The URL can be used to link to this page

Home My WebLink AboutPermit Signage 2009-4-28 .225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:'(541)726-3753 . FAX: (541)726-3689 . . I . . . .. ~ . City Job Numher COIM.7.00?-00$7.3 ..' ...~l! . ~l -_~\ Job Location' .~ -. '"""". Assessors Ma;, ~l ~J ~ Owner of PropertY ~ -.~. I '6 -,; \b~ ,5\-"" L . ~ Add-poo I:- ~, ~. . City ~i+\c:..~ ftIlJl . ~'-~",_.;"j~:~~~~~"::);-~1'--,"':J'0~\:t ~ >Wohihici;;FlIii~;ta er ..~. I;"t~~:::':::-:;;:~ ':\~~~l~f[.~: '('~~:(~\~!o~ ::" '8~~~.!c<~r~ ~ ~\ "', \;"~PI\O[\ce _ 0\01\'\\0\.1,9\'\ nnetll\esbY. ~ Addrpoo f (:) ~)(\O v~2C;';?-GGl o~.,,::~ ~"O\~s 0 lv;~;:h"ne Phonp '5l:"L:'-L.S~-<f(PC"S- ~ . . . . IflOgG; 'Iou may uj' ei. (\'1ole.tne"otilicatlO[\ _; (1\' - 0, \'\ecen, - \jh\\bj,I"l . ~j City ,..\~~":> ~Q\\inO I . .lr"AOO[\ <;tateM\. oIL. ; :- er 101 lI'VI - OO-',j0t:,; '"":- ~. [\umb Ie' is \-8 . -, . Ce[\ 'I' . . -:l! ~...t~; . ~ CQnstruction Contractors License # nl"'l ~""-" (;< : ~ Expir"~ U "~1\1 1 \).. . In Descriptir;n b.-"...M/' 4"".. ~e,} 40' "'<IN>. Y'tlo... ct:-~,~~ , . U I .' . '. . . . ",,' "" ,'. . ,.o!\< Date ofInstallation' ~"'^' 20- ?_Y I . Date of Removo1 ,ju\v. 10 , I' .1 ' Permit Fee: $225.00 inclnding $100.0~ Deposit and applicable Xees. By, signature, I state and agree that I hav~ carefully completed this application and hereby certifY that , all information herein is true and correct. I further agree and understand that the above described banner(s) and/or portable sign(s) is not larger than 60 square .feet: and 'will St\))lti.t{",~d within 30 days from the date lIsted above. If the banner(s) !;!1?!.~~.portable Slg~~\IW.~erti~TII;',\'t\\YIm the hmelme specified, I wiU fqrfeit the $100.00 depo~itU l\lr~q;,u",~~d-t ,t,~~,€p.e&i1..lli{J.rmit can be issued . only twice per calendar year per develoPI\i~n't Jl.ga.Wt~e'~~ai&' I)'IW$'eJh~pection line at 726-3769 b?, the end of the 30th day to request an in~iHi'fnl)l~~(Yrtlie klli~val ofth~ banner(s) and/or portable slgn(s). ThiS mspectlOn wI/lbegm the proS~s\t,B:~~\\ffl~l~$J'Oij,{)O depOSit Ifthe banner(s) and/or portable signs) haSbe~oved. . ~N'I ~\)O . . '. .' ..... . . . . 'Signaturi> . ~ . . D;'t~ Y - 1~.O"l ' ~:::t~~~~I'!~~~~~~:];~'ffi~ . . btJ .., z ,'- - Issued By Amount Collected <- J .. I~ ..~~ e!~ ~' .r-,' """t ~ ~ ,--( ~J ~ ...,~~ ~ @) " -lj ~ 'l~ ~ ~ . ~,-. .~~ ~ ~i @J ~I .~, ~; ~. .9 ~l .:i 6S's (~es-\- CQ",h",,,i"\ 170]. 2-743.1 ~"'",-~a'\d [ <.J C:lR. 91"t11 . 0 S g-oS 12,\"d Tax Lot CL\A.\-e.."'V'\\o..\ sIc I ::kf(.C+ iu;t-c \tl":;, I PhoJ'lP '5b~-ZS Icl/i~'( q 1 2-1'5 State o~ Zip' ct701S' Slial1:d D~ve(T:)iBui]ding FormslBanner]orta~le Sign _Pe~itCSD 7-0S.doc .."\ ." _..,fi!"'I\'I~"l;I~Q" I i Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00573 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: 555 W CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703274305805 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner - install 062009 removal date 071009 [ Commercial Owner: Address: CENTENNIAL SHOPPING CNTR LLC 331 FILBERT ST SAN FRANCISCO 'CA 94133 Contractor Type Sign Contractor OWNER '"' IENT',,-,,. i . ~O!, PI<20NTID\G'F.O.R,llNFORMA TlON . . otit't:iWon C ."lv/J'ed by th 'c''-flures' yo ~~~AR 952'00~norer. Those r~1 Oi)gi.ceJls~/tO o. Yo - 010lh eSare v"y ("~II:. U mal.! ,...,1,....... rOUrrh '"' ~ _ Set tnrH.. nUm~~',iiuii;DIN6.I'NFORM'A'JfI~~.rj2-00 1- '" . ",. . " les by Cent,,;~. '1:~?on Uti/i/"" lef~Phone ' If of'StorJeV'332 y Notlflcac . Height of Struc1;(r144j, IOn I Type of Heat: I Water Type:. I Range Type: I Energy Path: Sprinkled Building: nla I . I DEVELOPMENT INFORMATION. overlly Dist: ., 1-', ; # Street Trees Rqd: ~~f~prive Rqd: N;.i lo!t\rJ;;i Coverage: .~ WORK THIS PERMIT SHALL EXPIRE IFTHc !"I,rn ::"'llif~[, '!""CO T~IC: PFRMIT IS NOT I PUBhHi~~'l1J1R:Il€f/l.'ANDONED FOR ANY 180 DAY PERIUU. Sidewalk Type: 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 GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: Street Improvements: Storm Sewer A vailabfe: Speciallllstruction: Downspouts/Drains: Notes: I Valuatiori Descriotion , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726"3676 Fax 541.726-3769 Inspection Line 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 . Tott Value of Project I Fe~s Paicll Date Paid 4/28/09 4/28/09 4/28/09 4/28109 Plan :Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00573 ISSUED: 04/28/2009 APPLIED: 04/28/2009 EXPIRES: 07/10/2009 VALUE: Receipt Number 1200900000000000313 1200900000000000313 1200900000000000313 1200900000000000313 I To Request an.inspection call the 24 hour recor~ing 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 Re(lJlire,~ 1 n'n~ctio,n' , Banner Removal: To be requested the day fOllowJg the expiration of the permit. If inspection is not requested, the applicant may forfiet the deposit. I By signature, I state and agree, that I have carefully exam1ined the completed application and do hereby certify that all information hereon is'true and correct, and I furthercertifythat 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 nsed 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 pJoperty, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Page 2 of 2 . Date' 225 Fifth Street Springficld, Oregon 97477 541-726-3759 Phone Job{Journal Number COM2009-00573 COM2009-00573 COM2009-00573 COM2009-00573 Payments: Type of Payment Check cReccinll Item Total: Check Number Authorization Received Jy Batch Number Number How Received RECEIPT #: I 1200900000000000313 , Description , Banner Special Permit . Deposit + 5% Technology Fee ***+ 10% Administrative Fee"''''''' Paid By AMERICAN PROMO EVENTS INC djb Page I ,f I I 127845 City of Springfield Official Receipt Development Services Department Public Works Department Date: 04/28/2009 2:14:36PM Amount Due 100.00 100.00 5.00 20.00 $225.00 Amount Paid In Person $225.00 Payment Total: $225.00 4/28/2009 .