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HomeMy WebLinkAboutPermit Signage 2009-5-21 225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ '. ~ 0~J ~ CityJobNumber (OwtZ-OO, 0- ::~ Job Location qOD &l--l:-I\ ~ Q vd r~ Assessors Map i 70 '3 / ') .3 0 ~ ~ o.~ t ~ ~ ~ o. ~ Contractor =: :.1' ~ cB II I, '> OO~ .~ ft'-~( ~ ~ .~~ ~ ~ '1 ~ ~ ~ ~ =: ~ ~ Tax Lot 0/000 Adcrp<< goO fu +llVlCJ city-Sf Vi" V1<< G;'/ r:i \I)()c:llf'\CV~VVld'l1 Id ,VI I rp Phnn,,(041J 7~ ( - (flOt{tf. <1141, State ()( II ' - II Addrf'<< '-1 ()o &li L ll!\ 0 r&l_,,\,~< \IOU to Phon" I ~ n NT\ON' Oregon laY< '~or~~:;.1 Utility Cit~/Jp-kr^-- ~~: rilles 1~~~~t:e~\_b!~~rStilt~~ 199~ , U Notilicatlon CO' 0\001 0 th[ou9h Ojt\the rules bY . ',- (\~~ y52- , copies 0 e ConstructIOn Contractors Uic'bns"'{l:)u r1,:,'J nhtarn ;',,~ ~:'D:,hon 00_,0. ;,_J ~~n\er. (NOW,.... . "n.Hir.atlon , " ~ I ,c~IJ"'" ''', e oregon u"''', ' Descriptiol'cf>r)f r \11 W\/n~Jor. \,bE ,Q, ,0;00_332-2.344). \ ~ ":~.:,t .- 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. , 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 $100.00 depbsit. I also understand that this special permit can be issued only twice per calendar year per development area. I also agree to call the insPilct' ine at 726-3769 by the e. nd of the 30th day to request an inspection to verifY the remov!\\€(~~~ I ) and/or portable sign(s).Jhis inspection will begin the proc~SOt{'iOiim ffCS~f,.(t'l..~~~~~ er(s) and/or po~ble s~'gn(S) has been removed. "'(\-lIS pEI'-Wl\ \.I\\1DEI'- ,1-11 \\IDO\\lED fOR I ,_, /I ~ \.I"'(\-IORIIED OR IS P-'DJ'>; Siisnaturp J:L ~~t\'h~RfIl\t.NCE~ f'i.?\OD. Datp C5--t9l 09 {$'~"1~ Job # C '/ ~ 04-/-141-l.QOOt} Z. q1417 Ip , Expirp< Date of Application Receipt # zzr --- Issued By ~~ Amount Collected 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: ,_ ..., '_ _~~~tl>>' 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. ~"!:.,,'!!!,~::J) 't 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