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Home My WebLink AboutPermit Signage 2009-7-27 El: ~) -. .-....::j~ , ~l ..~ -. .-.,....-J. Ql ~-l ~ ~) ..~ ~~ ~ ~ ~> -. . r--J~ ~~ -~ ,:;;;l ~~~ ~~ ~~ ~~ ~l -. e2l U I! I, '. "i: ,-l -~ ~ rr~l~ . ~, ~j ~;(i)) ..~( ~ ~ ~ ..fQ) ~ ~~ e; , f'\ Ij ---:-..: ~l ~ I~: ~~ ~J Ml ,?[r~ co Q ZO 09, <90 'I )-0 , SPRINGFIELD. ~ CITY OF SPRINGFIELD, OREGON 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)72G-3753 . FAX: (541)72G-3G89 City Job Number CO"vl LO c:::, '7 - 0 (0 /5 2- Job Location \ () rl- \.-\ \\' Ptf \ 0..) Q. J . j70SZ-Z00 Tax Lo' 17'1r} 0230S- Assessors Mop Owner }jfr;<V.,--.-. C\ j)~ ~l~:-jl 50")- t-:p; ~ 010 ( Zir tff?1) i Owner of Property Address25'D City Q(~\\~\ N.W. q0t 'wO' Phonp State_7)(Z Contractor/Installer' , \jQuto r\~~le~~~~~nU~~\j . Ole\ojV' t\'le v' - - e\ IV' \\'1 "t-l-(\Ot-l, ted p\j les ale 5 oo~' 1>-\\ "', ."le5 adO?.... 1\'10se l~" nl>-R 952'00 \1\1 Phorp \OIlU:", nG""'-' O\\'IlU".'" \t\'le,vl- t-lo\illcatIO -OO~ _OO~, coples,o te\ep\'lone City A^? 952 _'I (\\)\aIH_.__.o' tSf~\fGliI\r.a\IOH , "0'090. 'IoU 'Wcentel. \"~'Utilit\j 44) \\'nQ t\'le 0le90 '32-2'3 . Construction Contractors L'iCel1~~~ol t\'le '\ ",,0''3 numb' ,...o(\\.et \';:) ~0rLtA-"5~ 'S,IG-t/ Descriptior --- "'Iyo (' Date of Removal Contractor Ak '-..-/ Addres< ZilJ Expirp< D0f7;~ 7- ( 7 ~ Date of Installation 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 information 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, andWiil-be!' ved within 30 days from the date listed above, If the banner(s) andlor portabl,~ sign'''is n~r<\ifi'O~ ~hin the timeline specified, I will forfeit the $100,00 deposit. I al~o underst~ctt/Jfl't1t~i ;ill'i> rmit can be issued only twice per calendar year per devel~~ll;t\cJi.ea \~ ~ ~~'ii i\i ction line at 726-3769 by the end of the 30th day to request an IRW5c'f'icl't\ll~\)~\t9 e~~N;O\V\d 0 the banner(s) and/or portable sign(s), This 'nspection will begin the I~' fl~(t8.~c: '$>t;&,OO deposit if the banner(s) and/or portable sign(s has been removed. \-lI\-lIt.~ t.~\I). - :' C '\ '0 -.n "/ Signatur" ~ Datp' -4 - fJ:- r '/:7j (_ ' \ '~L For Office Use . D"'OfAP;~' -rre 1 lOb: C? ^ O(OU R:"i~# ~ 8(/) Issued By 115-- Amount ColleCted Shared Drive (T:)lBuilding Formsmanner]ort.able Sign PCl!TIit eso 7-08.doc " , Status Finaled CITY OF SPRINLil'lELtJ ' Building/Combination Permit PERMIT NO: COM2009-01082 ISSUED: 07/27/2009 APPLIED: 07/27/2009 EXPIRES: 01127/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1024.HARLOW RD ASSESSOR'S PARCEL NO.: 1703220002305 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Portable sign - ref:COD2009-00450 Owner: CIRCUIT CITY STORES WEST COAST INC Address: PO BOX 617905 CHICAGO IL 60661 I CONTRACTOR INFORMATION I , 'aW requireS ~VU'iit~ Contractor,l: r'rRfjOnb,-, tne oregon Utj' rtn License , I p' ed 1 re set 0 OWNER '; '3.,-u ' -rk,,~e rules a _ ~"~.n()~- \....t;\I',..... -..... , ,......... - .. , , ' ',;,,:;,_DoHI)'BUlVDING,INEOR"t)\'TION I \i,U.'\{";,;'" r\IOOlCl\lIV~\- .t""ete\eptlU':.... , you ma, ""n'P 1\ 'j' , tlon # of Units: 00\>,':",,( tt1e center. \~!?IJSSRr~e".:Jtl Ica Primary Occupancy Group: callI' ,9r jor tt1e 0' egHeiJ!hl>ofJ>tj;~cture mbe ' ~ 8"u'''~u - Secondary Occupancy Gmup: nu center IS . Type of Heat: Primary Construction Type Water Type: Secondary Construction Type: Range Type: # of Bedrooms: Energy Path: Sprinkled Building: Contractor Type Sign Expiration Date Phone Lot Size: Sq Ft 1st Floo,r: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMA TION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: ' Paved Drive Rqd: '""ir\t \NO?\<. NOi\Ct.: % of ~M,\~~\1g~,t w: ~I\ IS t-IO\ it\I~, ~E~.~~~ ~\M\)E~ :~~~!;~~I'G rO? , f'.\JI,ptjw,j!>~MeR>m(EMENTS II , eU' I' · \ Ii - [", ' I "" Df'.'i r'c"'v- M-l'/ '\80 Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk -Type: DownspoutslDnlins: Notes: I V aluation De~c~iDtion I Description Tvpe of Construction $,Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I 01'2 -~~~~:gp~~~~,st" !~ . ' CITY OF SPRINGFIELD Building/Combination Permit ,< Status Finaled PERMIT NO: COM2009-01082 ISSUED: 07/2712009 APPLIED: 07/27/2009 EXPIRES: 0112712010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fe~s Paid.l Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Amount Paid Date Paid Receipt Number $10,00 $5,00 $100.00 7/27/09 7/27/09 7/27/09 1200900000000000845 1200900000000000845 1200900000000000845 Total Amount Paid $115,00 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. will be made the following work day. ~.~\l'J,ire~, Ins~ectio,~s , 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 aud all work performed shall be done in accordauce with " the Ordinances of the City of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described berein, and ' that NO OCCUPANCY will be made of auy structure without permission of the Community Services Division, Building Safety, I further certify that only coutractors and employees 'who are in compliance with ORS 701.005 wi!'1 be used on this project. I further agree to ensure that all required iuspections 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 timesd ringCOnstr~ctiou, ()~~ Cf- ~fJ: ~c)1 '-' ' ontractors Signature Date Page 2 of 2 City of Springfield Official Receipt Development Services Department Public Works Department 225 I<;ifth ,Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 I 082 COM2009-0 I 082 COM2009-0 1 082 Payments: Type of Payment CreditCard cReceiot I RECEIPT #: Date: 07/27/2009 1:46:52PM 1200900000000000845 Description Banner Special Pennit + 5% Technology Fee ***+ 10% Administrative Fee*** ~mount Due 100,00 5.00 1 0.00. $]] 5.00 Paid By JASON DEPUE Item Total: <"':heck Nlfmber Authorization Received By Batch Number Number How,Received Amount Paid djb 027461 In Person Payment Total: $115,00 $]] 5.00 , Page 1 of 1 7/27/2009