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Home My WebLink AboutPermit Signage 2009-5-29 e: e) .o~4 ~, ".~ ..~4 Q l:Oll ""~ ~; ~ ~ ~ ~ ..~ ~ .~ r-~, 'cy Ii ~ ""i ~ /\'!'I, " ~~ ~ ~) .....~l.;. ~ ~ " 'j 1 ~ ~ I ~ M ~.' {ohlD09 - 00 l.(O% 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726c3753 . FAX: (541)726c3689 'C C!:'-OD7~1 City Job Number OM coO / A ~t- Job Location '172-0 s /705.36"5,( Tax Lot () {--; 200 Assessors Map Owner of Property ; cl", ~ J--rl Pc y-eej Addrpool ~\LoA S+-V-LC+-- City S P n' NJ 1;'; de!- 11l:"'~:;;~)(8Ji\,:' J :"ContractorlIns t:::l;1:sr~'SLS'~;;lA\Si:1f'';::*;$ Phonp , 'I '1W 1-1 7LJ--'S is g , Ii " Zir '-n I' "1 ]'.{77 0(2. State Contractnr ow. C IJ-n \a'll \e~.nnoll utili... "'\"I'E.\'.\I\O\'.\'a' ~~~\;cl oi \ell~~~a~;95~~:~(i~. ,... ule5, 1(105 0""" ",,' . Il.....,r.l { ......._....tp.L _..t1.h _..\oc, U'f ;~\i\ica\i~~.oo:"-OO:" \li~\ ~~?ie5 ~ ~~~e9~0Ile City ,,, Oi'R 9 ,,"""~ oo\a ,>.\o\e', \':~tate\i\ical\OIl 9\l 'v. ell""" U\\\I\~" 00 cai\ill9 I~e ~\le 0Iego;.332.23A'\)' Construction Contractors LicenseWOI ,_. \0 :..-'00 ' p...... CeplV' Arlrlrpl;:'l;:' p~nnp 'I I Z. , lP.~ E It. Xplff'O , . Descriptinn ?~h/e S'~, t..-- , Date of Installation . '~}r~' , Date of Removal ~ ry Permit Fee: $225.00 including $100.00 Deposit and applic~ble fees. I ' By signature, I state and agree that I have carefully completed this applicatioh and hereby certify that all information herein is true and correct. I further agree and understand that ili~ above described banner(s) ~d/or portable sign(s) is not larger than 60 square feet, and will be r~moved within 30 days c from the date listed above. If the banner(s) and/or portayle sign is not removed!within the timeline , s p ecifie~ I will forfeit the $100.00 deposit. I also understand that this specialE2~ . 19~be issued only twIce per calendar year per development area. Iil!;;,o agree to cll'-tri<<pe ~g~ at 726-3769 by the end of the 30th day to request an inspecti'WO"&~iYr ffll(,~ $'e w) and/or portable sign(s). This inspection will begin the process t"f1\t\1fl1'-lli~~{lo.\l)'()% ~~mtftP]janner(s) and/or portable sign(s) has been removed. ( "p,\l\\,\Ot>.ILCtD Ot>. IS P, I~, , ~ /J ./ ..../k-,Li '--._ COt-J\t-J\t~ \)J>.'{ ?tt>.IO\). 1'./ t' ' Signaturp ~ r~7'--J ~.I\I'I '\'00 Dat,: )/2,1/ cJc; I. I Date of Application , l.\eceipt # ': // r"'-- Job # Issued By Amount Collected j' Shared Drive CT:)lBuilding FormsIBanner ]~le Sign Permit CSD 7-0B.doc Status Finaled , I Ii CITY OF SPRINGFIELD Ii Building/Cpmbination Permit PERMIT NO: €OM2009-00751 ISSUED: OS/29/2009 APPLIED: OS/29/2009 EXPIRES: .:1/2912009 VALUE: " 225 Fifth Slreel, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1720 S A ST ASSESSOR'S PARCEL NO.: 1703363106200 Ii Springfield TYPE OF WORK: Banner " TYPE OF USE: New Commercial PROJECT DESCRIPTION: Portable sign. REF: C0D2009-00408 Owner: Address: ' HARDY RICHARD JAMES & KATHIE K PO BOX 933 SPRINCFIELD OR 97477 '1,1 I CONTRACTOR INFORMATION ~ Contractor OWNER AIII:N IIUN:r'oIf,'Yi'fi"l.Jm" '~QRNi"" "~ follow rules ali D.lI1'1LlINC Ai'f~ N Notification Center. Those rules are sel forth # ~f Units: in OAR 952-001-001 ~ tll\r'H8~~AR 952-001- Pnmary Occupancy Croup: 0090. You may obt~lf~i~!'tlrlW~es by Secondary Occupancy Croup: calling the center.'f{lllIlW: I(ffigl(:elephone Primary Construclion Type number for the Or~!llftJftll\lfNotification Secondary Construction Type: Center is 1~1lJ:Wie44). # of Bedrooms: Energy Path: , Sprinkled Building: Contractor Type Sign License Expiration Date Phone LOl Size: Sq Fl iSl Floor: Sq Fl 2nd Floor: Sq Ft Basemenl: Sq F! GaragelCarporl Sq Fl 01her: Occup'anl Load: I:' n/a I DEVELOPMENT INFORMATION I I, REQUIRED PARKINC Fronlyard Selback: Side 1 Setback: Side 2 Selback: Rearyard Selback: Solar Setbacks: Overlay Disl: #'Slreet Trees Rqd: , Paved Drive Rqd: 0/0 'of Lot Coverage:...... Tolal: Handicapped: Compact: Slree! Improvemenls: Slorm Sewer Available: Special Inslruclion: t.lnTIr.1=' ,ow' Iin"BItI'C1IlIIg~rR~ It I n& vv~n.~ i II'flI '," ITlS NOT ], AU r MUnlLCLJ u..J.., I . \.1 , ERM, ' COMMENCED OR IS ABANDONE~roftlk Type: : ANY 180 DAY PERIOD. , DownspoulsIDr~ins: Notes: I Valuation Descriotion I Description Tvpe of Conslruclion $ Per Sq Ft or mulliplier Square Footage or Bid Amount Valu~ Dale Calculaled J. Page I of 2 _S,'~,AI~:,.rii,Ali!~90' ""'1" ltE"j " ....""'''~ i: ~, " ~j . ~~i' "-, ,J -,.j ~"" '.'"'' ..,-, '''~,~ - . Status finaled CITY OF SPRINGFIELD r Building/Chmbination Permit PERMIT NO: €OM2009-00751 ISSUED: OS/29/2009 APPLIED: OS/29/2009 EXPIRES: il/29/2009 V ALUE: I: I' j! 225 Fifth Slreel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeclion Line Total Valne of Projecl ' Fees Paid I $10.00 $5.00 $100.00 5/29109 5/29109 5129109 i I:' Receipl Number I, 2200900000000000577 , 2200900000000000577 2200900000000000577 Ii ,: Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Amounl Paid Date Paid Total Amounl Paid $115.00 I Plan Reviews I 'I ~i To Request an inspection call the 24 hour recording at 726-3769. All inspections tequested 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, Rellllired Insoections , By signature, I slale and agree, thaI I have carefully examined the compleled applicalion and do hereby certify lhal all informalion hereon is lrue and correct, and I furlher certify thaI any and all work performed shal'l be done in accordance wilh the Ordinances of lhe City of Springfield and lhe Laws of lhe State of Oregon pertaining to lhe wtrk described herein, and thaI NO OCCUPANCY will be made of any slruclure wilhoul permission oflhe Communily Serv!.ces Division, Building Safcty. I furlher cerlify lhal only conlraclors and employees who are in compliance wilh ORS 701.005 will be used on lhis project. I furlher agree 10 ensure lhal all req~ired inspeclions are requesled at lhe proper time, lhal each ~ddress is readable from lhe slreet, lhallhe permil card is localed allhe fronl of lhe properly, and lhe approved sel of plans will remain on the sile al all times during construction. l: ~ 7kzf------- >/21 AI Owner or Contraclors Signature Date Pa~e 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726"3759 Phone iii.. I City of Springfield Official Receipt Developm~rit Services Department PuhIic Works Department I; I' Date: 05/;?9/2009 10:SI:40AM Job/Journal Number COM2009-0075I COM2009-0075I COM2009-0075! Payments: Type of Payment Cash cReccinll RECEIPT #: 2200900000000000577 Description Banner Special Permit + 5% Technology Fee ***+ 10% Administrative Fee*** Amount Du"c 100,00 5,00 10,00 $115,00 Paid By ADAM HORTON Item Total: Check Number Authorization Received By Batch Number Number How,~Received Amount P"id djb In Person Paym~nt Total: $115,00 $115.00 ! " Page I of I 5129/2009