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Home My WebLink AboutPermit Signage 2009-5-21 ZZ5 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)7Z6~3753 . FAX: (541)726-3689 ..~ /l~.- /107/2.. ~ City Job Number L '1' UI ..~ Job Location /50;:- hbJJ~.~~ '. ,~d~ Assessors Map Ql ,~ .. ~ Owner of Property i:: Addres~ ~ ~ ~> "~ Contractnr ~ = e e o u Ii I. '. ..~ ~ ~ ~ =: Ij:>.,q.., ~J -e '''-_~ rtIJj . .,~ ,~ ~ ~ 1;i I ~ ..J,,,- ~ - Tax Lot / f' c) 7 ;:;/"UJ/..-e~tV7 phon" 7~7- - g..t7..i '9:f-"'f 77 CJR. State Address ftfu.1-- p/ ??"",,;\;M.~ ~N>V p . / City Y.f--o,..,f:;P>~ "tate i' phon" 7Y? ~P::l~/.'r 6J-~ Zip c;CZ-Y-?7 Construction Contractors License # Expir<>< . Descriptior Date of Installation S -2. / - .0 '1 1,<_.;z/-d1. Date of Removal 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 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 timeline specified, I will forfeit the $100.00 deposit. I also understand that this special pennit 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) has b ~' ...::F-,2-l ~.......7 " Amount Collectec' Receipt # c;( d-~. (Jo Shared Drive (f:)JBuilding FormslBanner ]ortable Sign Permit CSD 7-OB.doc Status Issued CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2009-007I2 ISSUED: 05/21/2009 APPLIED: 05/21/2009 EXPIRES: 11/21/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspectioll Line SITE ADDRESS: 1807 PIONEER PARKWAY EAST ASSESSOR'S PARCEL NO.:' 1703262302402 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Bauller Install date 05121/2009 REMOVAL DATE 06/21/2009 OWller: PK SALE LLC Address: 3333 NEW HYDE PARK RD #100 NEW HYDE PARK NY 11042 Contractor Type Contractor ' I CONTRACTOR INFOR,MA TlON . License Expiration Date Phone BUlU~ING INFORMA nON I " # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secolldary Constructioll Type: # of Bedrooms: # of Stories: Height 01' Structure Type of Heat: Water Type: Range Type: Ellergy Path: Sprinkled Buildiug: Lot Size: Sq Ft I st Floor: Sq Ft 211d Floor: , Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: , Occupaut Load: n/a I DEVELOPMENTINFORMATlON I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Al I !=I'J IIUI\1: uregon law reql"t::'''' ~~':"1~"" I lollow rules adopted by the OII-r..U~Ij,"'i':~~PROVEMENTS' Street Impr~'veffieiii~"n Center, Those rules are set lorth , in OA~ 952-001-0010 through OAR 952-001- Stor'." Seweb'C1~~"~B!e;nay obtain copies 01 the rules by SpeCIallustruS!!,~,\l':J the center. (Note: the telephone number for the Oregon Utility Notilicalion Center is 1-800-332-2344). Sidewalk Type: Downs'pouts/Drains: Description Tvpe of Construction NOTICE: THE WORK THIS PERMIT SHALL EXPIRE IF OT I ,_.._:""r" 'l'lnCO nllS PERMIT IS N 'v" 'V"'~~- - DONED FOK 1 Valuation DescriDtionCIJfV\MENCED OR IS ABAN J-\dY 180 DAY PERIOD. $ Per Sq Ft Squarc Footage or multiplier or Bid Amount Value Date Calculated Notes: Paee I of 2 _~~1",!?f;1E!-i-~' ~ ~ ~' CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00712 ISSUED: 0512112009 APPLIED: 05/2112009 EXPIRES: 1112112009 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Pholle 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $20.00 $5.00 $100.00 $100.00 5/21/09 5/21/09 5/21109' 5/21109 2200900000000000548 2200900000000000548 2200900000000000548 2200900000000000548 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 I . work day; , I Reouired r nsnections I Banner Removal: To be requested the day following the expiration of the permit. If inspection is 1I0t requested, the applicallt may forfiet the deposit. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informatioll hereon is trlle and correct, and I further certify that any and all work performed shall be done in accordallce with the Ordinallces ofthe City ofSpringlield 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, Buildillg Safety: I further certify that only contractors and employees who are in compliallce with ORS 701.005 will be used on this project. I further agree to ellsure th all reqllired inspections are requested at the proper time, that each address is readable from the street, that the pe . C' d i cated at the front of the property, and the approved set of plans will remain on the site at all times dUri~ S .. Z /, (J 9 Owner 0 ontractors Signature Date Page 2 01'2 225 Fifth ,street Springfield, O~gon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00712 COM2009-00712 COM2009-00712 COM2009-00712 Payments: Type of Payment Cash cReceiotl RECEIPT #: 2200900000000000548 Date: 05/2112009 Description Banner Special Permit ***+ 10% Administrative,Fee*** + 5% Technology Fee Deposit Paid By SHAR1S MANAGEMENT CORP Item Total: t.:heck Number Authorization Received By Batch Number Number How Received nJm 111 Person Payment Total: Page 1 of 1 2:05:23PM Amount Due 100,00 20,00 5,00 100,00 $225.00 Amount Paid $225,00 $225.00 5/21/2009