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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