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HomeMy WebLinkAboutPermit Signage 2009-4-28 ~' 220 FlITH STREET . SP./i;~:D~:~W;;:(~-3753 . FAX: (541)726-3689 e; City Job Number.( 7' U (' ..~- c.(!ZJ, Job Locatj'on .'.~,' ,- ~ 0' , . -' .; i: .~ ~ (.) ",'~l 10-"" ~ ~. (1) r:t./G j >., ~" . ,..""" ~ -' ~; ~: 8: <5 It, '\ . ~., I~ ~ .~,; ~' ~ (1)" ~, ~", ~" _..~. efj,' v, r.,;..,,~':~.~ -D ~. -'C:_.1: ~ Q, ~ ~. b <1); ~: ~; C(')i SPAnViGIFIE..LO r;AJ.. '6J/8' Assessors Ma:, pp.PI'I'~ BZzPl P~lnR. 17023/ L{ I ~I)I/ '''''IiII;'; 57. ..<,I'PJiI&F;EZ/J. ~e Q?l./?8 Tax Lot 0 'S"'S"ac OHwer Owner ofProperty~PPlIe. P;'Z'Z:A.. eA.e Loe Mi\.l..f: IJP.5Ri"TT'" I PfP.5~ Address .//,0// ;WHip STI2e'ET Phorp .r~/' ':;'8~- zZ3'1 ..::( pJ?iAJ6n~t.~JON: Oregon Jaw .r'S1liifes yot!)!?.- TOIIOW rUles aaoptea Dy the uregon UHllfy , .' Notification Center. Those rules are set forth t ()1l/i'II(;/()rilns/a/lel' InOAR 952-0.91 ;:901 0 through OAR 952-001. Contractor WESrE:l2:A.lfop/eEUJoe:!4.S of flik!(J:J'.bv . calling the center. (N:Jte: the telephone . . ' ~ddrpoo ILl5"9.2 07T.41bA~rA.J2!. ~rii.ce-:gk6i}~~L{ZGJon Phone.... &)"03 -(,,'78 - Z3"JP, - Vvl,~.:;r 1<) ,-/UU-'..hJc..-c..v"t....j. . Cil:' 9 ?L/?fj Zi]: City Au.t2.0e.A ()(2. Zip Q'7C02... . fo-J/A.. '>tate Construction Contractors License # tJ, / A. Expiree i . ". , . 'Description-0.\l,lfL. t5IWAlE2.S f)f)VB2..TIS;A1(.r 'F;~orlJls"~//aretJS PaePTED ". Date of Installation Ou.-/.,-/Yj Date of Remov~ 1 D?-/5-C)CJ , , , j'enllit Fee: $225.00 including $] 00.00 Deposit and applicable fees. By signature, I state and'agree that I have carefully completed this application and hereby certifY that all information herein is true and correct. I further agree and understand that the above described banner(s) and/orp ortable sign(s)I!'~ fH~~Jger than 60 square feet, a~d v;il~te rem oved within 30 days from the date lIsted above. If t1:l~ 'lJdth\e (s~~.gr, oortahl~r<\tm<: l$lnDt\~,gj\joved wlthm the lJmelme TA'Ie DF .\'0\ 111-\t.t..-Ci..1 Trrt5~~ T . spe, cified, I will forfeit the $1 00.~0'a':'Ro iJ~ a r.fu\l~Ji'~Pl!\li!mliil&p~lal permit can be issued only twice per calendar year perAit~~I~~' ~ a, 0 al!f"~J&;c~Olfue inspection line at 726-3769 th L'n.!'.IlI\/\ :t\II~i=n. ~fJ.,. i:\1...~\J by the end of the 3.0 day to req.",.t'an I'lS ectl ' Y6nJy the removal of the bannei(s) and/or portable sign(s). This inspection will beg'iIDllhil~\lo ~~ Pc rri the $100.00 deposit if the banner(s) and/or portable sign(s) has been removed. ' Signature ~.. -. ~.:eJ-U~Jw..... I pt),c.:z:- Date of Application . y~ ? ))!l Date 03-z4-09 'For Office [l.se . 'ob# C '7- l.j l{ if T(eceipt # Issued By Amount Collected '2-7-7 -Z2~ Shared Drive (T:)/?uilding FonnslBanner]ortable Sign Permit CSD 7-08.doc Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-00444 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 SITE ADDRESS: 4011 MAIN ST ASSESSOR'S PARCEL NO.: 1702314105500 Springfield TYpE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner - install 061509 removal date 071509 Commercial Owner: WEBER HOLDING LLC Address: 2706 WILLAKENZIE RD EUGENE OR 97401 Contractor Type Use Initials I CONTRACTOR INFORM~TION I ATTENTION: Oregon law r.eauires y04ct.q. . Contractor ' follow rules adopted by \~~cI:!M5on U!i1ftv.ratlOn Date WESTERN FIREWqRK~"!!1'!~", (;pntpf Thn<p n i1p< MP <pt fn,th I ;'BuiiD-ING:iNFORMWT-10N' ;JAR 952-001- ____. ...1',,::', _'-....::...w:..:~'_ ~fthe rules by ca>>igfJspo'}i~~:nter. (Note:the tele~hon~ot Size: nUrMrJIiP'N;r srrltlfiCJ:~n Utility Notlflcatlo~q Ft 1st Floor: T "Ge er ItS l-eOO.332-2344). S F 2 'd FI ype 0 ea: q t n 001': Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: ,nla Occupant Load: Phone 503-678-2378 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd:. % of Lot Coverage: NOTICE: I PUB~k~~~~K~~~~~tl~V~~~ COMMENCED OR IS ABANOOVJI!B''F~pjPe: ANY 180 DAY PERIOD. DownspontslDrains: Total: Handicapped: Compact: Street Improvements: Storm Sewer A va Hable: Speciallnstrnction: Notes: I Valuation DescriDtion I Description Tvpe of Constrnction $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amonnt Value Date Calcnlated Page I of2 Status Issued. 225 Fifth Street;Springfield, OR 541-726-3753 Phone 541-726"3676 Fax 541-726-3769 Inspection Line Fee Description ***+ ]O%~ AdministrativeFee*** + 5% Technology Fee Banner Special Permit Deposit Total Amount Paid Amount Paid $20.00 $5.00 $100.00 $100.00 $225.00 Total Value of Project Fees Paitll Date Paid 417109 417109 417109 417109 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00444 ISSUED: 04/28/2009 APPLIED: 04/02/2009 EXPIRES: 07/15/2009 VALUE: Receipt Number 3200900000000000227 3200900000000000227 3200900000000000227 3200900000000000227 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 ~e(;~~,i.retl Insnections I Banner Removal: To be requested the day following the expiration of the permit. If inspection is not request~d, the applicant may fodiet the deposit. . By signature, I state and agree, that I have carefully examined the completed npplication and do hereby certify that all information hereon is true and correct, and I further certify that"any and all work performed shall bedane in accordance with the Ordinances of the City of Springlield 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, Bnilding Safety. I further certify that only contractors and employees who are 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 property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors ~ignature Page 2 01'2 Date 225 Fifth.Street Springfleid, Oregon 97477 541- 726-3759 Phone Job/Journal Number COM2009-00444 COM2009-00444 COM2009-00444 COM2009-00444 Paymcnts: Type of Payment Check -, cReceintl RECEIPT #: sr. AI"~I1I~."..'....'. . ....; ~..... -,~ .' 3200900000000000227 Description Banner Special Permit Deposit + 5% Tcchnology Fce ***+ 10% Administrative Fee*** * Fireworks - 30.0000 @ $1.0000 * + 5% Technology Fee (BusLic) - 30.0000 @ $0.0500 Paid By WESTERN FIREWORKS City of Springfield Official Receipt Development Services Department Public Works Department Date: 04/07/2009 Item Tot.11: Check Number 'Authorization Received By Batch Number Number How Received NJM Page I of I 21065 Joe Wicks In Person Paymcnt Total: 7: 18:01AM Amount Due ]00.00 100.00 5.00 20.00 30.00 1.50 $256.50 Amount Paid $256.50 $256.50 41712009