The URL can be used to link to this page

Home My WebLink AboutPermit Signage 2009-6-22 II I, '. o. ~.~;~ ~ Permit Fee: $225.00 including $100.00 Deposit and applicable fees. ~ : ~l By signature, I state and agree that I have carefully completed this applicatiop. and hereby certify that all information herein is true and correct. I further agree and .understand that the above described f~ 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 $100,00 deposit. I also understand that this speCial~I~' be issued only twice per calendar year per development <tt~i\tfrso al/l,1& ~ilfs \~ at 726-3769 ~ by the end of the 30th day to request an inspectivA\fp~~~ W'l'$\\&ffili.~ n (s) and/or portable :::i sign(s), This inspection will begin the process 1pJ~lillH~ ,&_SJ.~tftille anner(s) and/or ~~ yrtable sign(s) has been removed, ~~~~i~~~'I PERIOD, ' ~ /Signatureb~~/L; ~r '7 ~. ~ ~ Date of Application 5 p~ ~ Issued By ~ ~.,.,,"<-' ~ o.~ oo~ ....._4 Q) ~~ ~ ..,~14 t ~ ~ ~ .",~ ~ a e: r.-~ y ~Er..'Coh zoo i - 00'-12.7 SPRINGFIELD 1{J,?)..oq 225 FIITH STREET. .SPRlNGFIEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 City Job Number [o-rzoo 9~O c::::. '1oZ b+ft... ~t Job Location j Sb S. /76s3.S-3 ( 00 Addres< t.J..YL slJ7l{ sftZll.t~ f1LvD ~C:-t-;Vc'" Stat" oR- Zir '771.( 0 j~ Owner of Property phon" Cit:, ;;1mT!.~'Y;';':;iJ;27<01W';X.t'W'~'j;0i0,F, 1~'c;;izilal:tbr1i;;;llil ~:N;i:...s:iUb-:;;L~'-;}jtrf:!ijy;;}::iif;;(;j;tf:ii?:: OW,V~ lit. _' _," "__~M blJl/ reauires you to AIIt:,"IIV'" -,.~. theOre.Qlltl-lAHtt;' follow rules adoPted~irfileSare set forth i I_~:";""':::it,nn r.p.nter.-:r - - A.... rlCI") ,eh(>r1p ._..n -j_001UtmouY" V~.. _.- in O~952<OU tain copies of the rules by City .oe90, You may ob 'IS:tatehe telephone ~ calling the (;e",O"" (~n 'Utility Notitlcallolt , , number for the, reg . _ 344). ConstructIOn Contractors LIcense # C'ontPr IS 1-800-332 2 Contractor ~ Addres< ZiD' . ,e Expirf'< . Description 7SANI'IF'l /c cJ ~t:.. (0 Date ofRemov~l b/fL L 0-"" 1'l4 AN'ce Date of Installation Job#C'7 -0 c"' 70;:' ~eceipt # v )/-->- Amount Collected " Shared Drive (T:)'Building FormslBanner]ortable Sign Permit CSD 7...{l8.doc I CITY, OF SPRINGFIELD 'Building/C()mbination Permit . , , Status 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726_3676 Fax 541-726-3769 Inspection Line' PERMIT NO: COM2009-00902 ISSUED: 06/22/2009 APPLIED: 06/22/2009 EXPIRES: 12/22/2009 . VALUE: Finaled SITE ADDRESS: 136 S 6TH ST ASSESSOR'S PARCEL NO,: 1703353111100 , Springfield TYPE OF WORK: Banner PROJECT DESCRIPTION: Banner - ref:COD2009-00427 TYPE OF USE: New Commercial Owner: Address: KRYL MIRKA Y 3474 SPRING BLVD EUGENE OR 97405 I CONTRACTOR INFORMA T10N I Contractor Type Sign License Contractor OWNER I, BUILDING INFORMATION' ~ \8'" requires lUtiiity # of Units: ""'\0'" 01e90# .of Storles::90n I rth :\1E.n I \'l. dh\l II \V - ...~~ 0 Primary Occupancy Group: ^ w JUles adopte1~~~!!\\913S~UctU'i_oo~_ Secondary Occupancy Group: 10110\. tion center, TW' p'!)o~ijeatf\ 95 \ s b" , '\'loti Ica , OO~ Q' ',\ v' 'the ru e , Pnmary ConstructIOn Type , !\R 952.-00 \. of) 'C\S~i1iYJfe: hone Secondary Construction Type:\n ~O 'Iou may obtaR~ng~3TYpe:te\e.~ cation # of Bedrooms: 00 ailin9 the cent~r;~n\5fg):1'~a~h~0~\ I nCumber lor the. ~lciyJtllla-B~i1~Ii,g: n/a ..........ntAr \5 I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: , Expirati9n Date !,hone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft B,asement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: . REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPRQVEMENTS I t \f i\\'t. 'NQ"~ NU \ IV~' :I S\\p.,L'- t~~~~1~~: ~Q \-lIS \'cRMI DcR \11\';) , 0\\ ~Ui\-lOP.12cD UN" \S "'B~~lJ\fJls Dra!ns: tI ~NCED On COMM<- (>.'1 PERIOD. : (>.N'I1l'>O D ' Notes: I Valuation DescdDtio~ I Description $ Per Sq Ft or multiplier Square Footage' . or Bid Amount Type of Construction Page I of2 ' " Value Date Calculated . Ii Status Finaled CIT\i OF SPRINGFIELD Building/Combination Permit PERMIT NO: CbM2009-00902 ISSUED: 06/22/2009 APPLIED: 06/22/2009 EXPIRES: 12/22/2009 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 ... $10,00 $5,00 $100,00 6/22/09 6/22109 6/22/09 Receipt Number 1200900000000000721 1200900000000000721 1200900000000000721 II I! Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Amount Paid Date Paid Total Amount Paid $115,00 I Plan Reviews ., 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, willi,be made the following work day. I Reouirerllnsnections' , ,,, ,.n,. 1'" ..),- ~~k!L! ,9iI- Owner or Contractors Signature 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 r 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 Servi~es Division, Building Safety, I further certify that only contractors and employees who are in compliance with ORS 701.005 wilI'be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle from the street, that the permit card is located at the front of the property, and the approved set of plans witl remain on the site at all times during construction. C n~~ I I. Date Paee 2 of 2 225,Fjfth,street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00902 COM2009-00902 COM2009-00902 Payments: Type of Payment Cash cRcccintl RECEIPT #: City of Sprihgfield Official Receipt Developmeht Services Department I ' Pu~lic Works Department " 1200900000000000721 Date: 06/22/2009 Description Banner Special Penn it + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By GUADALUPE AL V AREZ Item Total: Check Number Authorization Received By Batch Number Number How Received djb In person Payme'nt Total: t I Page I of I 2:57:23PM Amount Due 100.00 5.00 10.00 $115,00 Amount Paid $1 15,00 $115,00. 6/22/2009