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HomeMy WebLinkAboutPermit Signage 2009-6-30 ~: ..~ c:tilJ ..~ ..~~ Ql c:tilJ ~ (::J) ..~~ ~ ~ ~ ~, -"" 'r-1~ g:. .;..+4 ~' ~5 _4 ~4 ~4 _4 ~ U 'J l~ "~~l ,. -4 ~ rr'I4 glj ~:(i)) ..~~ ~ .~t ..JQ.!~ ~ . ; l""':' 4 ~ ~4 i~~ ~; ~ M ]2.f:F.'co.1zoo 1- 00'-l6J . SPRINGFIELD. ~^ '. ,_..~ ./'-...'c .' ~ ~... I -'~~'L':-~ . '-' ....,...,. ::\~'\"':.y ~ ""... .,.. "::F:<{A):'::::';:;~:",:,,_,, "1 """ / 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 <;,.J 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