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Home My WebLink AboutPermit Signage 2009-5-5 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689' ~, < C _ 00 bO 't ..~ City Job Number CD01Z-00 ( ..~ Job Location 3~o\.o~~~ ~*C;::;~~\~i1L. Qti.{1l ..~\ l-o~ \ TOD Q ~ ..~ e: ~ City --o~\ ~~<(:-\:t'1..Cl ~ t_~r';'0,'~;';1:'*'i+'t\"!{~':f/~:?:;f,\i'f:i ~ ;~ff4~,~~?t.~g~l!~tg .. ~~ ~I Contractor ~SL ~ ~ Addrp<< ';;;?\,-Q I~ , City Co."", p """- . 8 Ii .~ ..@ ~. ~ ~ ~ ..~ ~ 3 ~ ~ ~ I M .< Owner of Property "5 ~-qlc hlRtoM >O.M . 0 Addres< '6~O ~\\--\ ~nlL ~,-",-,=> .LLC Phon" '1--4 /", ~4L{ if. ZiJ: '11- '-17- +- State eke o.~ u ~ ~ ~U~~ ~,jn~to,jnl' IhA OrAgon lJlililv . . Notification Center. Those rules are set forth ('1C ~<""\,e::; ~ ~~1-001 0 ttirou~h OAlpeS2;P01l.,t '3 y, III '6 .J. , 0000. Vou may ODlaln CUl-'II:i~ VI II h!t'Wl'es oy calling the center~~he t~one. q--z _.__.__.~_..R ty,~' "tio~lp TtjO~ .IU'..Iiiit..... .y. r..3-\.Jf Center is 1-800-332-2344). 11ot~L~ . . Construction Contractors License # _ CI, ~ t \ \0 Expirp< . Des~riptin" D~ ~ -4. \~"""\ 'L loNo--t-\\""" <!, I Date of Removal E;;-ft~ Date of Installation 6) -S l 0'\ I! S[O<i Permit Fee: $225.00 including $100.00 Deposit and applicable fees. By signature, I state arid 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 not lar~tu~JfO square feet, and will be removed within 30 days fro~ the date .listed a?ove. If the banner(~TRJ5lfP! . - oi~..i~_~~t removed within the t~eline speCIfied, I will forfeIt the $1 00.00 deposIA~ ~f Jt;- ~ can be Issued . only twice per calendar year per develQP~l lAeTMl6MlBM~ line at 726-3769 by the end of the 30th day to request an inMYiijbI m~~er(s) and/or portable sign(s). This inspection will begin the process to re ~O.OO deposit if the banner(s) and/or portable sign(s) has been removed. Signatur~"'?' ~\~~ Datp s) Sl09 < , Tob # Receipt # 3ifO ~ Issued By Amount Collected Shared Drive {T:}lBuilding FormsIBanncr_Portablc Sign Pc:rmit CSD 7-QS.doc _$...~,A '...N"'..G....",.."..I.m........o '~...".'....'.' :........ }(k'Ji ' ! ,,", 1:. '.1.. .......-m..'. "i · ~;" .. .,.~. -..-" Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676, Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00609 ISSUED: 65/05/2009 APPLIED,: 05/05/2009 EXPIRES: 07/0512009 VALUE: SITE ADDRESS: 3306 Gateway SI ASSESSOR'S PARCEL NO.: 1703222001700 Springfield TYPE OF WORK: Banner I!ROJECT DESCRIPTION: Banner - 050509 removal date 070509 TYPE OF USE: New Commercial Owner: NEWGATE LLC Address: 840 BEL TUNE RD STE 202 SPRINGFIELD OR 97477 Contractor License IMAGE KING INC 161313 ATTENTlr"'" ..MM .",., '~""'''"'" """ ", f II"'iHhLDlNG INRORMA'r'IONt ollow ru t. " / , ." , Notification Center. Tho~e rules are set forth in OAR 952-001-~l9f$'t?,r~ghOAR 952-001- 0090. You may,(~teJ""W6'J~tr@t(u.tll3 rules by . calling the cerX~p'e ~~M,~~,~.;le tele~hone number for the't<!te,IOf.lwllty Notification Center BaJ1gJQ'Vw:e'2-2344). Energy Path: Sprinkled Building: Contractor Type Sign # of Units: Primary Occupancy Group: Secoudary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Sethack: Side I Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: Street Improvements: Storm Sewer Availahle: Speciallnsfruction: Notes: I CONTRACTOR INFORMATION ,I Expiration Date ,09/01/2010 Phone 541-484-1482 n/a .Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: NOT1C~.: ..~ ru." j:)(P\RE \FTHEWO~~ . ~~)J~~I~~~\~~~:~j;~~ 'F~R'~t.l COMMENCED OR m Sidewalk Type: . ANY 180 DAY PERIOD. Downspouts/Drains: , Total: Handicapped: Compact: I Valuation Descriotion I $ Per Sq Ft ormuitiplier Square Footage or Bid Amount Description Type of Construction Value Date Calculated Page I of 2 $.~FJ1NG~JaLDi~T -....."..... r......'.,- -._,.,..,,_.~ -..........,..,.- " "i {, Status Issued 225 Fifth Street, Spriuglield, 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 Penriit Deposit Total Amount Paid Amount Paid $30.00 $10.00 $200.00 $ 1'00.00 $340.00 Total Value of Project Fees Paid' Date Paid 5/5/09 5/5/09 5/5/09 5/5/09 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00609 ISSUED: 05/05/2009 APPLIED: 05/05/2009 EXPIRES: 07105/2009 VALUE: Receipt Numher , 2200900000000000479 2200900000000000479 , 2200900000000000479 2200900000000000479 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 Re,\uired r nspecti~ns , Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may forliet 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 perforD1:ed 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 descrihed herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certi(y 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 . tir:nes during construction. D~~. ~~~ J Owner or Contractors Signature Page 2 of 2 Date 6)S\C1\ 225 Fifth Street Springfield, Oregon 97477 541-..:126-3759 Phone City of Springfield Official Receipt Development Services Department Publie Works Department Job/Journal Number COM2009-00609 COM2009-00609 COM2009.00609 COM2009-00609 Payments: Type of Pllyment Check cReceinll RECEIPT #: Date: 05/05/2009 2200900000000000479 Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee"'** Paid By IMAGE KING INC Item Total:" Check Number Authorization Received By Batch Number Number How Received djb 12765 -In Person Payment Total: " Page I of I 1:46:59PM Amount Due 200,00 100.00 10.00 30,00 $340.00 Amount Paid $340,00 $340.00 5/5/2009