HomeMy WebLinkAboutPermit Signage 2009-4-28
~I'.AooA.. ,_ATTFNTlnN' nrpnnn l~w St!l({jresaJ1o.
1 . follow rules adopted by the Oregon Utility
Contractorllnstaller Notiflcation Center, Those rules are set forth
, J '$952-0iW-0010 tMrougl:YQAR 9!i2-.(lOt
Contractor f1-rp I rr0,j7I\~/""'1'ip(,..Qthp rhf~,
, calli the cent~r, ~~: the telephone
Addrpcc 9Cl 0 tt.t;C/JiT)~tor the _ tility NolificatioI1phonp
Cityr~ ~Jenter IS j-tiu' -:~. J~:4)' OIL
Construction Contractors License # Ivln
/
Description "IJ~ r.J.r-l'.A'1 ,( 5J'14"A-1
I
/D~of InstallJon ;:;'.iJ. zcf 2-D 61 Date of Removal 3--- {0 - 0 I
~Vn. ,
~: {II)' 10~ Permit Fee: ~ncluding ~ Del!os.it3~!!JLAAJiIi6iiliefees. .
~y,slg;;ature, I state and agree that I have ~Gl~~omjJl"l,'~h~\1i~~~bY certify that
~, all information herein is true and correct. I fiEsr~gRM'ilnijli\ _ 8f~~ ~RM~ia Wdescribed
~,t banner(s) andlor portable sign(s) is not larger I ~lilitbl~ - a~ A'<<tl~ll\mrl1 d within 30 days
'::'2~J from the date listed above, If the banner(s) a \1\~'liDsQ)i\ _~I removed within the timeline
~ specified, I will forfeit the $100,00 deposit. I \'ffl~~f\if1Jp~ Is special permit can be'issued
only,twice per calendar year per development !i'rea, 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) andlor portable
,'~ sign(s), This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
'~ portable sign(s) h been remov d,
-I
~ Signaturp
~
i D", of Appli"li"
_I
, :=-: Issued By
~J
Ml'
'.'
~I
;0;.,;1
..~
~l
..~
.4~~
Ql
~J
~
0)
..~
~
~
~
-. 'r-j~
~I
~_I
~l
~~
_I
_I
.-1
_I
-I
~
U
IJ
I. '.
...~~
>
l~
225 FIml STREET. SPRINGFIELD,OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 . ~ ., ~
rPlC4jL, 5d' ~ ~~ COU1zoa C} - 005'76
Job Location q({ 0 t::valL uJtq., '5:j-V'~1zdc/
" / I I J
}703ZZz.D
. .
CITY OF SPRINGFIELD, OREGON ..
\
City Job Number
Assessors Ma~
Tax Lo'
00 c7lZ
Owner
~7 ,,a
Owner of PropertY J!'ullc...y5 V,)~ 5CV/V
Addrpcc 351.5- ~ J~ lJa, I
iLC,
Phonp
5'1/- 3 '17- z?J 2-,/
ZiJ:Q7'io rt
City
Zip
1710'6
Expire~
(2~)
Datp '5-/2-- or
~40/0 'i
~
For Office Use
lob#.L7 - 5:76
Receipt#'.
Ll5J
Amount Collected.
Ilr
Shared Drive (T:YBuilding Fonns!Banner]ortable Sign Pennit CSO 7~8.doc
We-
k
~~
-h ccIe /~ ~ r..J
~ J c#V2A-(.' ell ,j~
C'-, "'- ,- ,,- '::- ,-, r
.. _ _ _I __.' _.:. '-- \...) \ I
CL 15k0v4- # M
1
. .~.
'<), ,-' -, (-" r' .;1,-, - ' '
/12A t~tMJr t.cP:;f~1 j
~_ -::a1"Atk'(1'zR-, hwf-
._3(j r~~J0 / .
f~ ~ _U-- j/f?1J M
~5+.....
I' ,
,-~- // rL-
r / ~ //1.1.;
~,"'7) 'WS(
.' iIf?v~ "
- .. '.... . .'
'.
-,.
.,
"
~}r.
','frUit..... "
"~I. .fU..... '>.
"I'IJ . ,I '1' ......, 11
~'j:;; ;>I'.'I~' f :;Hi:r"! I h :..:.,.,jl.....t
. ;./ 1 ":'.;FiQ j'i ::' ..J,'~<.j.Ha i~" ',. . - /
/lr)" -, r::;/'-{J <"'" ", ,co
-f ,oJ:!"") 1l.:.J'i' f1' ..., ' ~I; I r-
oIL.'ll C:':::','-;/t #....; r-'r/..'~.l'-:,~; "":j '__,.~
.r.l''l 1~, I
-... :.. t if" ~ . ....
.... ;"j( \,'
'.ot"'\
/ ~ -~~\='....
j"l: I (~. .~
Ire),.' .'
"
\ -" \ \
( ,"
......... ,'-"-.
6 \ .;.:. - :\'j
". \
\6'01",\,,,
. -.. ,\
-.., \'
~- \\
)-"..-
'- \..\
Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00578
ISSUED: 04/29/2009
APPLIED: 04/29/2009
EXPIRES: 10/29/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 980 KRUSE WAY
ASSESSOR'S PARCEL NO.: 1703222000912
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner - code enforcement compliance
Owner: TREVORS BREWERY LLC
Address: 3895 MEADOW VIEW DR
EUGENE OR 97408
Owner: OWNER
Address:
Contractor Type
ATTENTION: Oreaon law rep,uires you to
follow rules adopted by the OreqonUtility
Notification CElr(J,@NlYlMCfLQR I!NF(}.RM~ION I
in OAR 952-00'1'-vv IV mrougn UI-IH ,"o,::-vv ,-
ContilliefurYou may obtain copies of the rulesJl:Jltense Expiration Date Phone
calling the center. (Note: the telephone
,,~..i_~, :_, !:,_ ::,c~_.. \"T:Z. tULJ,:~..
Cents' 8U1BJ)JNGaI~I~U.MATlON ~
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
HeighI' of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
N OTree1ay Dist: '
THIS~mf'5ffAttdEXP1RE IF THE WORK'
AUT@m~~ :rH1S PERMIT IS NOT
COMMENCED Bff'i~]{BANDONED FOR
^ "" ; on n^V DI'Rlnn
REQUIRED PARKING
Total:
Handicapped:
Compact:
..... --
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downsponts/Drains:
Notes:
Page 1 of 2
Status
Finaled
CITY OF SPRINuJ11J<,LD
Building/Combination Permit
PERMIT NO: COM2009-00578
ISSUED: 04/29/2009
APPLIED: 04/29/2009
EXPIRES: 10/29/2009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I, Valuation Descrip,tion ,I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
F~e,~,. Pi~i~ ~
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Amount.Paid
Date Paid
Receipt Number
$10.00
$5,00
$100.00
4/29/09
4/29/09
4/29/09
2200900000000000451
2200900000000000451
2200900000000000451
Total Amount Paid
$115.00
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. ~eruired In~n~ction'l
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is tfue and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City ~f Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strncture 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 aUhe front of the property, and the approved set of plans will remain on the site at all
times during construction.
, '-I-L1~Ol
'>-../ .
Owner or Co ractors Signature
Date
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00578
COM2009-00578
COM2009-00578
Payments:
Type of Pltyment
Check
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Developm~pt Services Department
Public Works Department
2200900000000000451
Date: 04/2912009
10:50:IOAM
Item Total:
Check Number Authorization
Received By Batch Number Number How!,Received
Amount Due
100,00
5,00
10,00
$115,00
Description
Banner Special Permit
+ 5% Technology Fcc
***+ 10% Administrative Fee***
Paid By
HOP VALLEY BREWING
COMPANY
Amount Paid
djb
5164
$115,00
In Person
j!
Payment Total:
$115,00.
,
i'
I
Page I of 1
4/29/2009