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Home My WebLink AboutPermit Signage 2009-6-18 225 flITH STREET. SPRINGfiELD, OR 97477 . PH:(541)726-375~j . FAX: (541)726-3689 ~j , ~y ce>~ City Job Number 0 l' - 6 (') ...~~ ~l ..~ Job Location '.~j Assessors Ma!, ~l ~- ~J ~ 0) -. .-..=(~ ~ ~ ~ ~. ...~~ ! m ra 11 I. >. "~l -j ~ f" Ij ~j ~. ~:(.i)J ..~~ ~ ~ ~j ~) ~ ~ rF" Ij ---- ~~~'~ ~j ~j ~j ~l . \~. 0"'1 ~. SPRINGFIELD' . ~ CITY OF SPRINGFIELD, OREGON . ;(01')' '('I\Q~ ^ ~~. \~O'?>~ gf'qf] ~ ./ . \ 1L 4{)) Tax Lot Owner , o~ner of Property ~7J ~ ""'-(k'o r'f'l( Addre<< -f-, \~"....~ U ;I~.y ], c., . Phonp / )) K-'.:.2 , City . /) hJ:!7 Contractor/lns~aller r'K..J ^-.e.J\ (\'(L. ~ Zir '?) V/J State I--RJ1~' > Phonp Contractor Addre~< City Zip State Construction Contractors License # Expireo Description Date of Installatiop 617 h '7 . f Date of Remow I rs;//J 7 --- Permit Fee: $225.QO 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 dale 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 portable sign(s) ha~lein remJv-;'d.j -, Signaturp ,.;JA-- .--J Datp 6ltf/Jr ( . I I ' . V For Office Use DateofAPplicationt?>!I.f/O ? lob # UJ-yg-y Receipt # )2d(-673 .-"'0 "2::' - Amount Collected ~ " .- Issued By c..... J C--;- I1Au(c j)dU . Shared Drive (T:YBuilding FonnsIBanner]ortable Sign Permit CSD 7-08,doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00884 ISSUED: 06/19/2009 APPLIED: 06/18/2009 EXPIRES: 07/05/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 325 MAIN ST ASSESSOR'S PARCEL NO.: 1703353112400 Springfield TYPE OF WORK: Banner TYPE OF USE: PROJECT DESCRIPTION: PORTABLE SIGN- REFERENCE COD09-429 REMOVAL DATE 7/512009 REFUND JOHN SHORT@ 325 MAIN Owner: Address: Contractor Type GEORGE A & SHIRLEY A HUMPHREYSNJOIN law requires you to 17782 HWY36 AOll:N1IU ,uregon .. BLACHLY OR 97412 lullow wles adopted by the Oregon Utility td"tifi""!:Iti('\n (";pntpr Those rules are set forth ir nA>l Q<;?-n01-0010 throuah UAH \olO~-UUI- OIIlGONT,RACTOR,INE.ORMATIONtlles by calling the cemer. \I~Oli:l: LI It, 1~1~I'"one number for the Oregon Utili!;ic'eil~~catloExpiration Date Center is 1-800-332-2344). Contractor Phone BUILDING INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: . Sq Ft Garage/Carport NOT\JfJ&rgy Path: En: mE WO~ Ft Other: THIS ~Rlid9t/.lililllp<P1R R .... IS Nt9fcupant Load: __<' 'J"nCD TI-II<:: PF II I d<<~~~~e~~~~~fJ~i FOR ANY 180 DAY PERIOD. Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING # of Units: Primary Oecupancy Group: Secondary Occupancy Group: Prima'1' Construction Type Secondary Construction Type: # of Bedrooms: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage 01' Bid Amount Value Date Caleulated Page I of 2 Status Issued CITY OF Sn<1l"lGFIELD Building/Combination Permit PERMIT NO: COM2009-00884 ISSUED: 06/1912009 APPLIED: 06/18/2009 EXPIRES: 07/0512009 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 6/19/09 6/19/09 6/19109 6/19/09 2200900000000000693 2200900000000000693 2200900000000000693 2200900000000000693 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 work day. I, Re/luired T nsnections 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 havc,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 of the City of Springfield 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. 1 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 llrc 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 duc{onjtructiO[ I /~ [, /11/"1' I I Owner or ontractors Signature Date Page 2 01'2 225 Fifth Street Springfielit, Oregon 97477 541-776-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00884 COM2009-00884 COM2009-00884 COM2009-00884 Payments: Type of Payment . Check cReceintl RECEIPT #: 2200900000000000693 Date: 06/19/2009 Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By JOHN SHORT Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 1120 In Person Payment Total: Page I of I 10:30:28AM Amount Due 100,00 100.00 5,00 20,00 $225.00 Amount Paid $225.00 $225.00 6119/2009