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HomeMy WebLinkAboutPermit Signage 2009-5-14 , I:'-l <l) 'OWner ~f Property '\2. \-\ U 'E C1.) ',CitY ,s::' '--',5'" (l P 00 .',', , , ' Colttro(-torllnstalter Contracto~: '~P. \.c .' ~' o .- I:'-l .- > .- o c . . ....... ~ i o u 1 ..... .~' CU' ~ ~ b.O .- 00 (1.) ~ ;; 1:: o ~'" ~ (1.) g CI:S ~, ,'. ,; et':': (O~ZCO'7- 00380 SPRINGFIELD CITY OF SPIUf\lGFlELD. OREGOt\ ., 225 mnt 5I'REf.T . SPlUNGFIEUl, 08. 97477 . PH:(54 t)726-3753 . EAlC: (541l726-3689 c..tJ..-. ZO 0 ., - 00 6 '1 () CIty Job N....b.. .. . ;;. Job Location ;;J.q I c;..., -1-10 A .<:;+ /7033,. 'S f1r .. 'Tax Lot, c>rtp () , .' ASs.:SsorsMar' . Owner Nro k'P"7~P, ('f>r'!,me,c;r;L' '~J <V~'':\~~'" ,'2A' ''';, ,,-.. -~.\'\~ _.>>. Pho~'.1 -:J~I'7n- o..s.':;'O<:>.Jy.",,'),~-,; I'M, 'J. .t>, ~<:Slllle _'., r<<. Zir '1 HO"": ~ 'V ...r().'"J..;s'-' '(I ,. ," ,'6~<q ~<q'o"~. " 0'" ",' '" "",,, ,0,)" ,0 ~<q ,,'0 ~O ' " 0.0.,,'0''0 -~ ~""',,'01"c,~-'. ---r-- 'Lf':::......rol~,..:->: "oOJ ~'"O ~o ,e ~'\:" '.-""iT,,_I, "',A..o '.~, ,_e _,0 ' " ~,O"" ,/>ov ~e" ,<::J..... c,o'\,,;, ~~-'; ~txt><\" ~;"" .\,e~ r,e"', ,,<::J .~~ ,...0 00"" ,,;/,; Ph",,- ~,. "., ~ ~' OV ;(.;. ~O"'!O~' ~., o~ ~o ~C:J ~ ,e eC)'C\<::J" , City ,~.<.c,'Ii 0.<6 ",'Ii _~):'!'I' ~<:'1te, . ,'- ~o'O'r'<:' -1,0" '$'e - '$'0 ',~ ' " ' COnstruction Contractors I:~ '#,soQ, ,\0' _"e' , ' '. ~v ...r'?:Y' _X)'U; (\l()' ,:," '" ' , ',.-;j.{, ,.." " ..,,,.or, Addp("(':! _:J nL'.lX .;;..:?-ou Addre"'''' . ' 7ip Expi!""" Dcsc;iption '(l,/l ,:, r1e.r .bateof~ostallation5I} /Dq , Date of Rcmov.t (ph /09 , Permit Fee: ~5-1I9 ineluding $100.00 Dcpositand applleablt!fees. By signature, I state mlllagree that I have carefully completed this applica1:ionand hereby certify ~;. all infonnation herein'is true and correct. I further agree and understand that the above described P ~ " banner(s) and/or portable sign(s) is not Jarger ihan 60 square feet, and will be removed within 3~~";;;;: , from the date listed abOve. If the banner(s) and/or portable sign'is not removed within thetimeij;i~ "~ specified, I wi II forfeit the $100,00 deposit. I also understand that this special permit can be ~':'0, <<:. only twice per calendar year per development area. I also agree to call the inspection line ~7,3111.9 b~ the end ~f~e 30th, day ~o requ~st an inSpection to verify the removal, of!h~ banner(s)~~J ~Ie , s.gn(s). 11". ""pect,on wtll begm the process to retum the $100.00 depoS1t .fthe ban~.u{~o portables~s~:~",\l' d. n Il.M {,',' ~$0-~' Signature.^- _ ,k./.....~'~.:- tS.JJ...:t_v~""2i~~IJ~t~~~Y~~ ' ~/ [ For Office Vse ~?f If (j),l..,<<' Date of Application ~/o/v ? Job# CCJ-: b rt$>f?;R~i~<::>"" - , ,"',,' ",,-pt'b- ~ h: , , ,'''fZ~- , .;....P lS Amount COllected ' (" '.- , ",' ," ~ ' I~By ," . 51WuI.DrincT;~;dllII~ 'P~siPhrmkCSDm~ . - "'.. '. - -, "- ' . , rd, LLltrv.vHV9 , SJ,91!1!J1' 9~']J9^1!S egj,: ~o 60 LO ~BV\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: COM2009-00690 ISSUED: 05/19/2009 APPLIED: 05/19/2009 EXPIRES: . 06/01/2009 VALUE: SITE ADDRESS: 1291 SA ST ASSESSOR'S PARCEL NO.: 1703354109200 Springfield TYPE OF WORK: Banner PROJECT DESCRIPTION: Banners. 050109 removal date 060109. REF: C0D2009-00380 Owner: R-H MCKENZIE COMPANY LLC Address: 'PO BOX 2280 EUGENE OR 97402 Contractor Type Sign TYPE OF USE: New Commercial I CONTRACTOR .INFORMATlON I License Contractor OWNER # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: , Front yard Setback: Side I Setback:, Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description BUlLD]NG INFORMATION I # of Stories: Height of Structure Type of Heal: .0 Water Type:0 '{f ",.~ Range", Type:.o\ ,,_ .~. .' ,,'\ 50 Energy)Pa!.h:05:S 'Q'\ "'\A ~', ~..... " . c.. ., Sprinkled'Building:,,' ... n;:.... ..,..c ."rp - ~<0 _ \'V' (\,' _(:- Expir~tion Date Phone n/a Lot Size: Sq Ft ]st Floor: Sq Ft 2nd Floor: , Sq Ft Basement: Sq Fl Garage/Carport Sq Fl Other: Occupant Load: I_DEYEL0PMEN'f'INF0RMATION 1 ~O~o~~.'" ~"'\~o~::~~:'\ ~~. ~,p ~ '(f ~ Rl"OverIay Dist:;!,':J ~ ~<1> c,0 <::5 .'0- \'- - 'v '~,,<() ~v. o~ >:JC:l'" Q\~.ffilr"~~NJ&s Rqd: ~ ~o~ r.Jl! <_'I: ,<o,'Ir"l ~<Paved'DHve Rqd: 0' &-v q)J ,... c,'U ....., ..~"" "--,o~ .s:- -'0" ~Q, ,,'Yo' ot;tot Coverage: ,-- O'\"- ""'" "0-- '!.,..... ;<..' ". '<$'_c.q,C:l~",,<$'0; o~ '~o<;:-'-Q, '-' \,,)-~.... ... , ~."rpUBLIC IMPROVEMENTSI I Valuation Descriotion I $ Per Sq Ft or multiplier Type of Construction Square Footage 01' Bid Amount Paee I 01'2 REQUIRED PARKING Total: . Handicapped: Compact: ~ ~"'~ &, ~ ,,~ ~ ~ ()., ~~ ~~ <<." ~:~ <{<J' ~ Sidewalk Type: <<Y.-b ^~~ 'v "-.,. ~v , Downspouts/lhllt.\"", o.'f- 9' ~v ~v ~.~ ~~~~$:J~' ~rv~"~^,,, (~ ~ <{ &.-" <VV <{V ~ .,-b,'>.~' ~~\.i ~~ , ~' ~'" 50V 'f- ~~ ,<<3 \.i~ 'f- Value Date Calculated '-Wir~A'~Q!!IELQ; "I"., ;-".: .,..."",.".'.....". CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00690 ISSUED: 05/19/2009 APPLIED: 05/19/2009 EXPIRES: 06/0112009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 54]-726-3769 Inspection Line Total Value of Project Fees Paid ,I Fee Description ***+ 100/0 Administrative Fee*** + 5% Tecbnology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $20.00 $5.00 $100.00 $100.00 5/]9/09 5/]9/09 5/19/09 5/19/09 1200900000000000479 1200900000000000479 1200900000000000479 1200900000000000479 Total Amount Paid $225.00 I Plan Reyiews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m, will be made the following work day. I' Reouired Insnections 1 Banner Removal: To be requesled the day following the expiration of the permit. If inspection is not requested, the applicant may forfiet the deposit. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the Stllte of Oregon pertaining 10 the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify thllt only contractors and employees who are in compliance witb ORS 701.005 will be used on this project. I further agree to ensure fhnt all required inspections are requested at the proper time, that each address is readable from the street, tbat the permit card is located at lhe fronl of the property, and tbe approved set of plans will remain on the site at all times during construction. . Owner or Contractors Signature Ow" E'I\. SI1...~l...r& 0..... !rP;f. i$ Date <)) f 1 Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~, Job/Journal Number COM2009-00690 COM2009-00690 COM2009-00690 COM2009-00690 Payments: Type of Payment Check '~" - " '\ ~, cReccintl RECEIPT #;: City of Springfield OffiCial Receipt Development Services Department Public Works Department 1200900000~00000479' Date: OStl9/2009 Description Banner Special Penn it Deposit + 5% Technology Fee ***+10% Administrative Fee*** Paid By PACIFIC NORTHWEST TRAILER " Item Total: Check Number Authorization Received By Batch Number Number How Received DJB 1007 In Person Payment Total: Page 1 of 1 9:0]:IIAM Amount Due 100,00 100,00 5,00 20,00 $225.UU Amount Paid $225,00 $225.UO 5/1912009