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Home My WebLink AboutPermit Signage 2009-4-27 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689 ~ ..~ City Job Number ..~ Job Location ~ '. ~~ Assessors Mar Q ~ ~ ..~ ;> ~~ ~ ~ .~ "~ ~ I ~~ ry . II J. '. .oS ~ ~ f" II ~ ~} ..~... WJ ~ ~ ~ ~ ~ ~ ~ .i' ~ ~ Co"",,- 20 c> c; -0 L::> . 5"'0 C> IM/hrt /70s"5,S31 SS7 -;.T Tax Lot 08(00 ~~~- "-~'7i:.:!t~~~''7:;7<~~~,~~&f9'~mi~:~;[?t$).w~",..:tt~J''~_~~.:J,\~::'~W~~.0J'[&':~~{r:~;~~i.~~~~~~lI "~'r'-" t- _J~~~~";(<t/.(:~~-::'k~'fj47(~;1tm ~;..Q!!;,!!~L~_;,~~~<t~*.l:r1;.;~~~:;~i.~~~$1J~~t0tK,?:;ot!t:;~"'t{'::;"t~!1'H,.~+:t'f-'<_~",;'~fi\?'''';;6~~i'~(:~4..9~)'S' - '",' "';. ~'~~:"r~~ Owner of Property <9 cY\P9----f\-L\) ~ CJ::.~\tiC _' Addres~ "QQo IYV1""j ~'""\ . Pho11P "'I ~(Q - 3 <)C) s City 8 -rQ..'f\.\~'\;::'\e:LD ZiJ: 9"1 L\!] Addres< (;.te"- _._~ .'_, ;'I)."':. _F :,.,....~t:'_""""TI. . h'Cdniiff'JitJrlfn's'it/IIJt ,.\, ..,~,..C.".'.W'.' ".""?Z) .a.~~;;=;;Mr~,~~~,_~.A':~~ ~ . City Construction Contractors License # . Descriptinr a~o ~~a,~ ,( '2-Y+\- .6 \\1 ~ . 0 ~ t:S'U---. S - 28 -a-S) C\DM i Permit Fee: $225.00 including $100.00 Deposit and applicable fees. By signature, I state and agree that I have care f{a.brnl2)eted this applicatio~ and hereby certify that all information herein is true and correct. I furthe ft~(.ata understand that th~ above described banner(s) and/or portable sign(s) is not larger th ~'{Jji\!~~, and will be removed within 30 days from the date listed above. If the banner(s) an Jl~p.o~. &'e~i l}DRe..mo.v~d within the timeline specified, I will forfeit the $100.00 deposit. I ~t 1l!1 ~ ~~ permit can be issued only twice per calendar year per deVelopment area. ~€0JP ~fI. pQ9,~. n Ime at 726-3769 by the end of the 30th day to request an inspection to verify th~~ B'~ wmd/or portable sign(s). This inspect" . begin the process to return the $100.00 depos fll~ res) and/or portable sign(s) een re lo~ r; . . Signaturf> ~ ,_~~lliCJ... Datp Jt:/ -1 ~ -0 <) t::';,,~~:.~ _--%\-'};.J'1,~' '.'{~"C.~.'<:-;{~;&t\.- \<-~,,;:c~m>#~~--"".pl."'"L"''i:-'iY'<;-''~llW'":Wfi:it;;~lJf,''-~<-- '~:""c.':i'~ 'll-'~'<ii>dt"";~~"7;>;.m'r<.~t9-l" .IJ 11,:' 'r..+.;..,.":',':~"..:c_:}~~j\:'._ - ;.:r~:{;:"':.-'";'"~~".:';-'.~',~FOT.OF'ice~Us. ':e}'!~tl"tl?;}/,~.-~.~,:...:~:;~j<",: r::':- 8f~:'-\ ;1".:- t-i,,~.~;\.~J'~~ ~'-""~ '.. .{" ..;,~.{ :I:-::/.' -~: "" -~ "'-"x-'-~~~,q"', -. - ~t. "'J,~', .~ -(""?r;)'~c''''':Io<L~'_~';\ c' 'I"-<~\ --__"~ ~-.;-, ..,. ',-,'.' tti~&Sillri1;,~Ai:~.5.t: ,.~"~~,,:,":y.,-,:,i;i<.<~;':H,-'~"0'\:~,,,~~\i!.6~:i~Y:'~Sl'~:&;i~~'::3F'~~~';~, 1-:>' Hg,',k7~Ef\r-~;;.'\;2:"~~\."'v,,;-,. ~';" _~~ Date of Application t.{-Z.7-C:> i Tob# c'i-oD5:57 ~eceiPt--; '--qfc. Date of Installation J...) - 2'1-05) Date of Removal Issued By '0' Amount Collected ZZS' Shared Drive (T:jBuilding FormslBanner]ortable Sign Permit eso 7-08.doc CITY 01' ~n<lNGFIELD Building/Combination Permit PERMIT NO: COM2009-00557 ISSUED: 04/27/2009 APPLIED: 04127/2009: EXPIRES: 0512812009 VALUE: -~~' ~-_.~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 500 MAIN ST ASSESSOR'S PARCEL NO.: 1703353108100 Springfield TYPE OF WORK: Banner PROJECT DESCRIPTION: Banner - 042709 removal date 052809 TYPE OF USE: New Commercial Owner: EMERALD EMPIRE ART ASSN INC Address: 500 MAIN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License I BUILDING INFORMATION I QU lU " oO\Mes'l .. # of Units: ON' oregon#'ot SJ't5i'8" on UtMY Primary Occupancy Group: ATTENTI a' dopted IHCi~. htl\\fS~'iJlctUr\",lth II w lules T\"'OP lU .--,,, 52001- Secondary Occupancy Group::) 0 . center. ".ype 0 l3e'!;t;9 - Primary Construction Type NOtilicatl05n2 001-001 0 iWft~~\j.ffl~"e lules bY OAR 9 - . onole~-' h ne Secondary Construction Type" You may obtal~n.&~ lit@~~\ep o. n # of Bedrooms: 0090.. the centel. ~~~rl!irl\ft't1i:)tl\lCa\lO call log 101 the OleSp.rinklewSitii)jing: n/a nl Imber . _ _ :c "\ _BUO-.,)"'''- - I..JC;;"~_. I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Expirati9n Date Phone Lot Size: Sq Ft 1st 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 't'lOv,\l- . t}.?\?-~~~,\cj~1 ~Q\\C~'~\i S\-\f:.-\.\ ,\-\\S \lfo~~~Dr:lins: ,\-\IS :~i\l~\l \\~~~S f:.-"r>-~\lO f:.-\\\~~~~C~\l ~~?-\O\l. Ca.. .0.(\ \lr>-'i 1','." . I Valuation Descriotion I Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pa2e I of2 Value., Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00557 ISSUED: 04/27/2009 APPLIED: 04/27/2009 EXPIRES: OS/28/2009 VALUE: 225 Fifth Street, Springfield, 'OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769. Inspeciion Line Total Value of Project Fees Paid ~ Fee Description ***+ 10%) Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receip,t Number $20.00 $5.00 $100.00 $100.00 4/27/09 . 4/27/09 4/27/09 4/27/09 2200900000000000442 2200900000000000442 2200900000000000442 2200900000000000442 Total Amount Paid $225.00 I Plan Reviews , 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 R,e'l,uired I nSl'ections I Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, tbe applicant may forliet the deposit. By signature, I state and agree, 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 Commnnity Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wilLbe 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 front of the property, and the approved set of plans will remain on the site at all times during '0 structi~ . (, ~ ^'f;" ~ ,0" -<t - :1 "I -0 ~ Owner or Contractors ~-;n~t:::-e--~-~ - - ~ -~ Date Pa2e 2 of 2 225 Fifth Street Springfi~"I, Oregon 97477 541-726.-3759 Phone J6b/Jourrlal Number COM2009-00557 COM2009-00557 COM2009-00557 COM2009-00557 Payments: Type of Payment Check cReceint\ RECEIPT #: City of Spri~gfield Official Receipt Development Services Department Public Works Department 2200900000000000442 Date: 04/27/2009 2:15:15PM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 5.00 20.00 100.00 100.00 $225.00 Description + 5% Technology Fee ***+ 10% Administrative Fee"'** Banner Special Pennit Deposit Paid By EMERALD EMPIRE ART ASSOC Amount Paid djb 2916 $225.00 In Person Payment Total: $225.00 Page I of I 4/27/2009