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Home My WebLink AboutPermit Signage 2009-6-18 225 FIlTH STREET" ~~ ~ .", ,,,.':'-J4 ".~d Job Location ~ ". .~~ Assessors Ma!" ~l ~ ~ ~. .",~,", .;::::' ~ b ~ ~ ~# f<(~ .", ,_~Li ~i ~i ~: @l ~~~ # ~. U Ii ~"'_H~ ..~;::: ~.4 ~~ -., ~ ~':j4 ~j. ~l ~~';;f .""'f~ti ~i (lj), ~'" '. _I; ..,g;:;) '~, I~ ~, eJ; ~14\ Q: <1lQ) ~; ~~ ~j m\ ,..,'_. ! SPRINGFIELD, OR 974,17 ". PH:(54l)726-3753 City Job Number ,;:iJ7'h..?eo 7 .':"oa1' 53 nl ':"'> \L\~ s-\- . -so+u\ I 703~ "3'2... CJQ YlL\Tl Tax Lot . 4400 n Addres<' '~3~J'X "hol..~ Lo.re_ C:-...es}n ~ \\ Cit:- J\ ;~ phor" State tR. Zir Q_ -ll.\?( Tn liS a Contractor OVUIVt:.--=-- Addre<< Phonf' City State 7,ip Construction.Contractors License # Expirf'< Description ~ ~fi'.P:: ~<2:( bcur'~ Date ofInstallation l.9j \ - c..o /3(") Date of Removcl UJI.~ , , Permit Fcc: $225.00 including $100.00 Deposit and applic,~ble 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 tBe above described 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 above. If tne 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 oanner(s) and/or portable sign(s). This inspection will begin the process to return the $100.00 deposit ifthe banner(s) and/or portable sign(s) has been removed. "Sig~atur~~~$: "or~b "I e "",>:~W Date of Application ?-l ~/ () '7 ,"~o~ ~ LCJ- M< Dat~ <-nIlS/Ocr . ./ Receipt # /2.()0 <J - i,b.J... . /()<:Y---; Issucd Bv ~' Amount Collected 2.;2.-C~ k' - ,<-F. r CDi") ".).Do,? ~o0433 . . SIi;lred .[)rive (T:)fBllilding FomlsJlh)mel--,-P~11;1blc :)1;;n Per11lit CSI) 7-0X.doc Status Issued CITY OF SPRINGFIELD Building/C()mbination Permit PERMIT NO: C.OM2009-00883 ISSUED: 06/18/2009 APPLIED: 06/18/2009 EXPIRES: 06/30/2009 VALUE: 225 Fifth Street, Springfield, OR 541"726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 177 S 14TH ST ASSESSOR'S PARCEL NO.: 1703363204400 Springtield TYPE OF WORK: Banner TYPE OF USE: PROJECT DESCRIPTION: PORTABLE SIGN- REF COD09-433- REMOVAL DATE 0613012009 REFUND TO "NEW 2 YOU" @311 6TH JUNCTION CITY OR 97448 ~ , Owner: CROMBIE DOUGLAS G Address: 33328 HOWE LN CRESWELL OR 97426 Owner: . ATKINSON PATRICIA L C Address: 33328'HOWE LN CRESWELL OR 97426 Owner: CROMBIE JACQUELYN A Address: 33328 HOWE LN CRESWELL OR 97426 Owner: RITTENBACH LEROY Address: 33328 HOWE LN CRESWELL OR 97426 Owner: GILLHAM MARIAN Address: 33328 HOWE LN CRESWELL OR 97426 Owner: DUNHAM ANN Address: 33328 HOWE LN CRESWELL OR 97426 Owner: JOSEPH BALATY Address: 33328 HOWE LANE CRESWELL OR 97426 Pbone Number: 5 Hi-4775 [WTIC.I:; rHIS PfRMINHA!J ~XPIB~IF TH~ WORK "UTHORIZEP UNDEHTHJ9 PfHMJrW NOr COiV1MENOfD DB Jlll\flI\NPQN!H.J fQR A.NY 1~Q PAY PfRJQP. ATTENTION: Oregon law requires you to foHow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by callinq the center. INole: the t"r"nhnno number lor Ihe Oreaon Utility Notification I CONTRACTOR INEORMA;rIONC,332-2344). , Contractor Type Contractor License Expiration Date Phone Page I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Fnintyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements:' Storm Sewer Available: Special Instruction: Notes: Descriotion Tvpe of Construction Fee Descriotion ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Total Amount Paid BUILDING INFORMA nON I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: GOM2009-00883 ISSUED: 0'6/18/2009 APPLIED: 0'6/18/2009 EXPIRES: 06/30/2009 VALUE: . . nla Lot Siie: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occup~nt Load: I DEVELOPMENT INFORMATION ,I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I I Valuation Descrintion I $ Per Sq Ft or multiplie.- Square Footage or Bid Amount Total Value of Project L.FPIll~ r.ml Amount Paid Date Paid $20.00 $5.00 $100.00 $100.00 6118109 6118109 6/18/09 6118/09 $225.00 Paee 2 on REQUIRED PARKING Total: , Handicapped: Compact: Sidewalk Type: ." Downspouts/Drains: Valu~ Date Calculated Receipt Number 1200900000000000702 1200900000000000702 1200900000000000702 1200900000000000702 I' _~~,!!!~':J'ft~-t~j~';;""",,,", ' '.)J . " '- 1 I Status Issued CITY OF SPRINGFIELD Building/Cqmbination Permit PERMIT NO: COM2009-00883 ISSUED: 06/18/2009 APPLIED: 06/18/2009 EXPIRES: 06/30/2009 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726"3769 Inspection Line I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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 Reouireclln~12ec~i,on,,~' Banner Removal: To be requested tbe day following the expiration of the permit. If inspection is not requested, the applicant may forfiet the deposit. I' 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 shalf be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the wJrk 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 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 during construction. I r~0JV:tG(\OJ~()l\h \.04n.Jr or Contractors Signature U Le,j / v/n q / (.' Date Paee 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00883 COM2009-00883 COM2009-00883 COM2009-00883 Payments: Type of Payment Check cReceintl RECEIPT #: Gie.F..1ELO.. .~. ''','' , -, ..... ................ . ... _. - 1200900000000000702 Description Secondhand Dealer - 1.0000 @ $130.0000 Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By NEW 2 YOU LLC City of Springfield Official Receipt Deveiopment Services Department , , Public Works Department Date: 06/18/2009 8:39:03AM Amount Due 130.00 100.00 100.00 5.00 20.00 $355.00 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page I of I 1427 Amount Paid In Person Payment Total: $355.00 $355.00 611812009