ~: ~ ~4 =-: ~ ...~ ~ ~ 1 ~ ~ ~ I ~l i COW1GOO cr-004S.3' / (3 (fJ ,pee. c.. 1--0 , - - /703 Z:z..zO L ~a..J / 0260 Z Tax Lot Address so:2 ~ ~ pH e ~ City ~ IJ ",",} ~ 'l ~:-p \ ~ ( F,,,,,.-~",~c,^,~'BPr.t~p~&rm:cx" . ~ ~)X;;.! '~'" ~1t(tG!kt:""~eA\"'" ,J;".",1;}' 'r;l!'ColltriiCli/i'/Ins . ~@ti~*;.Ji54t;:;::.05;1~lf0i1~; -r:. ~ J. phon" State A f2 _ <;; L/ / - 7 Lf 4-/Q'13 Zip 97 Y771_ Addres< C .; i'tilo ' ,egOn I Nilf;f:;~. _ cS Arl.........., aw ro....... in 0 ......r..lIlun Ce /-'l.JU oy th "/....',l:1S You t AR 95 ntel; Th e Ore , 0 0090, y(),,~OOI'OOln t,,%lr6,1,1~s ~?~On Utility Galling th",qy Obtain c'v~gn OAR i/'" rorth nUmber 1.-0: ~enter. (Noop,~es Of t~ 52-001_ ",mtee..-,- te, th_ , rr,:r"Ule" "r l;enter is - ;:a!dun Utility-':/ ,:pnone , 00-332_23 otrfrCatiOl'> 44JExpll',....., City Construction Contractors License # , Description 1:S ""- '^ "'- v--- Date of Installati"n ~-;:27-A9 Date ofRemov~l 4- 3e-o~ , Permit Fee: $2251WJip,c1uding $100.00 Deposit and applicable fees. _. ' _.(]":t.. By signature, I sta,te and agree thli1l.!l.ipleM:If~fully completed this application and hereby certify that all information herein is ,true and cSJill:l(Jf:f!J ~BH;f[r and understand that the above described banner(s) and/or portable sign(s) iq~~, :{hl.lN~~ WJE9p ~will be removed within 30 days from the date listed above. IfthliMniW&s ;~~ O'Ysg ~ed within the timeline' specified, I will forfeit the $100.00 deposi .4fiPaw S~'r-a1 permit can be issued only twice per calendar year per development area. 1I1so agree o€llirthe 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~ been removed. , Signaturp ~)-b..... 91Z 60A_~' Datp 4- 0-f') '7 ';t4;?;l'!J Date of Application Of ~(! , Amount Collected 2-21 /" Tob# Receipt # Issued By Shared Drive CT:)lBuilding FormslBanner]ortable Sign Permit CSD 7-08.doc Status Issued CITY OF SrKlj~GFIELD Building/Combination Permit PERMIT NO: COM2009-00453 ISSUED: 04/06/2009 APPLIED: 04/06/2009 EXPIRES: 04/3012009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1010 POSTAL WA Y ASSESSOR'S PARCEL NO.: 1703222002602 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner - install 032709 removal 043009 REF: COD 2009-00273 Owner: DOUBLE S FOODS Address: 302 SHELLEY ST STE 2 ATTN SIZZLER SPRINGFIELD OR 97477 Contractor Type Sign Contractor OWNER I CONTRACTOR INFORMATION I 'res yoU to 0", oregO\1 la'll rEW~nse.l Uti\E.Xpiration Date Phone '-'CN1I - 1" d by t\le v'v,,- t lortli ' r (. _...l.,~<:, adopte __ ~~ YII\AS are se_ ",,,", I BUIi;D1NG IN'R?RMArr~~N~~:~~e's- by 1\1 ON\~.C>~ ,;;~~ obtain cQ\J,~o\l'e telephone , 009(# ol::StonHinter, (Note, ';'t NotllicatlOl1ot Size: C8HeigIiP6,rt~truSlur@\1 Ut~\ i344). Sq Ft 1st Floor: nulfy'cl"e dfHe~t:s ,_800-33<-- Sq Ft 2nd Floor: ... eel'''''' ' Water Iype: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupaucy Gronp: Primary Construction Type ,Secondary Construction T~pe: # of Bedrooms: I ,DEVELOPMENT INFORMATlO!" I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: ~ Notttt~t Coverage: t)(.P1RE 'f ~t. \NO~:t TUI<:' pf.RM\1 5\-1~~L "T\-\lS I'ERMli_~ NO I pUB~mMPltb(~i~~~,I\NDONt\J f wr. I \ -I' I' II .~, ~~~\I~'80'O{,\'f I'ER\OU. Sidewalk Type: Downspouts/Drains: Total: Hand!capped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage 01' Bid Amount Value Date Calculated Paee I 01'2 Status Iss u ed CITY OF ~rKINGFIELD Building/Combination Permit PERMIT NO: COM2009-00453 ISSUED: 04/0612009 APPLIED: 04/0612009 EXPIRES: 04/3012009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee~ Paicl , Fee Description ***+ JOo~ Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amouut Paid Date Paid Receipt Number $20.00 $5.00 $100.00 $100.00 4/6/09 4/6/09 4/6/09 4/6/09 3200900000000000218 3200900000000000218 3200900000000000218 3200900000000000218 Total Amount 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 Relluired Insnections I 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 agl"ee, that [ 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, Building Safety. I further certify that only cuntractors alld employees who are in compliance with ORS 701.005 will be used 011 this project. I further agree to ensure that all required inspections 'are requested at the proper time, that each address is readable from the -ee ,...hat the permit card is located at the front of the property"and the approved set of plalls will remain on the site at all ';"':' "O"rfit Owner or Contractors Signature 4~ -/ 1.f-Io-o9 Date Paee 2 of 2 225 Fifth Street , . Sprin'gfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department , Public Works Department RECEIPT #: ( 3200900000000000218 Date: 04/06/2009 10:22: 15AM Job/Journal Nu-mber COM2009-00453 COM2009-00453 COM2009-00453 COM2009-00453 Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** r Amount Due 100,00 100,00 5,00 20,00 $225.00 Payments: Type of Payment Check Paid By DAN BEGIN Item Total: Check N umber Authorization Received By Batch Number Number How Received Amount Paid djb 9513 In Person Payment Total: $225,00 $225.00 cRcccintl Page 1 of 1 4/6/2009