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Home My WebLink AboutPermit Signage 2009-4-28 225 FIFJ1-I STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~" , ' . 5tZ- 'd5' . City Joh N~mbe: ,COu-t z:c, c> fJ -C E> ' .... ,..__,'"1~ - -'. \ . ..:.g; JobLocationC;-r5'tF, /'I\o,~"", ~...u\- t>r<i";'::,<;;':.J.i O~ ~;LJ7~ ..~, Assessors MaC' ' 170 z.. J J l( 4 ~l r:i{i'.JJ (!J;;), ..,;:.;i' <t);. '. <.=i, ?Ch \ I E S'ra/l..~ '~. Address ~:..1, [kc... ~) City ";I'L',' ~ ., ~. ~-" .'"'~. ~\ ~i I ~ o la, ~~-~~ "~J =-. ~~ e\-t~ , s;:;;:;1~ ~ ....~.. ,.;o~; ~~1 <U' ,~:::'''l; 'r,::"\, ~'i ~~,.-~ ~, ~J . ~" ~I ----- ~; ~! ~! ~( '"""" ~t cd' , ,.I t;'V':!"\: ~f '", SPR:l[;iGFIEt..D OWl 3,-\'53> : Tax'Lot C?ollC>(:) Olvner . Owner of Property 'M.r~;!:;L &ossl~ l_.~~~h1.' S,)',+-<... "b l'honp ..,o7-'f"Z-'6Z~!b.' , State' (A Zir 9 5:'50 I "'~S~~!5r'!&!/t~!:~f~!~ti;~~); .~t:~':i:i,;.:;i;~~'il1;;~:\::' ~;..' '\~;..' :'~(1Uir~S y~~u ;{(~;'..:;.,.". ' C~ael0l" ~ d.,,-. 0,\'i>0V:1::J'1T\oIL \S&I'.\\L :\?('t,,^,^c'~' Ut\\11y talioW ..lies auvl"vTh--;;s~ rules are set torUl }. clclrp<< '70 ?'oV <i, b'!P:tijiGa~?~ ~;~lt~~H\ throuqh oAR 952-0~~ - r p In l.(!'n ~~~ --' bt in copies onll~ ,u<~"-9 , 0090. You may 0 a N to. the,tetephone City _ (,Jc.rJ"..",-W'<L"> '-"'~>~ tho r:ente\. ( ~ State. ,,~t~Rtion " ,,' "nv:~'ber lorthe~;~~g~_~32'-'2344);: . ConstmctioiI Contractors License # CRrj;,.er \''b~''-~ be- ...,,,,,i1""'- , ' .....J .., ,f_"" . ;" "I.. 5D~-1 ~S~ c"r{,,<;S Zip '170\'5' Expir~s--- Description -\-,,^oo.rc..~" \;"""''''0.1'''-.\,,-<\''' I' , I ...; ~ vV',' , "':... -Z-"l-rl.. " Date of Installatioh ' <-V ~",-c.\" 1 +.. ~....+ , 'Da;e oiR~mov"l " .:v.v\" . \~ " I Permit Fee: $225.00 ineluding $100.00 Deposit and applicable fees. By signature, I state and agree that I have carefully completed this application and hereby certify that. all infonnationherein is tme and correct. I further agree and understand that the above desc,ribed banner(s) and/or pOliable sign(s) is not larger than 60 square feet, and will be removed within 30 days from the date listed a?ove. If the banner~~r portable ~i~~b)&~t\f~~in the timeline 'speclfied, I Will forfeIt the $100.00 dep~it.'~ lI~lffi\jWT,d,l;\'$tarld\ili, atl:l~S-l'!\',m<\I)P'ilm, A,t can be. Issued only twice per calendar year per develo~M~ t~,a,'EbaB\(')Digre11M~ iIl\#:.~i*~ction line at 726"3769 b~ the end ~fthe 30th. day t,o requ.est an i~~n~ ~tlS't.'(fJjfyI$e^&f\l'6~1 ()r~he banner(s) and/or portable Slgn(S). Th~s InspectIOn Will begm the Pl'0GessJ\\iIT'[fll~tfl!:Y;$J'l)O.OO depOSit 1(the banner(s) and/or portableSign(S)tbee~e~ fl,N'< 18/'\ '.' Signaturp ~./'o--. , '. Datp 1.f - " -D9 Foi. Office Use '. Job#cC~ - S7t. Date of Application Y/l'~''7' '/)4 3>1~ Receipt # Issued By , Amount Collected "'7..2 (' ,- Sha~~ Driv.e (T:)lB~.ilding FonnSlBanner_Portable Sign Permit CSD 7-QS.doc . '" " . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , CITY OF SPKll....t..FIELD Building/Combination Permit PERMIT NO: COM2009-00572 ISSUED: 04/28/2009 APPLIED: 04/28/2009 EXPIRES: 07/15/2009 VALUE: Springtield TYPE OF WORK: Banner SITE ADDRESS: 5755 MAIN ST ASSESSOR'S PARCEL NO.: 1702334400800 Commercial TYPE OF USE: New PROJECT DESCRIPTION: Banner - install 062009 removal date 071509 Owner: MCKENZIE CROSSING PARTNERSHIP LTD Address: 2811 E STSTE B EUREKA CA 95501 I CONTRACTOR INFORMATION I ~II thi IIUN: Oregon I . Contractor fo./ow tules,EldoPfed b aw reqUlf<mcense OWNER NDtlflc~tlon Center Th Y the Oregon Utility In {fAn rl.r-,.. _ _ . asp r/1/o", ....~_ ,_ -- ~"'~'.""""'" .- -....., IVltlJ 0090.. ~IJIBUlLDlNG INFORMk1l10N'1001_ cal/lng me center. (Not~',-U u, II Ie rUles by nUmber for t~lol'Stodes: " the telephone C -, v8U!.l Utll'/II IN t'f' entEHliioht'of,~tructure 0 Ileation "'. VUU-",,;;: ;<344) Type of Heat: - . Water Type: Range Type: Energy Path: Sprinkled Building: Contractor Type Sign # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: #,of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback:' Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction Expiration Date Phone nla Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: . . Sq Ft GaragelCarport . Sq Ft Other: Occnpant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: NOTI~.E:.)', C'u^" \=)(PIRE IF THE WO~~ J "'. ~.' J f1,.,) -- . HIS PEK\VII1 Ii) IN' I PUBL"'<':,IMl\\!;~)Y-"1l\iI~1 f\ ONED FOR . COMMENCED OK It, B ~dewalk Type: . 1'80 OM PERIOD. f\NY Downspouts/Drains: Total: Handicapped: Compact: I, Valuation Descrip,tio~ I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of2 ..... ~,~Ii!',~lil!'lI,I!b't>;. ; \ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00572 ISSUED: 04/28/2009 APPLIED: 04/28/2009 EXPIRES: 07/15/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project 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 4/28/09 4/28/09 4/28/09 4/28/09 1200900000000000314 1200900000000000314 1200900000000000314 1200900000000000314 Total Amount Paid $225.00 I 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 . Il,~?II,ire.d Insrectio~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, [ state and ag-,:"ee, that I have carefully examined the completed application and d~ 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 Springfield 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, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested atthe 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 duri~g construction: Owner or Contractors Signature Date Paee 2 of 2 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth. Street . . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00572 COM2009-00572 COM2009-00572 COM2009-00572 Payments: T)'pe of Payment Check cRecr:int\ RECEIPT #: 1200900000000000314 2:18:58PM 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 Number Authorization Received By Batch Number Number How Received Amount Paid 127841 In Person $225.00 djb Payment Total: $225.00 Page I of I 4/28/2009