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Home My WebLink AboutPermit Signage 2009-4-28 225 F1ITHSTREET . SPRINGFIELD, OR 97477 . PH:(54 ])726-3753 g::::' .... . COIA/\ z:,Oc) '1_0051 / . e:>.i City Job Number . . ..~,. ,leR{. . ..' ..~! Job Location )'i-ro n,:",,<Lv:r~A:.~ 1'f"'0li:Jd . .'~AssessorsM"r 17D3ZbZ3 Dl. (!,a...l c:b), . I':;~ . "'-'tJ!g .",.~I~ ~.. j\rlrirp"" ~. I, ~ City ~ "-'," ~. l...~ -. ....'~j" ~ ;:;1; ~l S :=~ ~ Q '1 '._~~ ..~.~, ~; """"; . c:b)i. e"l~ ~j ~) ...~~ ~ c:b). .~ .,-__.l~ ,~ l.- J:~. ;.,;.",;, .e.i ~;";( ............-. ~( ~J ~:. .."",., ~f Cl'ji m , , '.' '.O~I3l-lS-1 $PRfNGPZS[.i:) ~~1~ . .V;;;,;;~t~};[~2f~i~ I,~::k ',~:";',,., \~'I . ~!'q~' 012. Cf7'ill :0230z.. Tax Lot ""- :;.:,:~' t?, ~~~ !t\; c.. Owner of Propert:" ? 0 ~o 0 V "'7\rA~'" I It.w,,,C.olu...~\~ I --' " 600 'l...."'w r",,1!.0Cu.( I Phon" 5f(~~~ State" ~~ Zir. Cl7'i77 . . ~~~~~[~~~e~t~~~~'!~~!~~=~liIsw,I~~f~~i~~~f~~~~j~1~~~l~;~jg;~~~JJ~;~J~111 . f N0t;;;~~;u'<;j; adOPted bY;h' egUlres you to . . Addr"Q" --:;;'0 ~ d,,".;/.PJAii o~~nE.enter. Tho~~ ,,~,?regon Utilih'Phor" 5D""(,<;~.q("S5' U090. You7rn~V' -uu 10 through" ~O~Aq,,, set forth \ ' . . ay obt . .' R 952 A . City dr.J''''-'',^,^",,-~ call1nq th~ An_L aInCOPlef~tilt~o ...6W1- HUITJOer for "". \,vote: the . ~,~o uy '. . . .' Ce- the Orego/u'lti!ih' ~e/:phone \ . ConstructIOn Contractors LIcense #ter",dt1_R"" A,.;s~chC!~....;:Ro"a.\.M... Ex,pi-"" - ....VC.-.::::044J. -.1 ~ . ',,~ 4.. -\-",J,' Zip--.91(')1<S bV\K~.r ~\I\.S II Descript'r'" +l~"'';r' \ . Dat~ ofInstallation~-" a-,,.f.o._ if"" Date .0fRemov" I . ~ ~v\'( Ie; . . PermifFee: $225.00 ineluding $100.00 Deposit and applicable fees. By signature, I state and agree that I have carefully completed this application and hereby celtifY 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 be removed within 30 days from the date Jisted above. Ifthebanner(s) and/or portable sign is n'ot removed within'the timeline specified, I will forfeit the $100.00 dN19~itCE{lJso understand that this special permit c,an be issued. . only two ice per calendar year per devq!,qffinpElilWff'. S1-mt9 qgn~ffu,the insRyftion line at 726-3769 b,Y the end ~fthe 301h day t.o requ.est MlmBTf1~1[l)t8N'f1EfrJ:fi' v!115~r&anner(s) and/or portable slgn(s). ThIS mspectIOn WIll begm t~J1'iWEf~G~6effif1$%~ r . . ltWds'itfPAl1e ~anner(s) and/or portable sign(~ ~ been~ved. ANY 180 DAY PERIOD. ANDONED,~OR .... . . Signaturp ~ ~ . D"tp 3--Zs-c'1 r . '. \.,:: '; :.! ...f" '" i ~.' '.' ,) . ". . Date~;~~PI;c~ti~n_V~~1. 1:>0:1 Fa,; oitiJe l.1s~ ",-"", . Job# C'j, S 7/ Receipt # ZZs- 3/ ::> Amount Collected Issued By -tI', ,. _i, ;..,' . . , Sllflred Dri;e (T:5IBpildi.llg Fonn~/~anller]Ortable Sign Penni; CSD 7c08.doc Status Issued CITY OF SPRINGFIELD . ~uilding/Combination Permit PERMIT NO: COM2009-0057] ISSUED: 04/28/2009 APPLIED: 04/28/2009 EXPIRES: 07/]5/2009 VALUE:. . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1891 PIONEER PARKWAY EAST ASSESSOR'S PARCEL NO.: 1703262302302 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION; Banner - install 062009 removal date 071509 Commercial Owner: PK SALE LLC Address: 3333 NEW HYDE PARK RD #100 NEW HYDE PARK NY ' 11042 Contractor Type Sign Contractor OWNER I. CONTRACTOR INFORMA nON I ATTENTION' O' License. Expiration Date Phone . I egon law reqUires you t fal/n,^, rllJt:Il~ ~...J.........~~ -l r~ ., _ 0 tJ ....' -~. -, ..,..... '--'.,-,'_'UIJ UUlIIY . r~BUmID1NGrliNF.ORMA~ilO,N Ire set forth III -. ... w~'vu I -uu I U lnrough OAR 952-001_ . 0090 Y-"," -S"J< n'" . . . ' '. "ot' tones:am copies of the rules by Lot Size: call~!fJfr~r~N,(i'ru6Hfr<v: the telephone S'I Ft 1st Floor: num er.yBe \!NRai':90n Utility Notification Sq Ft 2nd Floor: W~ll,tpT~~:800-332-2344). Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type . Secondary Construction Type: # of Bedrooms: .1 DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Stre,et Trees Rqd: Paved Drive Rqd: % olLot Coverage: NOTICt: . F THE WORK _.,,~ nrn.AIT C:I-IA11 EXPIRE \ '_~ I ptlJf\ffkirufB1lD\l~TSIIt5 PtKIVII 110 1''-'' , COMME'N: IlL DI'\ 10 J'\ul.!-lOON~O FOR v 00 Sidewalk Type: ANY 160 DAY PERI . DownspoutslDrains: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation DescriDtion I DescriDtion Tvpe of Construction $ Per Sq Ft or multiplier Square Footage 01' Bid Amount Value Date Calculated /. Pa2e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00571 ISSUED: 04/28/2009 APPLIED: 04/28/2009 EXPIRES: 07/15/2009 VALUE: 225 Fifth Street, SpringlieJd, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project '.:~es 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 4/28/09 4/28/09 4/28/09 .. 4/28/09 1200900000000000315 1200900000000000315 1200900000000000315 1200900000000000315 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 Reouirecllnsnection.s I Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may forliet the deposit. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information 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 Spririglield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUP ANGY will be made of any structure without permission of the Community Services Division, Building Safety. I 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 reqnested 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 Date Page 2 of 2 225 Fifth Street Spriligfieid, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00571 COM2009-0057I COM2009-00571 COM2009-0057I Payments: Type of Payment Check cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2:20:56PM 1200900000000000315 Date: 04/28/2009 Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Amount Due 100.00 100.00 5.00 20.00 $225.00 Paid By AMERICAN PROMO EVENTS INC Item Total: Check Num~er Authorization Received By Batch Number Number now Received Amount Paid djb In Person $225.00 127359 Payment Total: $225.00 Page I of 1 4/28/2009