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Home My WebLink AboutPermit Signage 2009-4-9 r. _ ~1!1!:l5l;,F!le:!-,Q; f " . Status Iss u ed . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 luspection Line , CITY OF SrKll"Gl' u..LD Building/Combination Permit PERMIT NO: COM2009-00469 ISSUED: 04/0912009 APPLIED: 04/0912009 EXPIRES: 05/0312009 VALUE: Springfield TYPE OF WORK: Sign SITE ADDRESS: 1650 28TH ST ASSESSOR'S PARCEL NO.: 1703254100100 Commercial TYPE OF USE: PROJECT DESCRIPTION: Protable sign- reference COD2009-316 - removal date 05/03/2009 , , " you \0 INDOORSPORTS PARK LL;Q.-TENTION: Oregon la~;:6r~~~n Utility 1650 28TH ST foilow rules adopted by rules are set torth SPRINGFIELD OR 97477 i<"tHicetion Center. Those hOAR 952-001- _._. "".....~ ",(\~nthrnll(' I! 1 Vr\l\, ~v....._~:" ~hf~in f'nnies 01 the rUle:;:; U'l uU"'I' 'CONTRACTOR! INF.QRMA'I1IONJ.e C'-.~...~ ' h"" Oregon LJ1l1I1Y r\lullil\..to.~~.:m number tor t e 'J\ , Center is 1-800.332.2~icense Expiration Date Owner: Address: Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction 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: Descri~tion Tvpe of Construction Phone BUILDING INFORMATION I # of Stories: Height of Structure Type of Heat: Water Type: NOTICE:~an~ Tl.l'f.' EXPIRE IF THE WORK THIS PER]Jnrg~p:lt'h: RMIT IS NOT AUT~O~I,,~~~n~~\!d~;lkl&~~~NFO F~~ ~',I:Diiv'~kQii'MI~il\]1'FORMA nON I Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Overlay Dist: ~ Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact; I ~UBLIC IMPROVEMENTS. Sidewalk Type: Downspouts/Drains: I Va\uation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I 01'2 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 Amount Paid $20.00 $5.00 $100.00 $100.00 Total Amount Paid $225.00 Total Value of Project Fe~s P,id , Date Paid 4/9/09 4/9/09 4/9/09 4/9/09 I Plan Reviews I CITY VI' ~rKl)'1GFIELD Building/Combination Permit PERMIT NO: COM2009-00469 ISSUED: 04/09/2009 APPLIED: 04/09/2009 EXPIRES: 05/03/2009 VALUE: Receipt Number 2200900000000000350 2200900000000000350 2200900000000000350 2200900000000000350 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 Reouired II1Sllections' I r I III II I rll Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may forfiet the deposit. By signature, I state and agree, that I 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 certity 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. Owo", ",c."""../lf:/. Paee 2 of 2 Date yylu: 225 nrm STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 .r=j~ ~~ 6) ...~~ ~) o. "'"'"~ Job Location ~ .......~ Assessors Mfj' ~l ~J ~ ~ .'f ,~ ~ ~, I~ "~~ g:~ ,;".+ ~ ~: ~:: _i r- ~ r- ~ -4 ~ U Ij 'I~ O'~l -i ~ f'\ t~ glj ~:m) ..~~ ~ ~) ~~ .~ i '~ ,~ ~ ~l r9J ~l '. .' s~, ~~~, CITY OF SPRINGFIELD, OREGON " 'ItJ- L.i//') City Job Number (~ ( -, 7 ,- f MCJ ' :4.r.1r::. f' 0- C:;J 0 .2u cl '7- f/i f-.' Tax Lot Owner /AJl':>oo/o- );,zv<, (:toO ~ Owner of Property Addr~<< I feSo ). '3 yf Phon" 7'-('/ -22-55 97177 :) T'U--L----r--- Cit:' \Sf? A/ AJC; iF! c-c..[) Zij: 01\... State Contractor/Insta/ler Contracto' . -- - ,'- ~ Addres< Phonp City Stat" Zip Construction Contractors License # Expiw< ~ p. ~ Descriptior '1 ~,-f' TfI: ,., LL , Date of In'stallation !.-{/K/ () 7 Permit Fee: $225.00 including $100.00 Deposit and applicable fees. s'\G 1\') Date of Removal 7/J Iti 7 By signature, I state and agree that I have carefully completed this application arid 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 6.0 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. 1 also understand that this special penn it 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 begiq the process to return the $100.00 deposit if the banner(s) and/or portable sign(s) has been removed. ' Signatu'p ,/./1/1/1 - /11;l J. .' I b-(/1 Iii '7 Date of Application / f Issued By U~, Datp t-/ ), if, '( / ' For Office Use /' it" J/r c, lob # / .. 7 J7 ( Receipt #2?"(f1~ )SG ,?.L>,~ Amount Collected Shared DriveJr:)fBuilding FormslBanner_Pormbte Sih'Tl Pennit CSD 7-08.doc 225 Fifth Street Springfiilld, Oregon 97477 541-72~-3759 Phone Job/Journal Number COM2009-00469 COM200?-00469 COM2009-00469 COM2009-00469 Payments: Type of Payment Check / cRcccintl City of Springfield Official Receipt Developmcnt Scrvices Departmcnt Public Works Department RECEIPT #: 2200900000000000350 9:39:35AM Date: 0410912009 Description Banner Special Penn it Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Amount Due 100,00 100,00 5,00 20,00 $225.00 Paid By KICK CITY Item Total: L:heck Number Authorization Received By Batch Number Number How Received 'cjc 3328 In Person Payment Total: $225,00 $225,00 Amount Paid I Page 1 of I 4/9/2009