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Home My WebLink AboutPermit Signage 2009-6-26 225 fIITH STREET . SPRINGfIELD, OR 97477 . PH:(54 1) 726-3753 . fAX: (54]) 726-3689 g: /[!9 I Li e) City Job Numher (~., ~ q If ..~~ ..~; Job Location ;2,/11 ?a;etuCt4 ~..J- ..~ Assessors Map \'1 D~?!2 QJj Cl ~J ~ ~) -. ...--1~ ~ ~-- "~ ~ ~> ...~~ ~~ ~~ ,I;i;!: i~ ~i _i ~i i -i ~ U Ii I. '. "~l -i ~ ~~ ~j ~, ~:I})J ...~~ ~ ~ . J~ .,JQ~~ ~ . ~ -~ ~ ~i I ~~ ..~.) ~l , 0 CITY OF SPRINGFIELD, OREGON SPRINGFIELD r ~~ ''''',' .<''1'' ~ "- ...'... .. ~1' "" 5 fn/lf.,L'/~/d t1d2. rJJW7 Q3\(X..) Tax Lo' Owner Owner of Property t//7 l~./;m'}I'J.t1J- Address ?JIll {;q/('ttJc:J ,c:+ City f;IJr.J_J/Ar!4Y" :- Phoi "74/J '7-210- 7-3/1 - -"-Si~te~----';'ZirfCJ7-~TT-.d_"" _.c ~ CiJntractiJrlInstaller f" I, ' Contractr,' !)tu~€f(~ Addres< Phonp City State Zip Construction Contractors License # Expire< Description Date of Insta;lati'on./C:, / /? /t::?9 , Date of Removal ;;Z//&, M I , Permit Fee: $225.00 including $100.00 Deposit and applicable fees. i' By signature, I state and agree that I have carefully completed this application and hereby tertify that all information herein is true and correct. I further agree and understand that.theabove described banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be re~oved within 30 days from the date listed above. If the banner(s) and/or portable signis not removed within the time line specified, 1 will forfeit the $100.00 deposit. I also understand that this special permit can be issued , only twice per calendar year per development area. 1 also agree to call the inspection line at 726-3769 by the end of the 30th day to request an inspection to verif'y the removal of the banner(s) and/~r portable sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or portable Sig:(S~y~ved. r. . S;""",~ .. . -,-. . ':'{ -:> \ .?:,,,f,,''2rJ . 0''''//;;>' ., ~9 For Office Use 'I Job # ~ C\ .o..~ " Date of APplicatio~ /;j /2- ~ Receipt #:.2~ .- '7 >v , -().!J . ",,-2..) , ,,-' Issued By CS2'\.r Amount Collected Shared Drive (T:)lBuilding FormsIBanner]ortable Sign Permit eso 7-oS.doc Statu. '. Issued #'- 225 Fifth Street, Springtield, OR 541- 726-3 753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3111 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703222003100 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00944 ISSUED: 06/26/2009 APPLIED: 06/26/2009 EXPIRES: 12/26/2009 VALUE: TYPE OF USE: Springfield. TYPE OF WORK: Banner PROJECT DESCRIPTION: Banner- see COD2009-00479 Removal date 07/22/09 refund to FAR MAN Resturaunt at 31 I I gateway Owner: BENTON PROPERTIES L TD Address: 980 WILLAMETTE ST EUGENE OR 97401 Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Sethack: Side I Sethack: Side 2'Setb~ck: Rearyard Setback: Solar Sethacks: Street Improvements: . Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction 'IOU \0 0\1 \a'N leC\ulteSOllll\\\I\'I EN\\O\'t Ole~ 0 b'l \r.8 OlG~e set \0(\\'\ p..'.\" ...\e$ aoope -rhnS8 t\J\e~ ~~, QFlZ.()()1' \UI~:-;'~'....,.,:..\i()ll v~I\':::~",(\~\1rO\..lId\l -:; \h(1 n.1\Qti hlJ I CONT,RAC'fORWEORMi\.'flON..lepIiOM ,.. - 'IoU II'V' "\\lU'~',', \"oI\\\C3o\\OIl 0090. celltel, \ '.\\'\\W' '.. callin9 \r.e \\18 Ole90'L}celJ~~44). Exptratlon Date U~:oel 101 'IS 1-\)00-:;';" , nil' ....._....tof BUILDING INFORM~T10N I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: , n/a I DEVELOPMENT INFORMATION I Phone Lot Size: ' Sq Ft 1St Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Fi Other: Occupant Load: REQUIRED PARKING Overlay Dist: ' Total: # Street Trees Rqd: Handicapped: . -r\'.... \!\lV\\ Paved Drive Rqd: ~ W \, GOm~aetr % of Lot c9[,eYfgf,'. S\-\I\\..\.. E)(I'\\'. I'E\'.\IJ\\I' \S iW \ \~\-\\S I't.~~~~ \\~I)E\'. \~~~"'O~EI) to\'. I PUBLIC IMPROV:E'Niii~jS:,:1) O\'. ~~OD~' vv'" 1)'\'/1'1'.. I\~'/ ~ SO " Sidewalk Type: . DownspoutslDrains: I Valuation Descr.iption I $ Per Sq Ft or multiplier Square.Footage or Bid Amount Pace I 01'2 Value Date Calculated _..."'lill,~~EfJ~! if -:.l Status" Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00944 ISSUED: .06/26/2009 APPLIED: 06/26/2009 EXPIRES: 12/26/2009 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 I Fee Description ***+ 100/0 AdmfnistrativeFee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid . Date Paid Receipt Number $20.00 $5.00 $100.00 $100.00 6/26/09, 6/26/09 6/26/09 6/26/09 2200900000000000720 2200900000000000720 2200900000000000720 2200900000000000720 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. wiWbe made the following work day. I, ~,~rPlired I n~?~~tio~s , Banner Removal: To he requested the 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 h~reby eel"tiry that afl information hereon is true and correct,;and I further certify that any and all work performed sha'~ be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will he 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. Owner or C'ontractors Signature Date Pa2e 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~"'NQ"""n~"...", . :1 ~ 1'? ... ~7," ,- ,. ~mm . City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00944 COM2009-00944 COM2009-00944 COM2009-00944 Payments: Type of Payment Check cRcceintl RECEIPT #: 2200900000000000720 Date: 06/26/2009 Description Deposit Banner Special Pennit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By FARMAN REST I Item Total: Check Number Authorization Received By Batch Number Number How Received cJc 4365 In Person Payment Total: Page I of I 2: 14:23PM Amount Due 100,00 100.00 5.00 20.00 $225.UU Amount P..id $225,00 $225.00 6/26/2009