HomeMy WebLinkAboutPermit Signage 2009-8-24
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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<.
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Amount Collected
Issued By
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Shared DriVe (T:)/Building FOITllllIBanner ]ortable Sign Permit CSD 7-08 doc
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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