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HomeMy WebLinkAboutPermit Signage 2009-6-30 :.. r..ef': c.ohz.oo ";- 06l./b2 I L [~ .....~ -<-( .' CITY OF SPRINGFIELD, OREGON 225 flITH STREET. SPRlNGflELD, OR 97477 . PH:(54 ])726-3753 . fAX: (541)726-3689 ~: ce>) City Job Numher ...~~ ..~1 Job Location ~ "-~ Assessors Mar Q\ ~ ~ C'::)) ..~4 ~ ~ .~ ~ ....~4 ~~ -' ,:;;:;,/ ~~: -~ ~, ~, -~ ~ U I) l~ ..~~ !l ,-~ -, ~ rr'\ I~ -, ~. ~~) .4~1 ~ ~ , l~ ~I~-~ . } "".. =-~ ~ f'l' I~ ---... ~~'-~ ~, -~ ~ ~ Ml COM~O "-Oc> Yb( S'f7 (;( ~t \f1Db~~ Tax Lot OOc0::t7 Owner Owner of Property k:.J:q L "\ L L c.... Addrp<o 5 t(00 S.tFJ\ vtA-A ( AI Phonp "'>T State ~ Zir I,' ~ 7<(' 7 "7 City ContractorlInstaller = uires yoU to O,t-.o/.#r;('lf>gon law,r:<;',onno Utility ,. d preu uy ".-. - norm 1~'i'WI rll\OS a 0 . T' ose rules are S8 .'.'. ' Ceoter. 0 AR 952-00i- l\lr,t('\C8.tlon _~,..-l" 1-htnllnn 0 - ,--Phonp . OAR 9b;<-UU l-VV . ~ pies ot toe I UI~" v, 10 You may obtam co ,the telephone City 0090. .. _ ~~n\Pr INote'.State~.il'rotinn call1l'\oj ,''v -h Oregon Ull\1lY 1'-. Dumber lor t e i_BOO-332-2344). Construction Contractors License '#enter IS Contractor Addres< Zip , Expirpo I Descriptior ~)'-,4rCLe ~2- Date of Removal :10z S I G-,,( Date of Installation Permit Fee: $225.00 including $100.00 Deposit and applicable fees. By signature, 1 state and agree that I have carefully completed this application ~nd hereby certify that all information herein is true and correct. 1 further agree and understand that the above described banner(s) andlor portable sign(s) is not larger than 60 square feet, and will be rerAoved within 30 days from the date listed above. If the banner(s) andlor portable sign is not removed 'Yithin the ti~eline specified, I will forfeit the $ J 00.00 deposit. I also und,,;rstand that this ~ecia~~J1fI.i1Eclih':b~ issued only twice per caIen~ar year per development ~rla\~~J~~~.\l~~g\i.,G~1 t~'i{l~~P,€y{i'<ln Ifne'l\\tl]26-3769 . by the end 91the 30' day to request an mspectIonlto\verrfY\t~\Qttrngv.ar of!h~ l:ianpS'tS)'ilnd/or portable sign(s). T~' inspect' n ill b :g r. th process to ret\Izilq~a~p;9p' tl~!il^o'1;i't~iPth\~oanner(s) andlor portable si (s) h1!s n erne Vi ~ COMME DAY PERIOD. I . fi,NY '\ 80 Lt 1 . '. )\ .0' Signature.- Da'p " . )(J ~ For Office Use C '1'- 9(1 I' ,: 7~6 Date of Application b,hC/D7 D~ Amount Collected lob # Receipt # " IYS- - Issued By i~ Shared Drive (f:}lBuilding Fonns/BannCr]o~,ble Sign Permit CSO 7.08,doc . Status Finaled CITY OF SPRINvru,LD . Building/Combination Permit PERMIT NO: C()M2009-00961 ISSUED: 06/30/2009 APPLIED: 06/30/2009 EXPIRES: 12/30/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 547 Q ST ASSESSOR'S PARCEL NO.: 1703264200500 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: REF:COD2009-00462 - portable sign Owner: KDIRT LCC Address: 3400 MAIN ST SPRINGFIELD OR 97478 I '. " .'), Contractor Type Sign Contractor OWNER / . IJL I CONTRACTOR INFORMATION 1 Ii" ;'. .1..(, . "OJ 't'.,.~_. -~Q' A 'CJt-v ~J;b€;!) (,);"9;'0'00,0' 00I;ic.e6s~./. Expiration Date Phone '" /, Q ~ 1"- "e '" 0 lI"e " Or IL $/)1_ l"q/h 'Irn. rv/~ ;reI"\. \S'l/,,,.. BUILDiNG;iN-FORM'A'f.(()N"~~;;Z 0t1:0 . "B, -'1/.-'1"- -'I,,-'T.9$ 110 'Y 00 VI,'. '/e '/e \2 '"If.. ' # of Stories: -'Y0'",/4Jj.. IWe I"v;, 'OO,,'Lot Size: "eight of Structure2U'st. r1tObi,;D/,>o:.s> 6y Sq Ft 1st Floor: Type of "eat: 'V IC<'ltiO e Sq Ft 2nd Floor: Water Type: 'I) Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: , # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION 1 REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: NOr, Overlay Dist: rHls leE: # Street Trees Rqd: /lUr, PE:RI/1. Paved Drive Rqd: COI/1. HORI2E:;r S~Ll Lot Coverage: /lNv ?~E:NC!:" UND!:" !:'P/~l' . . vu D"I/'PMiitAd~rROr~_~~a'I)l>1( "uU "uU', "/ IS " . '"ED FOR NOr Sidewalk Type: Downspouts/Drains: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Val.ue Date Calculated Paee I of2 Status Finaled CITY OF SPRINGFIELD Building/Crmbination Permit PERMIT NO: COM2009-00961 ISSUED: 06/30/2009 APPLIED: 06/30/2009 EXPIRES: 112/30/2009 VALUE: 225 Fifth Street, Springfield,. OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of ~roject Fees Paid 1 Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Amount Paid Date Paid Receipt Number $10.00 $5.00 $100.00 6/30/09 6/30/09 6/30/09 2200900000000000736 2200900000000000736 2200900000000000736 Total Amount Paid $115.00 I Plan Reviews , 1: 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: Rellllired I nsnections 1 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 1 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 w6rk described herein, and that NO OICCUPANCY will be made of any structure without permission of the Community Services Division; Building Safety. I further, ertify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furthe.\ 'gree to ensure that all re ired inspections are requested at the proper time, that each a.ddress i.S readable from the street, t~ the p~mit ~d is I, late at t e front of the property, and the approved set of plans will remain on the site at all "mo''','[I'Jt ,All !u-};.r;1 Owner 01 fontractor; St ~ature Date v Paee 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-72~-3759 Phone City of Springfield Official Receipt Developmerit Services Department Public Works Department Ir RECEIPT #; 2200900000000000736 i( Date: 06/3012009 2:20:06PM Job/Journal Number COM2009-00961 COM2009-0096l COM2009-0096I Description + 5% Technology Fee ***+ 10% Administrative Fee*** Banner Special Permit Payments: Type of Payment Check . Paid By KNECHTS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 5,00 10,00 100,00 $11 5.UU Amount Paid . djb 76794 In Person Payment Total: $115.00 $115.00- cReceiptl Page 1 of 1 . 6130/2009