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Home My WebLink AboutPermit Signage 2009-4-28 'l{ Api 24 '09 07:50a i I 225 FIFrH srylEET oSPRlNGFIl:LD, OR 97477 0 PH:C54l)7Z6-5753 . FAX: (541)726-3689 " ~. 1 ~oh.1z.c::.o c_oo57lf ~ City'JDb Numb"" r ::!l JobLocation 4'15" f(o.rlo"';' R d ..~ . /703 ZZl{L( rr,n AsSessors Mar . Owner ~...l (!b)} Owner of Property ~ "~l Add"";'~ -2,-< <:'/,; ~- ~ (!b).. rr-", ~.~ ~~. '.~ I.~.- ; . A,lm-"., .' 1 City , . .... , @.. U Permit Fee: $225.00 ,including $100.00 Deposit and applielible fees. By signature, I state and agree that I have carefully completed'this application and hereby certifY that all infOrinatiOD herein istrue and correct. 1 further agree an4 understand that the above described ~ '. banner(s) and/or portable sign(s) is Dot larger than 60 squarefeet, and will be removed within 30 days . . ~~.. from the date listed,above. If the banner{s)and/9r portable sign is not removed within the):imeline . .~ specifie~ 1 will forfeit the $1 00.00 deposit. I also understand that this. spec!atmtrc~b~ issued =- . only twice per calendar year per development area. ,l.l!Iso agree to ~$\l:'UlspecHon~f)lt 726-3769. ,,_~: b7 the end ~f~e 30~ day t.o requ:st an inspe. cti,Qh\1? VfW\I$~r~., 9vYif~f~th~B>l~t,Ii&~>\ and/or portable .,.,,@J Slgn(S). . This mspection WIll begm the process ~-~ th'E~]mwo%f!!?IOS\ifijfjliie\hanner(s) an.d/or . ~ portablesign(s) has been removed. . I\\JII-IORIL ED OR IS P; f\ .'. ~' . . .:. i . " [J',. _. C.':)\IJ\\IJ\H.\C "PERIOD. " f f . ~. SignatJ,.~ .!..:: /_'~"~co. -/ ~~:;;f&il1 ~t'''Ji\\O D~1 .' . Da'" y'/~~.7. /0'7' ~ ' t"\\.... ~ . ~ For Office Use'" . . .~ -'B; Job' ::~::~ ~ ~ I: . ~~ "a~i' . j ~ . ~, ~~ . p,1 , CITY OF SRRINGFIELD, OREGON SPR~NGiFtEt..O r-"-----! ".r : "'. _".. .'"'~' -. I ," ::i,: ~y Tax LOT 0720~ RLS HD\(\~~'~I''''' LL~ I~ 1<.. '''1.) e:.J: lA.%', ,r\. ~ G- phan" S'1I-t:;,J..O" 90:1..).. City r::.uc.! "IA. v ' " '. , v . COlll;actorRnstaller' ': '.': ., ~ . (\laW requires Y~ti;~y: . C"";tMP'". (/ l..J ~~~'nON: are?~i4 hV t\1e oreg~~at lorth . . toll oW rUleSC~~~;r~ l\1Ose rU~oAi 952-001- . t\\I"ti~\catlon, _....... (\n; 0 throUg,L +~o 1'U~lio9.'L . in al'R \J:J"-U;y oblain GOPI~~h~ telephone n090. You, (1l, ~~n\er. (~~~Ia" NotilicatlOn Ga\\I~~r';~ tneareg~~_332-Z344). Coristru~tion ContraCtors Liceri~W#'. ('~nter \s 1-8 .' , ZiF q'7'-1()f State !) /! Zil' Exp~l~ D~criptio' /3m1Mt5 If e...f,;,; I F,'re, v....c,;"k' 5o./..e.';> .{OI"' Date of InstiJllatioD (",- ;;;L6:.oq Dateof:Remov.1 7~/{)- oq . .;.' . /?'f'- / · , Date of Ajlplicati6n~Y 0 ? "b/~ ~eceipl fl '2~r- 3/Z S"'""Driw.(T')'II,;"din...""""""'a_P...pI,S;..P",;,,;,CSDM...... '. ' 'j Sta tus Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00574 ISSUED: 04/28/2009 APPLIED: 04/28/2009 EXPIRES: 07/10/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 445 Harlow Rd ASSESSOR'S PARCEL NO.: 1703224407200 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner - install 062009 removal date 071009 Commercial Owner: RLS HOLDINGS LLC Address: . 3356 KING EDWARDS CRt EUGENE OR 97401 Contractor Type Sign f~TcI:GONTRAC.TOR INFORMA!ION I N . . ".IIes d -oVJ/1aw . otlficfU' a OPted reqU;'r.o . Contractor In OAR'glon Center fh by the Or,pcenseto OWNER 0090. Vn~2-001-00in ",ose rUles "?oO~ Utilitv t;al/'''u" n_" _u..n:,. --, 'urm nUm' I,Y BlU~D.I!"G"INEORMA:Tl(1)N:r-OO 1- vw. fUr the 0 ' ,"ure: th ..'c rUles b Ce rennn U. e te/eph Y ntill'l1jStones: tllity None Heig~i~rrsifuet!!5~4)tifiCation Type of Heat: . Water Type: Range Type: Energy Path: Sprinkled Building: Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft ,2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a . I DEVELOPMENT INFORMATION' REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: No'l'ie~ot Coverage: THIS PFRMIT SHAll FXPIRF IF THF WnRK IPOOUFciIMFIR~VElMlBl\lTS''' PERMIT IS NOT vUIVlIVICIVLrCU un I" i'\DJ-\l-JDO~IEn FnRT ANY 180 DAY PERIOD. ' 'SIOewiilk' ype: . DownspoutslDrains: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: . Valuation Descriotion I Description Type of COllstruciion $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of2 CITY OF SPRINt.'l'lELD Status Issued Building/Combination Permit PERMIT NO: COM2009-00574 ISSUED: 04/28/2009 APPLIED: 04/28/2009 EXPIRES: 07/10ho09 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pairll . 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 4/28/09 4/2 8/09 4/28109 4/28109 . 1200900000000000312 1200900000000000312 1200900000000000312 1200900000000000312 Total Amount Paid $225.00 [ 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. I Rem. ired Insllections I 11111111 """ "'" I, ""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 shalf 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, ~nd that NO OCCUPANCY will.be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will b~ 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 Signature Date Pa2e 20f2 2J5 Fifth Street . Springfi~ld, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00574 COM2009-00574 COM2009-00574 COM2009-00574 Payments: Type of Payment Check cRcceintl RECEIPT#: 1200900000000000312 Date: 04/28/2009 Description .Banner Special Penn it Deposit + 5% Technology Fee ***+ 10% Administrative Fee""** Paid By CROSSFIRE WORLD OUTREACH Item Total: <"':heck Number Authorization Received By Batch Number Number How Received 2790 In Person djb Payment Total: Pa.ge 1 of I 2:11 :54PM Amount Due 100.00 100.00 5.00 20,00 $225.00 Amount Paid $225.00 $225.00 4/28/2009