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Home My WebLink AboutPermit Signage 2009-4-9 ~_.:"'o""'. &8'0<",'" ~"'i:,.........",.,,,,,;~. ZZ5 FlITH STREET. SFRINGFlELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689 ~J City Job Number COW"\ ZOO 1:-- 00 '-f?O ::~l Job Location 32{"'L, ~-\-,,~ S-t. ~:('\JC2J ~ ..~ /707 ZZZ-O , Assessors Mer '\ 01 .Owner . ..- .; -s": , .. .), .... ~, di} ." ~., ._'il ...~, ~ .s.;.. '~ "''.'''. '.:..~;l~j ~, (._~ .~~i g:' ~: ~l eJ e.l U> Ii . j._,l.. '. E.....-l ~, ~- ~ ",".: ~~ fI'/< ~ .~( ..~~ ~l ~i ,~,-~,_I~ "~l ~.:.._., ~'l e, (:"I.'~I; ~. ~, <1l); ~:. ~1 ~ ~,1 . '. , - , '-, - ~.- - -- ~- -', ~/(e- Iv (Y I; _ all .lf1rmdCty BSPRING~'ELD ~~ - -- 6-l2.: q ,)4;} cyz. 10 L Tax Lc.' Owner of Proper!:' /YI rrr 'k .s fY\ c. D 0-<1 o,...lA Stt'.Zzoq,honpq06)~5 -'1;),93 <;t-a~=-- t;;.l Pr qg I b 1 Zir Address ~ J. () Pi r-r", "SeAttle::. A-'IE City Contractor/Installer. Contractor ;rmFY/llIlJo~ - /YI1'1-T11Z.ES~ /ll'J1HIJ III- , Addrp<<"U" (. , (,~+t~ s:;-t-. oregon''''; l:~,"\re~~jl~i~y (< I.n) 6> b - /{D6 D . /' d' I Jl-ITENilON. ed by t\18 oreg et lorth _1', ......, City z:>pn Arl!::-o;)' '\1'0" "dopt .. "W~~~s_ ~~,.Zip q) 7 / 101lu" '.' center. l1tel OAIi "'".. 0-. . . Notilicat~\ot\ 010 through the rules by . Construcllon Contractors Llc'\R~jtR Q . . "'<- ~~n\es 01 . ,- -~e ExplfP< . \ -....C\. "nil a\} uuv..... ;,,-,......;.p. the "tt::1v.t;.' ':f~"'1"I UU"~'. t\'1 c\U1''1'' (.. Utility NUU"V~"- Description (l-, AM'-.. -' ' ca,ljjl')9,. ,~'h'" Oregon -r'~ "".t4\. t\u~"\;;~tllI. is 1.l:lUU-"v~- Date ofInstallation1'i(2r: \ 17 -z. 0'1 Date ofR~moval :tfj!11Y1 flY 17 f.... 700" Permit Fee: $225.00 including $100.00 Deposit and applicable fees. 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'riot larger than 60 square feet, and will be removed within 30 days from the datc listed abovc. If the banner(s) and/or portable sign is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also undcrstand 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) and/or portable sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or portable sign(s) een removed. Signatur Issued By tmJ D J./-tt-OQ at~"(.. , let:.: l$Mi\ll EXPIRE If lHE wut\l\ t TH(g>P~ ~'S PERMIT IS NOT '-1/'/1. 0 ., AU1~JiOP.IZ~ ~NJl /'~ONEn FOR ---, MMt\~Ctf; 3P AM) "R:ecelpt # O~ CO nA.Y PERIOD. 2? -- ANY 180 "'mount Collectc,1 t:. I Date of Applicatiop 2b3 Shared Drive {T;)lBuilding Forms/Banoer]ortable Sign Penni! CSD ?OS,doc ". CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-00490 ISSUED: 04/13/2009 APPLIED: 04/1312009 EXPIRES: 10/13/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 3266 GA TEW A Y ST ASSESSOR'S PARCEL NO.: 1703222002102 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner and portable signs - 040109 removal date 050109 REF: COD2009-00291 Owner: SPRINGFIELD V LLC Address: 1420 FIFTH AVE STE 2200 SEATTLE WA 98101 I, CONTRACTOR INFORMATION I Contractor Type Sign License Contractor OWNER . BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: Hei~t of Structureto Secondary Occupancy Group:ATTENTION: OregonN\' B~~lll~ y~~i1ity Primllry Construction Type follow rules adopted~f I ,b1,~on t f rth 'f' t' Center T~se rL s are se 0 Secondary Construction Typ~!otllca Ion . 18!ie Ii~AR 952-001- # of Bedrooms: In OAR 952-001-001? ner~' P~th: I by 0090. You may obtall\;\;op ti,l! rlJ es n/a . "Rllina the center. (N'JtR ~ ~tlI~ii\\!lne number for ~E\itloiMiii;l..L'iNFORMATION Centl;,W' I . \, I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Cove'rage: Commercial Expiration Date Phone Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I f~~Type: "Q1\C~: :\' S\-\~\.\. ~?\?-~~?-Wl"Jin~.lts/Drains: 1\-11S ?E?WI\ \l~\'lE?-I\-1\S \'lO~E\'l fO?- f>,\lI\-10?IIE\'l\'l O?- \$ f>,~~~ COWlWl~~~ECl.'{ PE?-IO\). f.S:~ .'~- I Valuation Descriotion I Street Improvements: Storm Sewer A vaHable: Special Instruction: Notes: DescrhHion $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Page I 01'2 Value Date Calculated Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2009-00490 ISSUED: 04/13/2009 APPLIED: 04/13/2009 EXPIRES: 10/13/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F~e,s Paid 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 $100.00 4/13/09 4/13/09 4/13/09 4/13/09 1200900000000000263 1200900000000000263 1200900000000000263 1200900000000000263 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 Reoniredlnsnee.t.ions I Banner Removal: To be requested the day following the expiration of the permit. lfinspection 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 ofthe 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 ins ctions are requested at the proper time, that each address is readable from the street, that th rmit card is located at he nt of the property, and the approved set of plans will remain on the site at all times duri onstruction. .; '3/13/ocr Date ( Page 2 on 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00490 COM2009-00490 COM2009-00490 COM2009-00490 Payments: Type of Payment Check cReceiOll RECEIPT #: 1200900000000000263 Date: 04/13/2009 Description Banner Special Penn it Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By MATTRESS MANIA Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1001 In Person Payment Total: Page 1 of I I :49:42PM Amount Due 100.00 100.00 5.00 20.00 $225.00 Amount Paid $225.00 $225.00 4/13/2009