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Home My WebLink AboutPermit Signage 2009-8-13 225 FlITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ .' "'0 <700 '1_0 117b g City Joh Numhe' L-' ~ c.... ::~~ Job Location Cloo 'br-J-l-ll'n-eVOo..ol ..~ Assessors Mer /70 S 1530 Q ..1 > ~ citY'~V"\~~~ld r.t;I)!)J r:~i':f;:F;";'lh'Z'0tzr#w;;r;: ,~~?J:~~t.t~cjO!: ~s a ~ ~a;;f;~iiL:;.;,~*;;;.,~,1....,;W!J..if4S'8 '0:: i;' contract"~ ~ .~ i ~ .~ Ij I, '. ...~ e: ~ 14 ~ ~ , ~ ~ ~ ..~ r.t;I)!)J ~ ~ ~ -e .@; ~jj ~ . ~ ~ ~ M . SPRINGFIELD I -, Tax Lot O/ex:::) a Owner of Property Slr\ruu D Addrf'oo CI DO ~-H'\Vv, r d Phomf54l)' 14--\- C004Lf Z. 1. C1-r4-I~ 1[. State 0 If ll11W1l1~ . . , -.....\ - ./. . 'Iou to r-,.' -c-..,," J IN requIreS "'\'It)' r;:;,,/ /14/ I ~ .1. I Address -,OD "PLJl::n lllU Y-o.~". nreQO\'1 \a .~_ nreC10\'1 lBhoPf' VA" -' I' - U!O-r-Y p<11t.1'" ,'J' doptea uy ... IpS are S~, 'v' 1 . <::::.._ - (.\ J J \ \\OW ruleS a ter 1\1Ose rUIfi_,p.,\'\ 952-00 - :/J--fII-r1 City~J\("\V\q-\-t....n 0 .......;""Ce\'1 :.n\State,'&Y':.~_nl\es\l'i ZiP:.:t1:r I ( .' IWo'j;p, 952-001-~~t~\'1 capie~",u~ t~\ep\1O\'1e 1\'1 vou ma'i 'No'e. t" t"'catIO\'1 Construction Contractors License(#JO.' . - ..nn\er. \ " ..oj"" No \II _ Ex~irpo ca\\\\'19 '~',o_ ;hP orego" :';;;_?C\44). , .. .....Y'\~I ,..... . 1-tj.uv.....- +\...'^^ ,. ./1'1\..~-.r'p"ter IS . Description - -- -j ~./ \2>t'.i.';lI'.AA. d ^ Date of Installat;nn 6. I 4- - D 9 Date of Removal g .. ( Lf - DC, Permit Fee: $225.00 including $100.00 Deposit and applicable fees. By signature, I state and agree that I have carefully completed this application and hereby certify that all information herein is true and correct. I further agree and understand that the above described banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be r~moved within 30 days from the date listed above. If the banner(s) and/or portable sign is not removed!within the tim~ine specifie~ I will forfeit the $100.00 deposit. I also understand that this spe~ial pen:mt ~~{l~P~.jled only twJ.ce per calendar year per development area. I also agree to call the lnsE~lNilp1f~'f1.2()-3769 by the end of the 30th day to request an inspection to verify the removal ~i\!~:b.,all\l-li.f(SJ'an~r portable sign(s). This inspection will begin the process to re~~~o~~~, aet~~~ir\Jn~~li!fUf~(~) and/or portabl~4s been removed. ,\\\0 'i't.~\1.t.\) '0\ \0 \>-'01>' . . ( c::::' . /1 - () l'-'0'\$)'i' \\c,t.$ () t.?-'$)$' a C; Slgnatui~. .. +L a. ~_ _!,,,~\-l\t:: nt\.<j'i' DatI' 2:5 ~Jg...O'1 1'\ vv \) V' i0cv::EJ I Date of Applicatinn it . ~ecelpt # :z. Z 5.~ Job # Issued By ^~ Amount Collected Shared Drive (T:}lBuilding Fonns/Banner ]ohable Sign Permit eSD 7-08.doc ~~~~~,~9~,'3t!iP..l,;" ~] 't:~';, ,<- ." " . Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54] -726-3676 Fax 54]-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/C9mbination Permit PERMIT NO: COM2009-01176 ISSUED: 08/13/2009 APPLIED: 08/13/2009 EXPIRES: 09/14/2009 VALUE: SITE ADDRESS: 900 BELTL]NE RD ASSESSOR'S PARCEL NO.: ]703]53001000 Springfield TYPE OF WORK: Banrier PROJECT DESCR]PTION: Banner - 081409 removal date 091409 TYPE OF USE: New Commercial Owner: MARIK PROPERTIES LLC Address: 4150 SW DOSCH RD PORTLAND OR 97239 Contractor Type Sign Contractor OWNER I CONTRACTOR ]NFORMATlON I License BUILDING ]NFORMA TION I # of Stories: . s you to ATTENTION: OrHei/lhlf1ifSll!(.~I\fren Utility d .:0\ h' '_~he ure!Ju follow rules a 01'~h~~~1~\~s are set forth Notification centwaler-TYl'e: OAR 952.001- in OAR 952-001-lillI~11T~~~~ of the rules by Y c!ole I C'.OIl''' 0090. you ma Ene ~I P,'a';hii1e telephone calling the cers~~inJgK~\\i1fil)glifiCatiOn n/a .._"M !", the.ore9....__"';:,:: '.\. j4Jf:VEr;oHi.." f 'J,,'0RMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Set hack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction . Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Fi Ii,asement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC ]MPROVEMENTS I ' NU11l;1;" '. . THIS PERM1T SHAll EXPlR~'W'Tl-\tWOO~ AUTHORIZED UNDER THIS P~~M~lttsOO~ins: . COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I, Valuation DescriDtion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Page lof 2 Value Date Calculated CITY VI' ~rKll""t..l'l.l!.LD Building/Combination Permit Status Iss u ed PERMIT NO: COM2009-01176 ISSUED: 08/13/2009 , APPLIED: 08/13/2009 EXPIRES: 09/14/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fe.e~ Paicl , . Fee Description ***+ 10%) Administrative Fee*** + 5% Technology Fee Banner Special Permit . Deposit Amount Paid Date Paid Receipt Numher $20.00 $5.00 $100.00 $100.00 8/13/09 8/13/09 8/13/09 8/13/09 , 2200900000000000917 2200900000000000917 2200900000000000917 2200900000000000917 Total Amount Paid $225.00 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 I; work day. I. Reouirecl J nsnections I Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may forfiet the deposit. /' By signature, I state and agree, that 1 havecarefully examined the completed application and do h~rehy 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 Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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 he used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each a~dress 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 times during construction: (:~~X-y-/~ Owner or Contractors Signature "---f}llfl JJ)~ () f2; Evu q Date Page 2 of 2 . 225 Fifth Street 'j". ,,'a Springfiel<!,...oregon 97477 541-726"3759 Phone . ". "'!!"."'F,c,I,....l))~,.,~1II i!li '... I]i; ". c ~Ij ~,.,"'> :: City Of Springfield Official Receipt . Development Services Department Public Works Department Job/Journal Number COM2009-01176 COM2009-01176 COM2009-01176 COM2009-01176 Payments: Type of Payment Cash cReceintl RECEIPT #: Date: 08/1.3/2009 2200900000000000917 Description Banner Special Pennit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By SHAR1S Item Total: Check Number Authorization Batch Number Number How Received " Received By djb In Person Paym~nt Total: . Page I of I, 11 :59:48AM Amount Due 100.00 100.00 5.00 20.00 $225.UU Amount Paid $225.00 $225.UU 8113/2009