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Home My WebLink AboutPermit Signage 2009-6-17 ~.oq Ie-I ~ l CITY OF SPRINGFIELD, OREGON I 225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(54 ])726-3753 . FAX: (54 ])726.3689 ~~ ~~ ..~ CilllJ ..~J ~ ..~~ gd, ~.J ~ ..~ ~ ~ ~ ~ ..~~ ~. ~~ I ~ U Il I,..:,. ..~~ 15: r' -~ ~ (f" 1\ s;:;lj ~Ji)) ..~~ ~ ,~(. .~~ ..JQ) ~ ~; e; f" I~ --i~~ -~ ~; ~! . !l ~, /)C?,_ c ~O tCoo ~O '7 - 45:1...) City Job Number U / <5 <:J , l I .11./'--1'-1 m"":,, S:t. Job Location Assessors Map Owner 1'7 rfLIJ..,\ ~\ Owner of Property Address [5 R ;) 1.. I ",Ala Th u 1'// S<?J1 WII/.r---.L' City~3J7.ea:rP Contrador/lnstaller ,State~k. Contrar'n. /'),,)Jl ,0-", Addrpoo . City "tate Construction Contractors License # Descriptior Date ofInstallation C:;/~;07 Tax Lot~ Phonp I: '7'-t'{"-99?9 I," Zir: C? 7'10f./ " I, I Phonp Zip Expi~f'o Date of Remov"1 e- ";;flWO 7 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 ",ithin thetimelinc specified, I will forfeit the $] 00,00 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 portable sign(s) has been removed. ' Signaturp y~ r[/~LM Dati> la/n/r>9 , . I, Date of Application t-//'? /0 <7 'Issued By ~ For Office Use lob# ('7-,1dO Amount Collected " " Receipt # J:)oo9 - r:, BY ;2:2 S-~ Shared Drive (T:)lBuilding ForrW'Banncr]ortable Sign Pennit eSD 7-Q8.doc _~p.~,,,,o F..'.....iii. ....' ".' ;....... ~'~. , i..' .",'1' )' :,h'.'". .. , . ..~. f' <" ..r ".,."... "_.,, , ." . . - _.' ..".,,' ' .",,~ . CITYOl' ~rKmul'lJ!.LD r. Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726.3769 Inspection Line , PERMIT NO: COM2009-00880 ISSUED: 06/17/2009 APPLIED: 06/17/2009 EXPIRES: 07/16/2009 VALUE: Status Issued SITE ADDRESS: 3444 MAIN ST ASSESSOR'S PARCEL NO,: 1702313100800 Springfield TYPE OF WORK: Banner Commercial TYPE OF USE: New PROJECT DESCRIPTION: Bpnner/Dorta~I\JJfn\'se'e~€OQ7,O,Q?,;.4?2 REMOVAL DATE 7/16/09 <... Refund to Lin'd';-~'fi1ompseni~l!21~~IOW~t'Eiigeiie;(9":l04 to ) 'IJnt;",...,.,~;"'_......_ . r-.. uy ne llrpn,...".... I /I',.. ~ j THOMSEN STEVEN L & LI&1S:!\~,.,952-00-i ~o-oi ci th~~~~~~AaRre set f~';{h 3444 MAIN ST '>v', ou may obtain co i 952-001_ SPRINGFIELD OR 97478 calling the Center, (Not~etshof the rules by numbp.r ffir" fh_ .-.. . e tP/i==tnh,......_ ~Anto.. :~-~ ...._~_VJJ urlllly Notifj,...~t: - I CONTRACTOR'INF0RMA'I1ION ,on Owner: Address: Contractor Type Contractor License # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMATION I NOTICE. # of Stories: THIS PER"M Height of Structure AUTHOR'ZE~ tr~~:1l1IRE IF THE WORK COMMENCED ~~ l\ru~~S PERMIT IS NOT ANY 180 DAY ~eFI~gM-1-'aMDONED FOR Sprin'ki:;d Building: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: '0/0 of Lot Coverage: I PUBLIC IMPROVEMENTS' ExpiratIon Date Phone Lot Size: Sq Ft I'st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: Ii REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I; Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Page I of 2 Value Date Calculated CITY OF SPRINGFIELD Building/Combination Permit i Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726.3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2009-00880 ISSUED: 06/17/2009 APPLIED: 06/17/2009 EXPIRES: 07/16/2009 VALUE: Total Value of Project Fees Paid' 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 6/17/09 6/17/09 6/17/09 6/17/09 2200900000000000684 2200900000000000684 2200900000000000684 2200900000000000684 I' Tutal 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. willl:be made the following work day. I Reollired Insnections' Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, I' the applicant may forfiet the deposit, By signature, I state and agree, that I have carefully examined the completed application and do h~reby 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 uf Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Servi,ces 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 at the proper time, that each address is read,.ble 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. Ii ~dAl ~ 1-~""""'A /'A Owner or Contractors Signature /r-/I-f n ql: Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726~3759 Phone ~'!'I!I"O_",m,I)~.." -i.... - aa;;:. . City of Springfield Official Receipt '. Development Services Department Pu~lic Works Department Job/Journal Number COM2009-00880 COM2009.00880 COM2009-00880 COM2009-00880 Payments: Type of Payment Check cRt':cciotl RECEIPT #: 2200900000000000684 Date: 06/17/2009 Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By THOMPSENS MARKET Item Total:' <":heck Number Authorization Received By Batch Number Number I-Jow Received cjc 5128 In Person " Payment Total: Page 1 of 1 2:36:5IPM Amount Due 100,00 100,00 5,00 20,00 $225,00 Amount PlIid $225,00 $225,00- 6/17/2009