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Home My WebLink AboutPermit Signage 2009-6-10 225 FIITH STREET. SPRINGFIELD, OR 97477. PH:(541)726,-3753 . FAX: (541)726-3689 ~ C "I-DO 2?7S- ~ City Job Number Ou1 ZOO r ? () ::~ Job Location I q (JO /111af/f} k1 If cf ..~ /70 S S I J · Tax Lot ~, Assessors Map rp)\ ""~":';rr~-M+:~--t\!-::-1:ip;gB:r{i;r'ttf:#,p:n.~':',~~t;.~~l""'~~~", "F-~'-"";--"j;;;;~'D;:!,:'J!~~'-"J"'~"-- ~~u;::r:;'Z;"<;j,-"~"'ff~lt~~7i!""~4:!-Tt" Jii' r-- ~ ti~~O-" ,;;p.wIYi~r'4E,l~1Yhr'k;~JA1f.:~~i'&;1~~~~~,-~~~}:;~*~~~~~.l;'ff,~~~~~~,J1J<~~i~~~f~~\EW"tTI~ )}fiitf}f~,J'4~;i~dM~~;;L:' ,i~i~~IL::~~~~~B~;ttR. ;.,y-, P~'~~.!:L::..."~"*.{'j',1T'!::>"Zi$,!,y',;,;;w.l::t:j:1S4,#"\.~'I,!l'Kri.Li$j~ 'Q.:~'"<<"'-r-',,"""'''''''''''''~~'~'''"'W~;~"''_- -W':.4""~ ,""f12 ~"~'-" ~ ,c~:~r-~;p;:pe~ -r;-~,: ~ \\) h\i~~:~)'~-' , ..~ Addres~ IOl) ~ (r\/~ \ L?tk-r trillr P~ODf' i City (rirvft 1//5 f Statp off ~ ~. I, '. "~ ~ ~" ~ ~ U II I, '. "~ e ~ ~\, ~4 ~ ~ "~ ~ ~ ~ ,~ e e> ~\, ~4 ~ i ~ M ,..:"1 \\) ,"\ \0' sp~ ~Ctt.:.{ '.'w';.~'..... -~ 60Cfca ZiF Ct133~ ~f~~~~~m4~1?iJ[.!ll1a~'~'2~&lt'oW~I~~iJI~.I~~:~~~~~~,;!~~t~i~3 Contr'~tnr ~l-(tY'~. Olegon,a, .hp Olegon C. 'nrlh , ,~\ 10'''' C d nte" w, I at~ o~. " rules a Ot' "'\1ose IU eS ,0 952-00~- 10110W C nlel, , \1 O"n b,:/ " .,,:~,tion e ,\nHIlhIOU9 _"he> rules Phol'P ~'~'t\R 952-\JV ,.- lain coP\"~ v' telep\1one City \~n~o. '{ou,~aie>~~el. lNOI~'~:~~Wtilicalion ca\\ln\J '1"-1 IDe Oleg"" 332.'2.34"1' numbel 0 is ~ .800' Construction Contractors License ~enlel ' Addres< Zip Expire'< fx, n V\ -c;.y- , Description Date ofInstallation~- \~ - (')Y Date of Removal 7/;3100 Permit Fee: $225.00 including $100.00 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/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days from the date listed above. If the banner(s) and/or portable sign is not removed within the timeline specified, I will forfeit the $100.00 deposit, I also understand that this special permi~.ww.'ke issued only twice per calendar year per development area, I also agree to call the iE~l~~1lt 726-3769 by the end of the 30th day to request an inspection t~:fW ~e rem:L\at~\ .I\er&~and/or portable sign(s). This inspection will begin the process to~~\tJl:l{\\P.Cl~l>l ~...~'&cs) and/or portable si s) has been remov(~ ,,\\\1'2> ?c l'Lc\) \l~\) IS ~\)[>.~\) ~I'- c\)GI'- I 1 Signaturf' : () jDJA iA! j, 1~rx(Ij(\Wt~~~~~~" ?cl'-IG\). Datp LP 10 CJ1 ",~"*'"" iJ f' j'" ,li"~J1I~'-::f>,~;l",:>c",\~"..,<.., ..~',' ',," ".c"""',p,.:t1,.'''''~il:J~'T;l1 Date of Application ~~'~ ~~::;~(r:~~;'~i': R~::;~~b~ii;~1 Issued By "?>~ Amount Collected ??-( - Shared Drive (T:)lBuilding FormslBannc:r]ortable Sign Pcnnit CSD 7-Q8.doc CITY OF SPRINGFIELD , Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa.' 541-726-3769 Inspection Line PERMIT NO: COM2009-00835 ISSUED: 06/10/2009 APPLIED: 06/10/2009 EXPIRES: 07/13/2009 VALUE: SITE ADDRESS: 1900 MARCO LA RD ASSESSOR'S PARCEL NO.: 1703251300400 Springlield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner - install 061209 removal date 071309 Owner: TRI-W GROUP LTD PARTNERSHIP Address: 100 SE CRYSTAL LAKE DR CORY ALLIS OR 97333 I ,CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License I BUlLDINC~I-NF(jRMA nON" I" . la'>N le,-\v;e90(\ v'\OI\n # of Units: ' , Ole90(\ \) \1/,orst<1J!~~e\ .00'- Primal')' Occupanc)' Group: \:.~\IO~' OO?WO ~s!1eilf~%:Slf.;?~~llr~ Secondar)' Occupanc)' Gro'upl N'J tU1eS a (\WI. \n\nliJ'i'p'g<il.il!ellf~O(\e Primal')' Construction T)'P'eJII~,C0\\0(\ G~,.oO'O cw.aterJ;~p'e'?, '0.\\0(\ Secondar)' Construction Ty\ill! ~I'\ gO~'O a~ 0\)\a\\~liil~'1~e!'I\IC # of Bedrooms: $\ OgO 'IOU \(\ ce(\\el. rtEln~} III ~3ih"')' O' \ne Ole,,- n .j;. ,. 0 calli~~( \01 \~~ \S \ .~r' ed Building: n/a (\\.\,,: CJ8"j'DEVELOPMENT INFORMATION I Fronl)'ard Setback: Side I Setback: Side 2 Setback: Rear)'ard Sethack: Solar Setbacks: Overla)' Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage:, Commercial Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: . REQUIRED PARKING . Total: Handicapped: Compact: \ I PUBLIC IMPROVEMENTS ',,\'Ie ~~~ c. \. t1'l'\'t\t ~\\\'J\\"S~W'alk T)'pe: ",\CT-' ~ S\\fi,\: ,\\\S'l' .::,",1'01"\ ~\J ?e\\\'J\\ ~Il'i:.\\ ~llo~<-VOownspouts/Drains: ,\\\S O~\l'i:.$ \J ~ \S f>,~!': fi,\J'\\ \'J\'i:.~C'i:.\) 0 e~\OIl. COW- aCl Ilf>,'l ? .,,~ ,\u I Valuation Descriotion I Street Impr~vements: Storm Sewer Available: Spedallnstruction: Notes: ' Description $ Per Sq ft or multiplier Sq~are Footage or Bid Amount Type of Construction Page I of2 Value Date Calculated -€;~RII\IP;F'....I~.'iii,...' ;." i..'.. IjrtA .... ~ '. ill " ',.,m.'..'.. '; , , 'j 'I' '" J' .... ,.,....._,......".."....,.,.,,~.! ""-,,' Status Iss u ed CITY OF SPRING!' tr.LD . Building/Combination Permit PERMIT NO: COM2009-00835 ISSUED: 06/10/2009 APPLIED: 06/10/2009 EXPIRES: 07/13/2009 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 6/10/09 6/10/09 6/10/09 6/10/09 1200900000000000653 1200900000000000653 1200900000000000653 1200900000000000653 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 workday. Retluired Insnedions I Banner Removal: To be requesled the day following the expiration of the permit. If inspection is not requested, Ihe applicant may forfiet the deposit. By signature, I state and agree, that J h.lVe 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 .lccordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon perlaining 10 the work described herein, and that NO OCCUPANCY will be made of any strnctnre without permission of the Commnnity 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 reqnired inspections arc requested at the proper time, that each address is readable from the street, thai the permit card is located at the front of the property, and the approved set of plans will remain on the site at all ticb::nt:S dnring const?ctio\n. ~ fl / / I / . jfi1;\t _ ,i/'1JPF-vr--- (0 ( 0/ ,uCi o r or Contraclors.Sign,q;;;e Date Paee 2 01'2 225. Fifth-Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00835 COM2009-00835 COM2009-00835 COM2009-00835 Payments: Type of Payment CreditCard cReceinl] RECEIPT #: ar:j:Q'.~_'~j4"'.'1 . ....:.. ~l.. .... WL:... , - , - --. - , City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000653 Date: 06/10/2009 Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By JCK RESTAURANTS INC Item Total: <":heck Number Authorization Received By Batch Number Number How Received djb 010399 In Person Payment Total: Page I of I 10:53:26AM Amount Due 100,00 100,00 5,00 20,00 $225,00 Amount Paid $225,00 $225.00 6/J 0/2009