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Home My WebLink AboutPermit Signage 2009-6-25 ,j' ~::...~ ~( ~( e>) ... ,,,,=l~ ~J ..~ -.._J( tQl ~ ~ <:::) -. .,.::~ ~ ~ ~ ~. -. ,..........I~ ~ ~ etg:j j ~( ~( ~ ~ ..~ I) I. '. .'!~: ~. " -. ~ ~ ~. ~) -. ....-I~ ~ ~ ,'eo) ~ ~. ~ ~ ~ " A. ~) Ii -. ~( ~. -~ Ml . ~. ..' . c'rry' OF SI)RINGFlELD, OREGON . ' " . s~fu~ ~ ~, ~~,v ~~I lJ 225 Firm STREET. SFRlNGFIELD, OR 97477 . FH:(541)726-3753 . FAX: (541)726-3689 City Job Number C6W1 e:.oO r-OO <7 3b A.. cST; ~~~.ce.. q\4..1..4- . 8f:cD Tax Lot () Job Location "a ~""C"~ 17033SYZ Assessors Mi P . O,,!IIer . . Owner of Property < ~\~ Z. KD-YL Addr,... 34:14 5A210b Bl.J...li:::> i \ ~.... , ~ City Eu....b5.~e:... StatPO~ Zir C{('4-t\q . . ,,,ou to -rEAJJ>,l..Jl"r ':- ."' " ' . '-, w reql.!lres , \Jrrw Lv.... ..~ffl#ltistaller ',", . Tc\lT\Ott o,e90dflbay tM ore9.on t.tl \ rth . Q . ',""i'~ ", ....~.E.~Qr\op'e 'e'rLi\esareseooo" Contractor ~1211..~ ~"\-tc;;"'~IO~\= '_' ,nos . '0'001<;2- I Notitica.tIO" vo~.:OO~ 0 throU\J" ~i tM rules bY Addrp.. -:,., 0 ~14 ~'l..O!ST:'>2~~\I obtaincO~;e;h~ tPI18~~n3? 4{ q (4-.-14-11 OO:Ju.. '~\.M center. \"~'UtiIiW NOtlllCdUV . Ca~\~~r tor tM ~i~~~O~-23,44). lCip C(r477 ..~.. Genter's 't' U.A. .,U. ..' 'Ph~'~,. ~--+ \ <q(1-JIOCl2 City '~,h~ H ':::=J",h Construction Contractors License # Expire. ' ~~nt!I'i ~~ f4.::.~L..Mb.~ ft"&,~S~l-..:.,,-~~ ,3~..4.J 'a . I~~ . Date ofInstallation " l\?(j09 _ fie ofRemo~ <1/~1d'\ ("O~'/) "5'10 z. f'E(" ......h t Permit Fe~ncluding $100. Deposit a applicable fees. By signature, I state and ;gree that I have carefully completed this application aridh~reby certity that all infonnation herein is true and correct. I further agree and understand that the above described banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be remOV~Within 30 days from the date listed above. If the banner(s) andl~ prtable sign iS~~WOVl\a W~ the timeline specified, I will forfeit the $1 00.00 depositNDJi~li . !\'\'S5II\jl,\t!Jf ~iII\il~ an be issued only twice per calendar year per developmel11l\iila~ _ "&:~{lliRJ 'el!P~n line at 726-3769 by the end of the 30th day to request an insp~raftQg ffrG~\te~ 0 the banner(s) and/or portable sign(s). This inspection will begin the proC6$SlMwt '~<ptroo.'OO deposit if the banner(s) and/or portable si n(s) has been remov . fl,N'i 1 SO l · Dat#_. . Date of Application 61)/0 ~ ~~ . Far Office Use Job# c9-oC:,) ~.3b . f7 '. Receipt # 7 1f-Sc.jO~ 11 Issued By Amount Collectecl Shared Drive (T:)lBuilding Forms/Banne!" _Portable Sign Permit CSD 7-08.doc Status Iss u ed CITY Of ~l'Kll~lJI'IELD Building/Combination Permit PERMIT NO: COM2009-00936 ISSUED: 07/08/2009 APPLIED: 06/25/2009 EXPIRES: 09/24/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726.3769 Inspection Line SITE ADDRESS: 770 S A St ASSESSOR'S PARCEL NO.: Springfield TYPE OF WORK: Banner 1703354208600 t TTENTIO' N' Oregon law requires YOul~,," OF USE: New ~., .' . tv..r\ nrPI10.n dlif't: PROJECT DESCRlPTION: por\tW(Mi~mii;j~J~I,I<0.72~~';:~::?~~~r~aJ~tq~t~99. 2 permits consecutively. I\1.....tifif':::lt\on Center. T ._ r'\^D Qt;9.001~ Owner: KRYL PETER J in OAR 952-001-~~t~i~'~;~~~ of the rules by Address: 3474 SPRlNG BLVD 0090. You may t (Note: the telephone EUGENE OR 97405 calling the cen ~r.egon Utility Notification nHmber for the r _ _~ M" ""A"-\ Gem.el I~ 1-............ -- I CONTR;\CTOR INFORMA!JON I Commercial Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: NOTICE : ;;~hltt ~~~~~;~ IF THE WORK TI-\lS PERN\~ieF',~ '1HIS PERMIT IS NOT AUTHORIZR~n~ . .~BANDONED FOR COMMEN@.!']r~a Wo. . ANY 180 ~",~irfl{!f~li'l\}lIdmg: n/a I DEVELOPMENT INFORMATION I Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: SoJar Setbacks: Ovel"lay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDntins: Notes: I Valuation Descrh,ltion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of2 Sta tus Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00936 ISSUED: 07/08/2009 APPLIED: 06/25/2009 EXPIRES: 09/24/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541_726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pai1J Fee Des'cription ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $30.00 $10.00 $200.00 $100.00 7/8/09 7/8/09 7/8/09 7/8/09 1200900000000000787 1200900000000000787 1200900000000000787 1200900000000000787 Total Amount Paid $340.00 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" Reollired I nsnectinns I Banner Removal: To be requested the day following the expiration ofthe permit. If inspection is not requested, the applicant may forfiet the deposit. 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 accord~nce with the Ordinances of the City of Springt1eld and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will he made of any structure without permission of the Commnnity Services Division, Bnilding Safety. I further certi(y that only contractors and employees who are in compliance with ORS 701.005 will be nsed 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 s~reet, th~t the permit :..::. ~ at the front of the property, and the approved set of plans will remain on the site at all flUg constr ctIon. -.. ~ . ' , {~ "1 \~ tJ\ Owner or Contractors Sig'!ature Date Pa2e 2 of 2 225 FiftliStreet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00936 COM2009-00936 COM2009-00936 COM2009-00936 Payments: Type of Payment Check cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000787 Date: 07/08/2009 Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By OREGON TRAIL FOOD SERVICES Item Total: Check Number Authorization Received By Batch Number Number How Received 018 1999 In Person Payment Total: Page 1 of 1 II :35:59AM Amount Due 200.00 100.00 10.00 30.00 $340.00 Amount Paid $340.00 $340.00 7/8/2009