HomeMy WebLinkAboutPermit Signage 2009-7-27
, 225 FIm., STREET. SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FAX: (541)726.3689
~~
""""'l
~) City Job Number
oo~~
~}
OO~ Job Location
o. <_I, Assessors Ma!"
Q)
~J
~
~)
..~1
~
~
~
~.
......-r-Ji
~~
_l
~.
~.l
e~
-~
u
IJ
1. '.
o'~l
r~
-~
~
~ By signature, I state and agree that I have carefully completed this applicationiand hereby certify that
.-- ~ all information herein is true and correct. I further agree and understand that the' above described
g;;ll banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days
~:(j)J from the date listed above. Tfthe banner(s) and/or portable sign is not removed within the timeline
~ specified, I will forfeit the $100.00 deposit. T also understand that this special permit can be issued
only twice per calendar year per developmenAi,ea, I also agree to ~~V lfflBi\li~Vion line at 726.3769
. ~r. by the end of the 30th day to request anl-MJi~~et ~'t'g\'\\fY.\tlle'<Pelli t~\V~fIt~~ b\Oiher(s) and/or portable
.. ~ sign(s). This inspection will begin the IH(lfe~;Et% ~lThlt/Jt\$1\OlJ~ 8~~~he banner(s) and/or
'~, portable sign(s) h!\s been removed. /I.\Jl\-\OR~CEO OR IS /1.\31\\'-10
::...~ ~., '\ t; ':). _ _ --es~NlE /I.'i PERIOO.
~ Slgnatur" } /7/",' ~y '\BO 0
If)lj~ . ,>
~
I D," or App[;~"'"
~j Issued By
~l
,
,
et:F:CObZO;O'i'-OO.s. 3.~
,s~~
'..'.:~. '.; .. "-
\,il"".,"'.,' _'I "'-
\ CITY OF SPRINGFIELD, OREGON
LOW'\.ZOO '7-c>(ogJ
Lj (5b /ltIl At fIi s;l
J 70 Z- 5Z.3.~
Tax Lo'
O/I.{OD
OWfler
~wnerofPrope~;~~ rJi4-&f f;,/~tD{j}~)vL
,
Address' LJ? S ;:{I;- J.-L.U<i-....uJ r6C...cfJ
I
City 3rpo/
Phon"
/'c(?-5Z.05
Zir S; "2~ 77
Stat~j'
COfltractorlIflstaller
. Contractor Or.;) HElL
ATTENTION: Oregon law re9.u~pfioh~~}.?v
follow rules adopleu uy ,,'c v' V,",UH ~.....,
. Notification Center. Those rules are set for~h "
City . -' J"tate"n"nh OAR 952.01illp
mUAMtJOc.-VV1- t::,.....~ -, b '
, 0090. You may obtain copies of the rules y
Construction Contractors License # O~":M tho N>ntM. (Note: the telephO~!fpirf'<
_~:-":"'h.v Inr thp oreoon Utility NOWlcatlo
?...,('\..~!:,(~/- 5;~n~ is 1.800-332-;<;;44).
0V/O~
Addr"<<
Description
#ojor
$225.00 including $100.00 Deposit and applica~le fees.
Date of Installation
Date of Removal
Permit Fee:
1z0'
D~
For Office Use
';b#'C i -o/og3
Dat~
1;,
Ii
";/:;)] /?JC;
/
Receipt #
,
3>j L
Amount Collected
liS -
Shared Drive (T:)fBuilding ForrnslBanner]o'1Ub1e Sign Permit CSD 7-08:doc
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2009-01083
ISSUED: 07/27/2009
APPLIED: 07/27/2009
EXPIRES: 0112712010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4136, MAIN ST
'ASSESSOR'S PARCEL NO.: 1702323201400
Springfield TYPE OF WORK: Banner
PROJECT DESCRIPTION: Portable sign - REF: C0D2009-00533
TYPE OF VSE: New
Commercial'
_ '~1r\?\<.
I PIJUJ"J<t;IMPROVl;MIijIj:JlSrl:- W- NIl "I~ IS ~O\
" \\ i/ile Or:D ,\
I~V' "II ",,',. ul r\:.n ,(\Q.
I\-IIS I'EI'-"i:D \J~\)E!, 1 r'I\~\)O~~t9t\wall< Type: ,
JI,\JI\-IOI'-I7.CED 01'- IS 1\'0 DownspoutslOrains:
COWlNlEI'I "oEI'-IOD, ,
1\1'1'1 '\ '00 .D jI;, r -, '
Owner:
Address:
FRISENDAHL RONALD & MARIE F
475 RIVERVIEW BLVD
SPRINGFIELD OR 97477
I CONTRACTORINF~,RMATION ,.
Contractor Type
Sign
Contractor
OWNER
License
# of Vnits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BVILDlNG.JNFORMAl'I0N I
. 1 )~e\.\~'" _ t'ne U\~':::.l set \0\\.\1
, ,: 0" "\,#:Sf\S~ories:3S a~;9~"--00~'
; ~~.. -\ t\l'o:J"'" (\~l\ v '0\'
,1. C0I1WHeight,yf,StructureIU18S ,
'dOr, Q~:\\I~\I.\'--_D\\\\C; ne
" :," . 5,,-,00 ~ - !XRIi !:'htIea,t: t818\'\\0,
\" 0,"\\ \J f(\a'1 OWater~r,ype:\\8 "ot\l\ca\\OI\
, 0 "(o\.\ ....'~'C. \\ 'H;\\\'j \~
009 ',' t\\8 C8' RangecType: ,,"44).
0\1',"9 he 'll~"', 0"9-,-"
C<. ' I 101 t'''~ne\q~XJIPath:
I1Uf(\b8 C01\t8lSjirinkled Building n/a
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation DescdDtiori ~
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Paee I of 2
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft i'nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
, Compact:
Value
Date Calculated '
Status
Finaled
U I t OF SPRINGFmLlJ
Building/Combination Permit
PERMIT NO: COM2009-01083
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
Total Value of Project
Fees Paid ~
$10,00
$5.00
$100.00
7/27/09
7/27/09
7/27/09
Receipt Number
3200900000000000552
3200900000000000552
3200900000000000552
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Bimner Special Permit
Amount Paid
Date Paid
Total Amount Paid
$115.00
Plan Reviews I'
To Request an inspection call the 24 hour recording at 726-3769. All inspections .;equested 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 Reol' ired h ~necfoos -
.111_...".11..,....
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 1 further certify 'that any and all work performed shali be done in accordance with
the Ordinances ofthe City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made.of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is reaaable 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
times during construction.
(lD(l~_ f2" ::\~~J 7~2 7~~Cf
, ~.. - ,
Owner or Contractors Signature . Date
Page 20f 2
225 Fifth Str,eet
SpringfiCld, Oregon 97477
541-726-3759 Phone
...."..~~~I~Q~,~I,.,~~....,' ,..,'........
" 4 . .
1 A, '-
~' .
, ',' 'A!;.' ,
~,-"
___~",~..0,....C,,-;,,_..
City of Springfield Official Receipt
, Developme,nt Services Department
Public Works Department
Job/Journal Number
COM2009-0 I 083
COM2009-0 1 083
COM2009-0 I 083
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
3200900000000000552
Date: 07/27/2009
Description
Banner Special Pemit
+ '5% Technology Fee
***+ 10% Administrative Fee***
Paid By
STEWARDS FAMILY
'AUTOMOTIVE INC
Item Total:
Check Number Authorization
Received By Batch Number Number How'Received
djb 1040 In Person
Payment Total:
Page 1 of 1
2:08:03PM
Amount Due
100,00
5,00
10,00
$115.00
Amount Paid
$] ]5,00
$115.00
7/27/2009