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