HomeMy WebLinkAboutPermit Signage 2009-6-30
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SPRINGFIELD.
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/ CITY OF SPRrNGFrELD, OREGON
,
225 FIlTH STREET .' SPRINGFIELD, OR 97477 . PH:(541)726-3753 . fAX: (541)726-3689
CityJoh Numher COoM z.oo 9- c=>o 962-
Job Location
"S.lfOO
\ '1D'20\'O\
Tax Lot O'LD(x)
vuA,d
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Assessors Mar
Owner
Addrp"
IC-hl.a..., LLL
-:s L.( 00 v'I.-1 ~ (;J'
Phorp
Owner of Property
City
s; \> r= b . .~,~. . 'State ^ elL.. lir
., ~ \~: reo .
c . ,", t' , ,.A... _,.,1..:.- ' jUlres,you t .
... d., .... '.1']11 i": >If -.....I~ t.) the Or' ','. 0
~ _ ~tl iJ;.\J1 9J2_00e.. er~ TI19Se rUle- ego/] Utility
CJW)./c o"(Q90. You m~"l~~O 10 throuah /:^a;:,e_s"ettorth
~dlllng the c' -~""l/I Copies oft" Vv"-UU1_
nUmber for th enler. (Nole: the I he rUles by
_ e o,o~_._ .. Whorp-
"enter is 1-800~3~~II1Y Notiiicati~~
State -2344). lin
77~7?
. ContractorlInstaller
Contract" '
Addrp"
City
Construction Contractors License #
Exp i rp<
DescriptioT
?c>I\-f>Able- S, ~ ......
~~Z-
Date of Removal
bk2
Date oflnstallation
Permit Fee: $225.00 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 infonnation herein is true and correct. l\rl1;,!lj[r?,gree and understand that the above described
banner(s) and/or portable sign(s) is not largen!hfl!!t6%i'fI1(JlA~ feet, and will be removed within 30 days
from the date listed above. If the banner(s)Lafl.q0,rdJ~*"[)Ae sig~ijiKn6't:iie;\.1'1qyf1?\'1it~iR the timeline
specitie~, I will forfeit the $ J 00.00 deposiJo,I/HJll:'%iB.c\itMJq~lt~!Hi.~~s~~Jx.<9i~1 p,Hw~can be issued
only tWIce petcalen~ar year per develop1P,KIJt ~!)ea.t~IJJPagreMo'\c.aJU;!)~lY1Nl'fft,on Ime at 726-3769
by the end c'f he 30t day. to ~iquest an 'nspe' tollefify'ltl1lDremoval of the lJanner(s) and/or portable
sign(s). Thi. 'nspe~on I' t~ '1jginle c to return the $100.00 deposit if the banner(s) and/or
portable sigt s).h.a~ xeen~mo (ed. .
Signature-~JNI\ "/IJ..',.I, D~tp If ]c),cj~
. ,/.. I
Date of Application b/ go
For Office Use
lob# C , -"- 'tbZ
Receipt #
/17
Issued By
..J--d
//5" -
.Amount Collected
. .f
Shared Drive (T:)lBuilding FonnsIBanncr_Portable Sign Permit CSO 7-08.doc
Status
Finaled ,.
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00962
ISSUED: 06/30/2009
APPLIED: 06/30/2009
EXPIRES: 12/30/2009
VALUE:
SITE ADDRESS: 3400 MAIN ST
ASSESSOR'S PARCEL NO.: 17023131023'00
Springfield TYPE OF WORK: Banner,
, PROJECT DESCRIPTION: REF:COD2009-00463 - portable sign
TYPE OF USE: New
Commercial
Owner: KDIRT LCC
Address: 3400 MAIN ST
SPRINGFIELD OR 97478
ATTEW I CO~TRACTOR INFORMATION.
. t~1 - I,u". vreg J
"[vw rut on aw requir
Contract\',5ati e~ adopted by the Ore es YOUlticense
OWNER)AR q~?nnne.n~e!. Those rule,< ~?~~_~!Iilty
v~~~i \'ou mal' 'BUILDiNG'-INFORMA-liI0N.I
mg the Ct/mer (N t -. ..," JUles by
nUmber f ,0 e: the t [
or the OrE#lof1Stor/ies: e ephone
Cente' ;,;J-. vu HII Nnt,.fi,.......t.
r IS l-Height.ol;Structure Ian
- ""v<"-C.vQ4j
Type of Heat: .
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Contractor Type
Sign
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Be(\rooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Availahle:
Special Instruction:
Notes:
DescriPtion
Type of Construction
n/a
I DEVELOPMENT INFORMATION 1
NOTICE:
. THIS PERM'T ~verlay D~st:
AUTHORIZED ~WnJt ~~<UF:THE WORK
COM lp..re'iifDrW~~/l~RMIT IS
MENCED l7J1oI'LdS9.ov~\J~f1'NOI
ANY 180 DAY PERioit IV tD FOR.
I PUBLIC IMPROVEMENTS 1
I Valuation Descri9tion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Pa2e I of 2
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKlNG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Value
Date Calculated
_-!~~~!,!~~~41"
~a,l, . .
"~
Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00962
ISSUED: 06/30/2009
APPLIED: 06/30/2009
EXPIRES: 12/30/2009
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fm P~id 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
2200900000000000737
2200900000000000737
. 2200900000000000737
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. will be made the following
work day.
I Re'1 u!~e.d I.~srections 1
By signatnre, 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
the Ordillan es of the City of Springfield and the Laws of the State of Oregon pertaining to. the work described herein, and
that NO OC UPANCY will he made of any structure without permission of the Community Services Division, Building Safety.
I further te ify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further g ee to ensure that all 'fquir d inspections are requested at the proper time, that each address is readable from the
s~reet, the. he pe~irJJ'S I c l.ed ~ont of the property, and the approved set of plans will remain on the site at all
times dun g constrm ton
,~~ ' u-7fJ.O?
Owner or~ontractors.Sit Iture . Date
Paee 2 of2
225 Fifth Strect
Springfield, Oregon 97477
541-726~3759 Phone
.,
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00962
COM2009-00962
COM2009-00962
Payments:
Type of Payment
Check
eReccintl
RECEIPT #:
2200900000000000737
Date: 06/30/2009
Description
+ 5% Technology Fee
***+ 10% Administrative Fee***
Banner Special Permit
Paid By
KNECHTS
Item Total:
Check Number Authorization
. Received By Batch Number Number How Received
djb
76794
In Person
Payment Total:
Page 1 of 1
2:20:3IPM
Amount Due
5,00
10,00
100.00
$115.00
Amount Paid
$115,00
$115.UU
6/30/2009