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Home My WebLink AboutPermit Signage 2009-8-19 ZZ5 Firm STREET. SPRINGFIEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 a City Job Number &. c; - /)c; 9 --~ .. ~; Job Location ~ e.~; Assessors Mar' Q ~ ..~ t: ~ Cit:' ~PKlNcFIE:L-f' ~ ~. ~ -. ''--~ .Sj ~ ,~ II l,~ e.~ ~ r" 14 ~j ~ ..~ ~ ,~ 1 ~ ~ i ~ m ,\ €ITY OF SPKrNGFIELD, OREGON I Q.,() '1 () k:,J M P \ (. \f)b3'2.~~\ STJL€tS"T ,Tax Lot rn\CO ne O~~~~fProperty l< 1 C\-tl-l-f? f' &cJ:::E'::n.. Address I e:,o 1 0 L't yY\ p \ r :<. \T7 F:' F::t 72..1a - /2.00 pbnnp State DIL- Zir Cj l<-l--17 Contractor SELi=- Adc1~po< Phol'P City , State Zip Construction Contractors License # Expirp", , Description RA-I--!~ e; f2-- Date of Installatior e, / '2.. t.j I D9 Date ofRemov~l "1.( 2,:2.../0'1 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 removed within 30 days from the date listed above. If the banner(s) and/or portable sign is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that this special pemlit can be issued only twice per calendar year per development area. I also agree to call the inspection line at 726-3769 by the end of the 30th day to request an ipspection to verify the removal of the banner(s) and/or portable sign(s), This inspection 'II begin the process to return the $100,00 deposit if the banner(s) and/or portable sign(s) has en moved. ~ V ' Signatl'TP /~~ Datp 8 -/9-09 Date of APPlication#1/ 0 7 Issued By G:0;-C...-' Job# e<l' /20 '7 Receipt # ;)-2..S ~. Amount Collected Shared Drive (T:YBuilding FonnsIBanDcr]ortable Sign Permit eso 7-08.doc -~!,,~,'~~,~!.!!~~p,,~t;"> ~r' .7,,_" "'1" Status Issued CITY OF SPKll-"vI<IELD Building/Combination Permit PERMIT NO: COM2009-01209 ISSUED: 08/1912009 APPLIED: 08/1912009 EXPIRES: 02/1912010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1807 OLYMPIC ST ASSESSOR'S PARCEL NO,: 1703253107100 Springfield TYPE OF WORK: Sign TYPE OF USE: Commercial PROJECT-DESCRIPTION: Banner. removal date Sept 19 2009 Owner: BECKER RICHARD A & LINDA K Address: 3200 W 11 TH AVE EUGENE OR 97402 Contractor Type Contractor I CONTRACTOR INFORMATION I ATTENTION: Oregon la\" r;lqu/res YOL' to, . follow rules adopted by l~JC$fIJ;on U.\'t,f,PtratlOn Date ,Phone Notification Center. Those rules are set forth I;' BuiLDING~INF-ORMA TION fAR 952,001- ____. ,__ ..._., __,c.... __,_,n _fthe rules by , ca/#Hn"f S'he ::;enter. (Note: the telephoneL S' Jl tones: 0 Ut'l't N t'f' t' ot lZe: nU'lIJp.r liOl f'if reqon I I Y 0 I lea 10lS F I FI e'tM,,,,, %U~~~t,eJ'332-2344). q t st oor: Type of Heat: ' Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: # of Units: Primary Occupan'cy Group: Secondary Occupancy Group: . Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: ' Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT I~FORMATION , NOTICE: THIS PERM~VUiI~);L~i~;(PIRE IF THE WORK- AUTHORIZE~)S8'I~e\E!t\'er~-I~(I~:ERMIT IS NOT , COMMENdJavl~'tl~~'~4'hRqd!JQNED FOR , o/.! onot cov~Wge, ANY 180 DAY PERIOD, REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Val~ation DescriDtion I Description Tvpe of Construction $ Per Sq Ft or mnltiplier' Square Footage or Bid Amount Value Date Calculated Paee 1 of2 Status Issued CITY OF St'Kll~GFIELD Building/Combination Permit PERMIT NO: COM2009-01209 ISSUED: 08/19/2009 APPLIED: 08/19/2009 EXPIRES: 02/19/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726"3769 Inspection Line Total Value of Project Fee~ Paid I Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $20,00 $5,00 $100,00 $100,00 8/19/09 8/19/09 8/19/09 8/19/09 3200900000000000594 3200900000000000594 3200900000000000594 3200900000000000594 Total Amount Paid $225,00 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. I Refl'lired I nsne~tions 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 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 dO,ne in accordance with the Ordinances of the City of Springfield 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 tbat all required'inspections 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 times during construction. ~~;z-/2{J,' - Owner or Contractors Signa~ure 'fr-/4~D7 Date Paee 2 01'2 225 Fifth S(reet Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3200900000000000594 Date: 08/19/2009 1:42:28PM Job/Journal Number COM2009-0 1209 COM2009-0 1209 COM2009-0 1209 COM2009-0 1209 Description Banner Special Pennit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By HLE IN THE WALL BBQ Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due. 100,00 100,00 5,00 20,00 $225,UU Payments: Type of Payment Check Amount Paid cjc 2195 In Person Payment Total: $225,00 $225.UU cReceintl Page I of I 811 9/2009