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HomeMy WebLinkAboutPermit Signage 2009-5-18 225 Firm STREET. SPRINGFIELD,OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689 ~ , _.~ City Job Number -.~ Job Location ~ -- ~ Assessors Map Q ~ ~ -.~ ~ Addres~ T~ ~ City ~ ~. "~ 8 e ~ 'reS -, . . 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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 the above described banner(s) and/or portable 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) and/or portable sign is not removed within the timeIine 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 of the banner(s) and/or portable sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or portable sign(s~removed. j ~ /:/...- S;I'T'.'~ F~~ /~ Dat" ,:$/;rr/o7 -...--,' - , / =::PPIi~~) .~1if:;!~~~~1 Sham:! Drive (T:YBuilding FormslBanne:r]ortable Sign Permit CSD 7-08.doc y- m M -t _-WirS:~AIN91ic"ilLI) . :".,'...'...i Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1174 Gateway Lp' ASSESSOR'S PARCEL NO.: 17032220024]0 PROJECT DESCRIPTION: Banner Permit Owner: SHEILA S LLC Address: 3194 GATEWAY LP SPRINGFIELD OR 97477 Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-00683 ISSUED: 05/18/2009. APPLIED: 05/18/2009 EXPIRES: 06/1612009 VALUE: Springfield TYPE OF WORK: Banner TYPE OF USE: 'Addition Commercial I CONTRACTOR INFORMATION I License ' Expiration Date Phone BUILDING INFORMATION I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building:' 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' Overlay Dist: # Street Trees Rqd: I'aved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS 1 I Valuation DescriDtio~ I $ Per Sq Ft Or multiplier Square Footage or Bid Amount Paee] of2 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutsfDrains: Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00683 ISSUED: 05/18/2009 APPLIED: 05/18/2009 EXPIRES: 06/16/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P~i.d I Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $20.00 $5.00 $] 00.00 $] 00.00 5/]8/09 5/18/09 5/18/09 5/]8/09 2200900000000000535 2200900000000000535 2200900000000000535 2200900000000000535 Total Amount Paid $225.00 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. . Reollired Insnections 1 Banner Removal: To be requested 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 ~lccordance with lhe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described berein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who lire in compliance with ORS 701.005 will be used on this project. I further agree to ensure tbat all required inspeclions are requested at the proper time, that eacb address is readable from the street, lhat tbe permit card is located at the front of the property, and the approved set of plans will remain on the site at all ~;~ dd ~rlo? Owner o;Contract;rs Si~atu~ - Date I / Paee 2 of 2 225 ,Fifth Street Springfield, Oregon 97477 541-726-3759 Phone SPAlH<<:JiFlIEtLD. ,.lMiIlfl., iirf'd, City of Springfield Official Receipt DeyeIopment Services Departmcnt Public Works Department Job/Journal Number COM2009-00683 COM2009-00683 COM2009-00683 COM2009-00683 Payments: TYI}C of Payment CreditCard cReceintl RECEIPT #: 2200900000000000535 Date: 05/18/2009 Description Banner Special Permit Deposit + 5% Technology Fee, *~*+ 10% Administrative Fee"'*'" Paid By SCOTT MILLER/H ENLUND Item Total: Check Number Authoriz:ttion Received By Batch Number Number How Received lIh 14335 In Person Payment Total: A Page I of I 10:07:58AM Amount Due 100,00 100,00 5,00 20,00 $225,UU Amount Paid $225,00 $225.UU 5/18/2009