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Home My WebLink AboutPermit Signage 2009-4-28 r " , , SPRINGFIELD' ;?j~~'t~W" ~ -l~;;ti~,"'fJ,'ifl.WJ'fj' 'N; ~!. , c. ' ---.---:-=::...=-=--CIYy-OFSPRINGFIELD. -OREGON--'~- -:-:-~- -. . _ _ ! _ z_ 225 FIITH STREET. SPRlNGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~l . I 0.9 City Job Numbe - COWl to 0 '7 - Of 4" ~ ..~ Job Location j42 1((..(0--2-, ~/tyf!~/J/ !JR. 971/77 o_~: I ...... 0 3. ? b (I I """"" Assessors Map f ...> Ql ~) ~ o,~ e; '" r. II ~ City _>.jJfln,~ .,.,.da.. ..er fi;(/2) ~. .. .;m!, = . ~ Arltl1~P<:C;;! ~ o_~ E ~ ~\ it ....~~ ~ ,~ i ~ ~ ~ ; ~l Tax Lot Owner . . Owner of Property C(eX.q;fP,I"-1,'I'1. Addres< qq), :21./~ sl ' I I 07600 . Pho'p(W/Y tirS0- Y/73 , " ' Zip CJ7'l77 Contracior/1nslilller '. Contract",T OW AI&'/b.nN' 0" aan law requires you tel fo:!ow rules adopfed by the Oregon U1II1tr ' No(ification Gente~. Those rules a~e_s_e! ~o!~h Phnnp in OAH 8t>L~UU1-UU IV UIlUUWI 0rH' ;;:hJc...-VV ,=- '0090. You may ob~ain copies of the rules by ..... .~_. "'\I_"'~, +~Stafp'nhnnp vCl.1I1118 ~11\j VV'",''''' \'.-.-.;- . number for the dregon Utility Notification Construction Contractors License:#ter is h -800-332-2344). I Descripti9r 11""......."..........( fo... ke.1.-.J1 .t;.V~,l.J'-'TJ/ sCt/e.< Date of Installation c;, -1.(,-" Oq I Date of Remov"l 1-tS'-OQ Permit Fee; $225.00 inbrUding $100.00 ~eposit and applicable fe~s. I ' By signature, I state and agree that I ha~e carefully completed this application and hereby certify that all information herein is true and correct. II further agree and understand that the above described banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days from the date listed above. If the bann~l and/or portable sign is not removed within the timeline ' specified, I will forfeit the $IOO.OQ\lQP~sl,f:I also ll1,?drrm~~F~1I\l01il~ennit can be issued only twice per calendar year per deMelQP~aMh1e'i\1'I"als5.:a~e~~RWl ~e\Wi1iection line at 726-3769 b,Y the end ~f~e 30~ day t.o requ.e~t:iiif\iii1~6riJl'it'JgI\A~W\t~~~tiafeR~~ banner(s) and/or portable Slgn(S). This mspection w1l1 begm\!hy)p1:9.d:ssftB Fe~ @1$!OO.tJO.OepOsltlfthe banner(s) and/or portable sign(s) has been removed. ANY 180 DAY PERIOD. .' , . 'Signaturon~ ~,I " ,.', Datp '~..?J_O~ " ~- /' ~ - 'State9.. JOVl City ~ If Date of Application '1ft), '~lil!J FIJr Office Use C 7 -iff! Z I, Job # I Issued By Amount Collected Zip Expirp< Receipt # Z. 7--1 zz..~'-- Shared Drive (f:)IBuilding For1nsIBanner]ortable Sign Pennit CSD 7-08.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Pennit PERMIT NO: COM2009-00442 ISSUED: 04/28/2009 APPLIED: 04/02/2009 EXPIRES: 07/1512009 VALUE: . 225 Filth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 In~pection Line SITE ADDRESS: 942 28TH ST ASSESSOR'S PARCEL NO.: 1703361109600 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner for retail firework sales- install 061509 removal date 071509 I Commercial Owner: Address: I CROSSFIRE WORLD OUTREACH MINISTIRES 942 28TH ST SPRINGFIELD OR 97477 ! I CONTRACTOR INFORMA,TION . Contractor Type Contractor License Expiration Date Phone' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: }TTJ:'~rTI(iH'..I. n~~___ f_ . -- , .,-. .-., .....""'UIlv,,) yuu lU !"BUILDlN€;iJNEORMA'1'10Nllegon Utility ~"'-'<I"VUll~~11 Vt::lilt::l. J nose rUles are set forth In OAf# gfSt~PihQ010 through OAR952-001Lot Size: 009~i.ilg~h'1'gf S"t'rffi!fufe'Jpies of the rules bJllq Ft 1st Floor: ca '1f?p'~l\lm~!r{. (Note: thetelephdne Sq Ft 2nd Floor: , num'WJ~1 t);filp'regon Utility Notification Sq Ft Basement: Ran~Qq:yp~: 1-800-332-2344). Sq Ft GaragelCarport I Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: I I DEVELOPMENT INFORMATION I I REQUIRED PARKING Overlay Dist: . Total: I ' # Street Trees Rqd: Handicapped: W'N'l'~,ur!ve Rqd: C'ompact: WJrl~Coverage: Y~~SJE~~~IT .S.H~~l EXPIRE IF THE WORK I PUB(;o:M,=r~,,,,"f "'.V,,~? 'n!;) t"tKIVllr IS NOT "/,1" ~ANDONED FOR f\ ~y 180 DAY PERIOD. Sidewalk Type: Front yard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Street Improvements: Storm Sewcr Available: Special Instruction: Downspouts/Drains: Notes: I Valuatiori Description I Description Tvpe of Construction $Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pag~ I of 2 _altlr~~!~~~I,",!':Di' . ., ".. , 0_ ,- --~ ..',." ............,. " . I Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00442 ISSUED: 04/28/2009 APPLIED: 04/02/2009 EXPIRES: 07/15/2009 VALUE: . , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Totl Value of Project I I Fees Paid I 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 417109 417109 417109 417109 3200900000000000228 3200900000000000228 3200900000000000228 3200900000000000228 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. I Reouired In,nl'd;o]' S . I III JI II. l Banner Removal: To be requested the day fOllowilg the expiration of the permit. If inspection is not requested, the applicant may forfiet the deposit. I . , I . By signature, I state and agree, that I have carefuJJy examined the completed application and do hereby certify that, all hiformation 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 01' 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 wholare in compliance with ORS 701.005 will be used on this project. . I further agree to ensure that all required inspections are reqnested at the proper time, that each address is readable from the street, that the permit card is located at the front of the p~operty, and the approved set of plans will remain on the site at all times during constru~tion. Owner 01' Contracto"rs Signature Date Paee 2 of2 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 . 54i~726-3759 Phone Job/Jour"nal Number COM2009-00443 COM2009-00443 COM2009-00443 COM2009-00443 COM2009-00442 COM2009-00442 COM2009-00442 "COM2009'00442 -. Payments: Type of Payment Check cReceintl RECEIPT #: .1 3200900001000000228 Date: 04/07/2009 7:22:09AM Description Banner Special Penn it Deposit ***+ 10% Administrative Fee*** + 5% Technology Fee Deposit Banner Special Permit + 5% Technology Fee ***+ 10% Administrative Fee*** * Fireworks _ 30.0000 @ $1.0000 ~'Firewoiks:-:'30:oo6o @:$1.9000 Amount Due 100.00 100.00 20.00 5.00 ]00.00 100.00 5.00 20.00 30.00 30.00 $510.00 Paid By CROSSFIRE WORLD OUTREACH Item Total: <"':heck Number Authorization Receive{ By Batch Number Number How Received nJm 8139 joe wicks In Person $510.00 Amount Paid Payment Total: $510.00 Page] of] 41712009