HomeMy WebLinkAboutPermit Signage 2009-4-30
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (54I)726c3689
.~ ~7-~ql :
..~ City Job Number
..~ Job Location .717/ cJL itm?)L
..~ Assessors M?p \~()1 ~Dt()
(Q)
~J
-g ~,.
~ City
~
r
...~
!
I
.~
~',
Ij
~
..~
e1,
~
~.
~
~
..~
~
~
1
~
~
~
i
M
,
"
.,
TaX LotDL \.[)~
. Owner of Property \"1\ cJ2 ",.....1 ,I..(~AA,- \v-r
. . <.J,
Ot ~VY\~pt<-.
?"l/(
, -
~Pc:2
- ,-
f,~K!.$'!t:r~~'{:}$:t~ ';;i*~I: ~':':~~\fI:::[
,,'Coittrai::torlIrist'
;*":;:df;:\i;;:0j\h\t;~i~:l'f,'4-;i(4A'1r~
Contractnr V-ry-e
Phorp
~
Zij:'
~/\f/X'"
State
2
, J
Phr~p } '-f J'. dl9 6 ((
~.. :; Zip <). '1'11 i
Address 1")) ') C) l J h'"\.'P If (-
City ?:pPI d2 State
I 5, ~l
I'
"
Expir,.. :::Lo I 0
r.
DescriptiC'n ::J ''X. 'ft (. r,:)ct.-Yl r'L.>.-r (. ~/\d:' (~\\r,~)
Date of Installation VY\ o-.L Date ofRemoval'~~ J 1fY\~
~ . )
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 theabove described
banner(s) andlorportable sign(s) is not larger than 60.square feet,. and Will be removed within 30 days
from the date listed above. If the banner(s)andlor portable sign is not r~moved within the timeline
specified, I will forfeit the $100.00 deposit. I also understand 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;ofthe banner(s) andlor portable
sign(s).\ This inspection will begin the process to return the $100.00 deposit if the banner(s) andlor.
p~rta~ has been remov\ ) . . . () ./ /:
Slgna\.,.P~ y ~,~~ Ifr 30- 01
Construction Contractors License #
Date of ApplicatioI' '1/:;>1& '7
Issued By_ al.-.
Job# C::7- 57 /
Receipt #
2-2..)~o
Amount Collected
II
Shared opve (T:)lBuilding Fomj.SIBanner _Portable Sign Pcnnit eSD 7-08.doc
11
SITE ADDRESS: 37'7\ Olympic St
ASSESSOR'S PARCEL NO.: 1702300002105
TYPE OF USE: Nerr
PROJECT DESCRIPTION: Banner permit REMOV~"-,QA1iE:05/30/20091Iaw requires y~i1i~y
follow rules adopte.9 by the,?~e_~~~at f"dh
Not\1lC.:l,l.IUI1 VC;llll;il. "'.....~-.- R:952-001~
in OAR 952-001-001 0 through OA ..
0090, You may obtain copies of the rules by
-I\' the center. (Note: the telephone
. CCl mg _ ___ Ill:l;+" t..lf"\tifi,...~tl('\n
nUlTlut;:1 IVI U I.... ..... ....;:,-.. - . ..
. . ~M M0_2344).
I CONTRACTOR-INFORMf\ T10N'1
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Owner:
Address:
BFD INVESTMENTS LLC
5729 MAIN ST PMB 242
SPRINGFIELD OR 97478
Contractor Type
Contractor
# of Units:
Primary Oecupancy Group:
Seeondary Oecupancy Group:
Primary Construction Type
Seeondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setbaek:
Rearyard Setback:
Solar Setbaeks:
Street Improvements:
Storm Sewer Availahle:
Speciallnstruetion:
Notes:
Description
Type of Construction
,CITY OF SPRlNl.l'lELD
Building/Combination Permit
PERMIT NO: cOM2009-00591
ISSUED:' 04/30/2009
APPLIED: 04/30/2009
EXPIRES: 05/30/2009
VALUE:
Springfield TYPE OF WOR,K: Banner
Commercial
License
Expiration Date Phone
BUILDING INFORMATION I
# of Stories: Lot Size:
H~i~~1f4f}\!~ucture~,',l. Ft J"s,l./;Ioor:
Typ~~~' \:'t~IMIT SHALL EXPIRE IF TSfW!mfFloor:
W~l'rr'!:tJ'~\ZED UNDER THIS PERMS1j 1ft IJmment:
Rap~f~ry,IL'I(ICED OR IS ABANDONED'q:~RGarage/Carport
Energy Path: PERIOD .Sq Ft Other:
tt<'\'; C\ !:\(\V
Sprinliletlmuildlng: . n/a :Occnpant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handieapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
I Valuation Descriotion I
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amount
Value
Date Caleulated
I
Paee 1 of 2
Status
Issued
,CITY OF SPRINGFIELD
Buildi~g/Combination Permit
PERMIT NO: cOM2009-00591
ISSUED: I 04/30/2009
APPLIED~ 04/30/2009
EXPIRES: 05/30/2009
VALUE:
225 Fifth Stred, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 lnspeetion Line
Total Value of Projeet
~.~.~s Pa.id I
I
Fee Description
***+ 10010 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Reeeipt Number
$20.00
$5.00
$100.00
$100.00
4/30/09
4/30/09
4/30/09
4/30/09
2200900000000000460
2200900000000000460
2200900000000000460
2200900000000000460
Total Amount Paid
$225.00
I Plan Reviews I
h
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.in. will be made the following
work day.
I" Rerplired lnsnections I
B:lllner Removal: To be requested the day following the expiration of the permit. If inspection is not reqnested,
the applicant may forfiet the deposit.
By signature, I state and agree, that I have carefully examined the completed application a~d 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 Ordinanees of the City of Springlield 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.
1 further eertify that only contraetors and employees who are in eomplianee with ORS 701!~05 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.
o 1/- 3D -0)
-..~
Owner or Contractors Signature
Date
Paee 2 of 2
225 Fifth -Street
Springfield, Oregon 97477
541-726-3759 Phone
~PAINOF.ln~...,,,
,.!~ - . .
.fill: ..' ·
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00591
COM2009-0059I
COM2009-00591
COM2009-00591
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200900000000000460
Date: 04/3012009
Description
Banner Special Permit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
SANDRA ARCHER
Item Total:
l.:hcck Number Authorization
, Received By Batch Number Number How Received
CJC
030594 In Person
Payment Total:
Page I of I
12:01:08PM
Amount Due
100.00
100.00
5.00
20.00
$225.00
Amount Paid
$225.00
$225.00
4/30/2009