HomeMy WebLinkAboutPermit Signage 2009-5-21
225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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Descriptiol'cf>r)f r \11 W\/n~Jor. \,bE ,Q, ,0;00_332-2.344).
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Date of Installation 6 111- 1 001 I' Date of Removal' (J! Z I 1(11
Permit Fee: $225.00 linclUding $100.00 Deposit and applicable fees.
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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 correql. I further agree and understand that the above described
banner(s) and/or portable sign(s) is not larger than 60 square feet, arid will be removed within 30 days
from the date listed above. If the bann~r(s) and/or portable sign is not removed within the timeline
specified, I will forfeit the $100.00 depbsit. I also understand that this special permit can be issued
only twice per calendar year per development area. I also agree to call the insPilct' ine at 726-3769
by the e. nd of the 30th day to request an inspection to verifY the remov!\\€(~~~ I ) and/or portable
sign(s).Jhis inspection will begin the proc~SOt{'iOiim ffCS~f,.(t'l..~~~~~ er(s) and/or
po~ble s~'gn(S) has been removed. "'(\-lIS pEI'-Wl\ \.I\\1DEI'- ,1-11 \\IDO\\lED fOR
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Expirp<
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Shared Drive (T:)IBuilding FormsIBanncr]ortable Sign Permit CSD 7~8.doc
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2009-00713
ISSUED: ' 05121/2009
APPLIED: 05/21/2009
EXPIRES: 06/2112009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726_3769 I,nspection Line
SITE ADDRESS: 900 BELTLlNE RD
ASSESSOR'S PARCEL NO.: 1703153001000
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner - install 052109 removal date 062109
Owner: MARIK PROPERTIES LLC
Address: 4150 SW DOSCH RD
PORTLAND OR 97239
,I,~ONTRACTOR INFORMATION'
Contractor Type
Sigll
Contractor
OWNER
License
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
. Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I, BUILDING INFORMATlO.N'lto
ATTENTION: ~re\J,u~:'~~';h~ O[egon Utility
lollow rules #r?~lSto.f'es~e rules are set lo[th
Notllicatlon CHelght o\'W~rrllc.tU\"5AR 952-001-
0_, i'(()1f.L rou'd11 b
in OAR 952- (fyplYon eat: ies 01 the rules y
'0090, You mWilr]\~~eqie' the telephone
calling the ~~lllr~;T~8~ Utility Notification
number to[ E-n~rgy.\~kt8_'332-2344).
Censpr..lllkle~vguilding: n/a
I DEVELOPMENT INFORMATION I
Frolltyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Commercial
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq FtOther:
Occllpant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
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I pUBlieliji~ ~,,~ W m, V \
" \,1_ 9m~~ r;~~~W . ~
AUTHORIZED UNfl, \~ ~M~~~t~1f. ,', e:
COMMENCED ~ea\o~. Downspouts/DraillS:
ANY 180 DAY rEn . .
Street Improvements:
Storm Sewer Available:
Speciallnstructioll:
Notes:
1 V aluatio~ DescriDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amoullt
Tvpe of Construction
,.
Page 1 of 2
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lille
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner,Special Permit
Deposit
Total Amount Paid
Amount Paid
$20.00
$5.00
$100.00
$100.00
$225.00
Total Value of Project
F~e~ Paid I
Date Paid
I Plan Reviews I
5/21/09
5/21/09
5/21/09
5/21/09
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00713
ISSUED: 05/21/2009
APPLIED: 05121/2009
EXPIRES: 06121/2009
VALUE:
Receipt Number
1200900000000000516
1200900000000000516
1200900000000000516
1200900000000000516
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.
, ~e"~fired ,ll\s'lecti~n;~ I
Banner Removal: To be requested the day following the expiratioll of the permit. If inspection is not requested,
the applicant may f'orfiet the deposit.
By signa~urc, I state and agree, that I have carefully examined the completed application and do hereby certify that all
informatioll hereon is true alld correct, and I further certify that allY and all work performed sball be done in accordallce with
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety.
I fllrther certify that only contractors and employees who are ill compliance with ORS 701.005 will be used 011 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.
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Paee 2 of 2
\.5/.;;; IOq
Date
225 Fifth Street
, ,.
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00713
COM2009-00713
COM2009-00713
COM2009-00713
Payments:
Type of Payment
Cash
cRcccinll
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200909000000000516
Date: 05/2112009
Description
Banner Special Pennit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
SHARlS MGT CORP
Item Total:
Check ,Number Authorization
Received By Batch Number Number, How Received
djb
In Persoll
Payment Total:
Page 1 of I
2:12:25PM
Amount Due
100,00
100,00
5,00
20,00
$225.00
Amount Paid
$225,00
$225.UU
5/21/2009