The URL can be used to link to this page

Home My WebLink AboutPermit Signage 2009-4-28 . 'ZZ5FIITH STREET. SPRINGFIELD, OR 97477' PH:(541)726:3753 ..fAX: (54])726-3689 ~! . CC-OOC(t/? . ~ City Job Numbp" ( ..) ..~t ..~ Job Location 2.16;7 Oly;o/c . Sf ..~ Assessors Man 17D 3 Z SLf2 ~l ~ ~ "";> ~ . City~V'ir0 Fiei)j' ~ ~. ..~ i Addrp<< ; .~ U ",," /' - .; . ~ , II I~ ....~~ e: 16l~ ~ ..~~. ~ ~) ".~~ ~ . <aW i ,.,..., . ..~~ ~ i ~l ., . , . Tax.Lot orZOz.. /: .n5/. Cc,"n" to fl"-~ Owner.ofP~operty G", Vl ~ '-", I Addr~ss Q,117 o/~,h(;/!"- <;p , Pho'-p. (])D State - f'\ Zir 17Lf77 ;:"ff~:;;;".'" ~S:%..lt~!**'"W'i","t;~J~ ^ ~ €Ontractoi'lIiistalleli ",:::~,%."..~'w::,':'..t, 1;'>'tf-"'i<,,,~_}j).Y~~ Contractor t!:> t,;.i ,;Ai EVL.~" ,:...~~.'"'"' r;",,, r0r:111irpc::, -\1011 to I/,~') "'l<~. 'ld-o,;i:'d by HIe Oregon Utility . ud~'';:,l_' ,;;.-' ,~.... ' I .'. . ";di:;c~' '"n r,Anier: Those rules are set forth 1'hon" in OJ\Ft 952-001-001 0 throughUAH \!O"-UUI~. C. 0090~ You may obtain copies f'lSf the rules by.. Ity . tate-,,,,^ .. '. . 'catling the cemer. {I'IJUtb",l,llC' lvl,,":~'~ . . . n' 'mber for the Oregon Utility Notlflcatlop. . Construction Contracto~s Llcen~~~ter ': ~ ~M~~0_01<14' Zip Expire. Description &..'WI.e~ .fOr. t:i:re. work Sale-<; . . Date ~f Installation~('-/Oq . Date of Removal 1(/ qcq . . 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 tru.e and correct. I further agree and understand that the above described banner(s) and/or'portable sigil(s) is not larger than 60 square feet,. and will be refuoved within 30 days from the date listed above, Ifthe blMi'efWIWd/or portable sign is not removed within the timeline , specifie?, I will forfeit the $1 00.00 ~$1tIiI\~I~[S~ftr.lF~; tilWlil' al e~t c~n be issued only twIce percalen2ar year per deMtlqJlW.lffi!~tlINtit!I\':J~~I. i'th'e'1 ctlon lme at 726-3769 by the end of the 30 day to request~MIil'tt'I~'0~~CfR~sn~y 0 Ii b'f.WJ .anner(s) and/or portable sign(s). T.hisinspection will beginiW.tWn3t'P~Atp Wttgmme 1 .!ildtpmit ifth~ banner(s) and/or portable Slgn(S) has been removed. . ... . Dat~ 5-"3I:Og .~ ---- <~ ':~~.:.'.c;7;~.~.:Z~~~~'.~~':~.:'~.t~:t'E..~~..",.:1g~'~.I~O/J7r.~"';'@:-:;.l\f~."".,~7~' '. . ' .,,,,,g'I,"I"it"'.;\'~i!'~M," .01', 1I'ljce'vs(! 7. ~,;~?,:;r~'tV -"f;,~t'..,;"",!t,~'i,?,"I_~,'''''i'''fi;:,",i\",,,JJ..~~~i'-i<e''i/;''K,''''''" ", ' .'IA~'h"~" H'''''-'''~'''i';i.iJ''i~'':t'~l-'1~_~!'W1'";fll''''i_''''''''~f'' ":, . . ~ '7 ....., c.. l.{" . ~ ,'~ . .-'- ~ Date of Application . . .. Job # . IJ>-r3J Signah>rp ~ >- Receipt # 2ZS- . Issued By Amount Collected . 'J . , Shared DriveO)lBiJilding FonnslBanner]ortable Sign Pennit CSD 7-08.doc " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00443 ISSUED: 04/28/2009 APPLIED: 04/0212009 EXPIRES: 07/15/2009 'y ALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2197 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703254201202 Springfield TYPE OF WORK: Banner Commercial TYPE OF USE: New PROJECT DESCRIPTION: Banner permit for firework sales - install 061509 removal date 071509 Overlay Dist: # Street Trees Rqd: N~~rive Rqd: THO/I' lit Coverage: I~ ERMIT SHAll E ~~THnQf7r:~ ~f;':-' ~ XPIRE IF THF lMnDV I PuGl'Jl{tvIMm~.9lViIJ:~~~ PERMIT IS NOT ,~" r I cfJ UAY PERIOD. DO~FJMa~Type;' Owner: POLEN DEVELOPMENTLLC Address: 2197 OLYMPIC SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I . Contractor Type . Contractor License /\~,T~~.T,I?N: ?regon law requires you to i,:Ofjfi,:ntlluiLDI~~G~iNF.ORMATION I~~~;rh In O'~M "O~-UU1-UUlO through OAR 952-001- 0090.. You n#iqfrStories::opies of the rules b calling thelftjightIOf!~truct"r,~ telephone y number fortype~fif!eat:Utility Notification CenWhter 1rype:332-2344 J. Range Type: Energy Path: Sprinkled Building: nla # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Typ.e Secondary Construction Type: # of Bedrooms: i DEVELOPMENT INFORMA TION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport . Sq Ft Other: OccuP:lIIt Load: REQUIRED PARKING Total: Handicapped: . Corilpact: Downspouts/Drains: Notes: I, Yaluation Descriotion , Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Pa~e 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 Line Total Value of Project F.~es Pa id I Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid $20.00 . $5.00 $100.00 $100.00 Total Amount Paid $225.00 I Plan Reviews I Date Paid 417109 417109 417109 417109 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00443 ISSUED: 04/28/2009 APPLIED: 04/02/2009 EXPIRES: 07/15/2009 VALUE: Receipt Number 3200900000000000228 3200900000000000228 3200900000000000228 3200900000000000228 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 Insn~cti,~ns I 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 accordance with the Ordinances of the City of Springfield 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, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on 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. . Owner or Contractors Signatnre Page 2 of 2 Date ~ 225.Fifth Street , . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00443 COM2009-00443 COM2009-00443 COM2009-00443 COM2009-00442 COM2009-00442 COM2009-00442 COM2009-00442 Payments: Type of P.lyment Check cRcceiotl City of Springfield Official Receipt Development Services Dcpartmcnt Public Works Departmcnt RECEIPT #: 3200900000000000228 7:22:09AM Date: 04/07/2009 Description Banner Special'Petruit Deposit ***+ loo/;Adiriinistrative Fee*** ,+~5% Technology Fee Deposit Banner Special Permit + 5% Technology Fee ***+ 10% Administrative Fee*** ~fireworks ~-30,0000 @ $ LOOOO * Fireworks - 30.0000 @ $1.0000 Amount Due 100.00 100.00 20.00 500 100.00 10000 5.00 20.00 30.00 30.00 $510.00 Paid By CROSSFIRE WORLD OUTREACH Item Total:. Check Number Authorization Received By Batch Number Number How Received njm 8139 joe wicks In Person $510.00 Amount Paid Payment Total: $510.00 c Page I of I 41712009