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Home My WebLink AboutPermit Signage 2009-5-22 ,..225 FIITH STREET . S~~F1ELD, ~R 97477 . PH:(541)726-3753 . FAX: (541)726-3689 C, C-. 7- 04/ . , Q: City Job Number (, , '" ..~: ", ~,: Job Location ~ "",.".,,;,- Assessors M~p ~, ~; /. r:f:J ' <:t); ti .~ r.,,:~]; ~., ;,:;".., <1;)". ~ ~, . C--.,<~,,' .Ir~'i g:' ~l ~'~ ~,'.~,~;.' ~'! e: Tf-<\'; . ~, I; ~, ":'E';:"~. ",_.~. .! ,.-- ~ '<t),';- " ., .' ~; ~, ..~I?} , ~f ",,. -'". ~) ..~..:J; ..f:;),,, , >, 'Cd; t::' o f!!!\:-: ~:. ;.;....c., o ~. g, ~t ~~. $PRINGFIE:LD a-" f& ,t c:! 't;,;, i Jtitltf.~2 ;J{"'I::'O ffio...("('\,\\ a , -::t{') 3, l s- \ 1.. ~c1'_~~~~~\ci ,ae. C1,'::!Yf+ . Tax Lot (1 \ S() I Owner . Owner of Property A.\ hee -\-~ri'S ~e o.HQ\b~d lnc Address Phorp Cit:' rnQuires you to -........1. nrol1o\l law State __'I Hilihl , .J' ;;adopted by ~~~\~;va~;'set forth. , .;i, !r).ce:l\er.1\l~~()li9hOAR952"oql; '. '.\' , 95'2;~~~ -~~t~~; copies of th,e~~\:~~Y , OU'dV. IV'" "'-'J lNote: tilt: lv''':r:''~. . calling the center. Utility Notllicatlon , :_hn' fnr the Orego~l ~~,., ,.,.,tltl\ -'hon" Center IS \-QVV v__ ';tate ' 7.in Zir . . - - - .. Colttfaftorlinstaller Contractn' . ~; : , . ".' . 1 . ~ Addr""" City <:;onstruction Contractors License # Expi.". Description Ph--tn+(\v'Y\ ~~..-(" r~r~.s Date ofInstallatiori J un~ ;JS-+'" P:nnn? .r Date of Removal J( J...\ \L'n4" . ,I ' Permit Fee: $225.00 ineluding $100.00 Deposit and appIicabl~~~~s. By signature, I, state and agr~ that I have carefully completed this ~~\~1iOft I~ ~t.'<;rebY certify that all information herein is true and correct. I fiu1hec~ee ~~1!.ltqer~ -re\l~\tli'e Ii \ ve described . . banner(s) and/or portable sign(s) is not larg~\h~r<\9.'$q\J!lWJ~d\~H\:R~fi,fuQ; ed within 30 days from the date listed above. If the banner(s) ahWBW)qrrab'i'e'S~Rr\~ pomlTIoved within the timeline specified,I will forfeit the $100.00 deposit. I~~~?\I\~~~(f~~,tJbis special permit can be issued only twice per calendar year per developmentcare~ it,aJsola'gf'ee to call the inspection line at 726-3769 by the, end of the 30th day to request an inspectiO'?t to verify the removal of the banner(s) and/or portable sign(s). This inspection will begin the process to retufu the $100.00 deposit if the banner(s) and/or', portable sign(s,,\ has been removed. . I ' , Signaturf'SV~G--. .,,~ Datf> ~II~ 101 , . . . . ,..S- g- --cf1 Date !Jf Application ' Issukg/Yl' fJ{ '! '. ::: 7fi@~, 09/ . Receipt # jiB.:): 0--0 . . st(b' Amount Collected ., . Shared Drive (T:yBuilding F~fII!S!Banner]o.rumle Sign Permit eso 7-08.doc Status' Issued 225 Fifth Stl'eet, S(Jringtield, OR 541-726-3753 Phone 541-726"3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009"00641 ISSUED: OS/22/2009 APPLIED: 05/08/2009 EXPI~ES: 07/25/2009 VALUE: SITE ADDRESS: 2000 MARCOLA RD ' ASSESSOR'S PARCEL NO.: 1703251301501 Springfield TYPE OF WORK: Bannel' TYPE OF USE: New PROJECT DESCRIPTION: BANNER - FIREWORKS Install Date - 06/25/2009 - Removal Date 07/25/2009 O~vner: Addl'ess: NEW ALBERTSONS INC PO BOX 20 BOISE ID 83726 I CONTRACTOR INFORMATION I t' .., ,'~ ....... ,'," -"", '.,)" g...... '-',-- . , . : " "; j t- the Oregon Utility Contractor, 1\ "',oe",, JY, tIdcmlse , Thos~ rules are se .v. ,n' OWNER "...1 ,J. C, emer. C hOAR 952-001- _~~ ,.,.....--4r1lh......llil, O~;~S:' ,yov:rl~;BU-lilD ~.!"G'lNFOR.M;\ Ti~~l calling the cem;;~. \~~~~;il;ty N-~tification number for the #'01 Stones: 341-l, , -t. ~"fl_l)fJ')-2 . Center rHelght-ofSO'uctn . Type of Heat: Watel' Type: Range Type: Enel'gy Path: Sprinkled Building: Contractor Type Sign # of Units:' Pl'imal'Y Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: , Storm Sewer Available: Special Instruction: Notes: Description Type of Construction n/a I DEVELOPMENT INFORMATION I Commercial Expiration Date. Phone Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq ~t Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: N O..2<o.<lf Lot Coverage: OOK 111..1:. EXPIRE IF THE W n Ture: PI=RM,I~ S~~;L, ,;"..~ r:;-!..~~T Ie: MOT IPJ.IL~lml~,p'RO\f~~~r~llOONED FOR CUIVIIVltl"'-'C"" vE~IOD Sidewalk Type: ANY 180 DAY P n . l.valuation Description .1 $ Pel' Sq Ft or multiplier Downspouts/Drains: Square Footage or Bid Amount Pa2e I of 2 Yalue Date Calculated _ S"''''III\I~I'1II;tL_~: 'I' . , ' Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description Banner Special Permit Deposit Amount Paid $.125.00 $100.00 Total Amount Paid $225.00 Total Value of Project Fee,~ ~,aid I , Date Paid I Plan Reviews I 5/8/09 5/8109 CITY OF ~rKINGFIELD Building/Combination Permit PERMIT NO: COM2009-00641 ISSUED: OS/22/2009 APPLIED:. 05/08/2009 EXPIRES: 07/25/2009 VALUE: ReceiptNumber 3200900000000000346 3200900000000000346 ,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 Retl\Jir~tllnsneditlns I Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may fortiet the deposit. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 Paee 2 of 2 Date , .beet. , : leld, Oregon 97477 . /6-3759 Phone , /1 RECEIPT #: 11ab/Journal Number COM2009-0064I COM2009-0064I Payments: Type of Payment Check Check Job/Journal Number COM2009-00641 COM2009-00641 Payments: Type of Payment Check Check :Receintl Description Deposit Banner Special Permit Paid By BJ. ALAN COMPANY BJ. ALAN COMPANY Description Deposit Banner Special Permit Paid By BJ. ALAN COMPANY BJ. ALAN COMPANY 8P...~"'.~Q'PI..'.~...lW>..'.'_...i...""'.. ._, " . ~ . ~. . IIf&. . ,-,- --,_._...,'..,-'.- 3200900000000000346 Check Number Batch Number Received By njm njm 261021 261019 CitY of Springfield Official Receipt Developme~t Services Department Public Works Department. Date: 05/08/2009 Item Total: Authorization Number How Received In Person In Person Payment Total: Item Total: Check Number Authorization ( Received By Batch Number Number How. Received nJm njm Page I of I 261021 261019 In Person In Person PaymenfTotal: 2:56:20PM Amount Due 100.00 125.00 $225.00 Amount Paid $100.00 $125.00 $225.00 Amount Due 100.00 125.00 $225.00 Amount Paid $100.00 $125.00 $225.00 5IR/?OOo