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Home My WebLink AboutPermit Signage 2009-6-16 ~ ..~ ..~ ~ "~ Q ~ ~ ..~ > ~ ~ ~ ~ "~ d: I .~ II I, '. '.~ ~1 -~ ~ ~~ ~ ~ ....~ ~ ,.~ 1 ~ ~ ~ I ~ . \Q"W'O~ SPRINGFIELD ~~~MY'N"""" 225 FIITH STREET. . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 . /1)( -f7( City Job NumberL: I!(PL-. 0? ~TR.."'--C( \'lcr~D5\A Job Location Tax Lot UrAcV Assessors Map Owner of Pro pert:' -r;'", \ -\-" b 2-<> t , '> \- ~ \\ c," L" , Addres~ \ \ t. 7, r\ ~T17-"'Q, \'" City S \,v'''~ ~ ,e,\ A. t:,{tlll'?f}~~~41'~~ rffiCiJntr-adiJr. liS a ~*i~j!J:jili2Et+iiY,1tJ2~~iJt( Phon" State{)ve~v", ZiJ- cr7<,74c Contractor SWIJOe- Addres< ph"n" City State Zip Construction Contractors License # Expirpo r Description ltUo <x 4 < .1I\J:\uh,l \"\' :" , , LX ")\) Date of Installation /, / /01 Date of Removal /" / 2. h 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 arid 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 permit can be issued only twice per calendar year per development area. I also agree to call the inspection line at 726-3769 by the end of the 30th day to request an inspection to verify the removal of the banner(s) and/or portable sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or po~table sign(s) has been removed. . ~ \ "hr. Ilno-14 Datp.\,,,,, \~..:7OD'f Date of Application fo I (" 0 '7 I Issued By(J.J;!r{ _ Amount Collected Receipt # 32fJo9- "IS( ;);L:) q-v Shared Drive (T:)lBuilding FormsIBanner ]ortable Sign Permit eSD 7-08.doc _~Pc~II)I...Ij:I~,?...' ij; , oJ' Status lss u ed CITY OF SPRINGFIELD Build~ng/Combination Permit PERMIT NO: COM2009-00871 ISSUED: 06/16/2009 APPLIED: 06/16/2009 EXPIRES: 12/16/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1162 B ST ASSESSOR'S PARCEL NO.: 1703351416400 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Portable signs and haiIner Contractor Type Sign Contractor OWNER ATTENTION' Ore , follow rules ~do t~~n aw requires you to Notification Cent1: Th by the Oregon Utility In flA n "',..,.. _ ~ . . _ ose ruleR :=Ira C'","'.I"~"'L nnan v_~ ,-.,-- ,-vv I v IfJfOUghOAR 952'Ooi~ I CONTRACfORINFORMl\'F10NJ I'.es of the rules by number for then:' . \' ,u'''., the telephone Center ,. Lite'!iseUtll't\HxpiiiatiQ,nJ Date ~ J'dUU'332'2344). . ~ BUILDING INFOR~AT10N' Phone Owner: Address: TRINITY BAPTIST CHURCH /162 B ST . SPRINGFIELD OR 97477 # of Units: Primary Occupancy Group: Secondary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structnre Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: '0011:l3d ^1;j~'1J~t G~{~ge/Carport Energy Path: , ,q.F1tl6i,tlier: . LJ.().J n:udOON"8\..1 QI uQ 03 ~\I-lI\ 11111;.1 . Spnnkll!llLI>UIJdmg< v v "Ii/li' . ccupant Load: ":"J/: C~ lH^Il~~J 01UI u:Jnt\ln n:l7l~nHln\1' I DEVELOBMJF.~T.:IIj)/F(fARM!\iIijJ!}l'IIl~HS llli'J1:I3d SIHl -, " 'liir.l. . :3::Jl1lR~QUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I. Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or mnltiplier Square Footage or Bid Amount Value. Date Calculated Page I 012 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00871 ISSUED: 06/16/2009 APPLIED: 06/16/2009 EXPIRES: 12/16/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fee~ P~id I Fee Description ***+ 10% Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid . Receipt Numher 520.00 $5.00 $100.00 $100.00 6/16/09 6/16109 6/16/09 6/16/09 3200900000000000459 3200900000000000459 3200900000000000459 3200900000000000459 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 lI.m. will, be made the following' work day. I. ~eOldred I ~~nettions I Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may forfiet 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 o(the City of Springtleld 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. (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 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 du:::.consd-/ti: 0(. f ~ ""'L \"L' 1 L UJo q Owner or Contractors Signature Dat~ ..; Pa2e 2 01"2 225 Fifth Strect Springficld, Oregon 97477 541-726-3759 Phone City of Springfield Official Reccipt Development Services Department Public Works Dcpartment Job/Journal Number COM2009-0087! COM2009-00871 COM2009-00871 COM2009-0087 I Payments: Type of Payment Check cReceintl RECEIPT #: D'ate: 06/16/2009 3200900000000000459 Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By TRINITY BABTIST Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 13340 .In Person Payment Total: Page I of 1 12:06:55PM Amount Due 100.00 100.00 5.00 20.00 $225.00 Amount Paid $225.00 $ZZ5.00 6/J 6/2009