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HomeMy WebLinkAboutPermit Signage 2009-8-24 . SPAINGI"IELD . . If;;,q"'"':';~Ii\ll~#.\i'~t~~.r,~tJNt\ffi\,;:r,,,mj#rM.~~~~,,~,,j";'~:::~ ~~ '"'' ~~i',' ~::t_, :;t ',l:-:~.tfll~':ll;c;*~-J!'!r~~~~;~~':~~~~~::.~h"'.'J;'., ''-;';k~~l~f[{~ ' r;;,~ ';;~~~IT'~ ~p~~~~~: ;~ 9;~;~: p~~Z;: :;;~~:3~~~ c'~~:;. ;~ 1)~~6':~~~; ~ ~ '~ ~l. CO.~Ad---D i-Of z.3 b 2cP (01 Zoo ,.eDb1b Q ~~-~ _.~ , ::i Job Location ,S-'i(~ \ 1"I'\u,\ ~ ~~. SOQ{L\ o<L <i \l\~ -~ ' , ....".,,' Assessors Map_I 7 D Z- s'-( J :3 ~\ ~'6~i'i.itf;::?;!;'\,.'i~:';;&:,":"_,:'_'<~~_:;~:::-"-- ~ Owner of pmp~rty ~p ,X ~ yy"\(I,j ..~ Address'\~SU\) ~lW, &h<~ eJ 16\..J.Q \,~" ~ Q- ~ Crty~W\ State.1'JIL ~ ", 'f~{jt~:ijti'-f(!I~i:illil~!1;:;'i;,~~??~;%'f:;::;',i;;'::~ ..~' '~~~;~t~T-(l\.t)CQ7'-"" ' ~ ~~~.::.' .---1 ;.-- ~ e~l ...- ~ .,,' I (Q; ~..)) . Ij t,...~ ..~~ '~I ~J -; ~I ~) te.:"11 eo"J ~* /z2)i)j ....~l ~ ~! .,__.f, . ..~ ,,~, ~ ;;""', ~ IC'~Ai ---- ;;",;; ~) ~: ~{ =; ~~-lo ~ .. '. Tax Lo! ()6/6 ( Ph~T P \'SG:\~'l()b- \~t\ zir~~(fb~ Phor p AlltNTION: Oregon law re - follow rules adopted b h gwres you tp . \. .... v t AStatefnn I Itili.,! :'''"IIC;1iLlOn Genter. Those rules ' , In OAR 952-001-0010 thr are set forth Construction ContTactotllJlJ,i\;ew!\l~na' . . ough OAR 952-001. . ...."."i....,......... _ 1 V:UtCl.111 Gopres at the rule~ h\l . -5 t~~ vo",e,. \,"ute: lne telephone' , Description~(AJ/lR'lY'R~e Oreoon litilif" hl~""^_,,-_ . . . Genter is 1-800-332-2344). --."~,, .. .. Date ofInstallatio$\ H<\Cf1 . Date ofRemovalItlJ.Lltd l.L..\n Addrp<< City , Zip Expirp< I,:.{'I ~ il\:lcry Permit Fee: S225.00 including SIOO.OO 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 permit 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 inspection to verify the removal of the bariner(s) and/or portable sign(s). This inspection will begin the process to return the $100_00 deposit ifthebanner(s) and/or portable si~(pl1has been :eired 01'\1<. Si_'- '~!(Jl~l Vd~01\C~" ".,' ,"M l ""~i~~::.tt~01 Jldf/c/7 :,;,:;~;~::. 'ie~/b /~*i!I~~~i;.~~?;~~;.' ," ~g'i 1\\,-\1 \u Amount Collected Issued By ~~ II ~ -- Shared DriVe (T:)/Building FOITllllIBanner ]ortable Sign Permit CSD 7-08 doc ~~"~,~~g,~,~,!!i~,t,,,, .~. ~,~ ' , ',," !jt' I:. Status Finaled ClTYOF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01236 ISSUED: 08/24/2009 APPLIED: 08/2412009 EXPIRES: 02/24/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5851 MAIN ST ASSESSOR'S PARCEL NO.: 1702343300101 Springfield TYPE OF WORK: Banner TYPE OF USE: . New Commercial PROJECT DESCRIPTION: Banner. ref:cod2009-00616 Owner: ZOY A PROPERTIES 1NC Address: 16500 NW BETHANY CRT STE 150 BEA VERTON OR 97006 I CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: .- --- . ,-" .,~,- ,.----~ ,....... ..,.--,,---,, 'Ire::) yuu lU I 'BUlLDINGINFORMATION'llgon Utility [',!::. '.i~, C~nter. Tho'se rules are set forth . in O",~ ~~j~!W~~iJ01 0 through OAR 952.001Lot S,ze: DOS:!. H,~~h.\;'i.~SjE~&fH':j'.Jpies of the rules b~q Ft 1st Floor: caili!)'p~.,~f .!!~~.h (Note: the telephone Sq Ft 2nd Floor: num}X.~t~[rT;yp-e;)regon Utility NotificationSq Ft Basement: Ra'.!g~.1T'YP~11-800-332-2344). Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: I DEVELOPMENT INFORMATION I . REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvemeuts: Storm Sewer Available: Special Instruction: t...... ...... I PUBLIC IMPROV_E_~N,TS'IIALL EXPIRE IF THE.WORK A'UTH'O'RIZED UNDE~rdeWaikEf!~n IS NOT COMMENCED OR IS &~~~gPu~s~Br~R,~:' ANY 1 SO DAY PERIOD. Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 Status Finaled CITY, OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01236 ISSUED: 08/24/2009 APPLIED: 08/24/2009 EXPIRES: 02/24/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F~es, Paid I Fee Description ***+ 100/0 Administrative Fee*** + 5% Techuology Fee Banner Special Permit Amount Paid Date Paid Receipt Number $10.00 $5.00 $100.00 8/24/09 8/24/09 8/24109 1200900000000000968 1200900000000000968 1200900000000000968 Total Amount Paid $115.00 Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections ni,quested 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 Reollire~ Tns,ve~tions I By signature, I state and agree, that I bave 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 done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe work described berein, 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 wil!"be used on this project. I further agree to ensure that 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. (\1 /'U7UJI1 J/,~ 2!JJJ / ()y Owner-or Contra~rs signfture Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1236 COM2009-01236 COM2009-0 1236 Payments: Type of Payment Cash Change Job/Journal Number COM2009-01236 COM2009-01236 COM2009-01236 Payments: Type of Payment Cash Change cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000968 Date: 08/24/2009 Description Banner Special Permit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By MT HOOD RESTAURANTS MT HOOD RESTAURANTS Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person djb In Person Payment Total: Description Banner Special Permit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By MT HOOD RESTAURANTS MT HOOD RESTAURANTS Item Total: <':heck Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: Page I of I II :22:52AM . Amount Due 100.00 5.00 10.00 $115.UU Amount Paid $120,00 ($5,00) $115.00 Amount Due 100.00 5,00 10.00 $115.00 Amount Paid $120,00 ($5,00) $115.00 8/24/2009