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Home My WebLink AboutPermit Signage 2009-8-28 ; F--e1:;; Co ~ ZO~J'AlNQI~~b .t~ ~~~~~~ ~: )2-7 Z eJ City Job Number CoWl ZOCJ "J - 0 ::~ Job Location =:"'kJ ~~ QJ-, " ~;. AsSesSOIS M~r J 7 0 3> 'Z 'Z- Z- CJ UljJi;'"l!r. r:t'lJ ~) . 01 ..~ Addr€'<< ~~ ~___Cit... ~ - .. .;"r :(2iJj,~fiM;;r.(i "'{III1~;" .'~...." .: -.:,.; ,. ~. t___~j ...~~ ~J ~ el ~ VI _~7 IJ l~_~ ."'~l ~J ~1 ~~ ~ ~:A, ~j ~j ...~t ~I -~ ~~i \;)Jj ~-' ~~ e:?) I{:!''''i ---- ~; ~) ~ ~ ~.::~ . ~ ~l ~~c>(ci / Of2. Q7477 Tax Lot az ~O-O ....,/ :,-'~"...:' .,,,-.'- '":,,, ","-. Owner of Property /itA:J-CXL ~t;F- OE 9D7 S- I "?12..A\r. ~~.l ~G-C-Ne Phon.. cfL. Zir 5'7,-(OZ State Contractm 6&~eT\ :J Addr~<< Phor.. City State Zip Construction Contractors License # Expir~< - . 7A-IVNbL;;~~Ie"" 51}...... . r/~ ~ DateofRemov~l r-r? Ptl'lllit Fee: S225.00 including S100.00 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 W1derstand 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 3<f' day to request an inspection to verifY the removal of the banner(s) and/or portable sign(s). This inspection will begin the process to return the $100.00 deposit if the banner{s) and/or portable sign(s) has ,been removed. 21 ('\I" . ~ignatuF '~~\,A 0-DfGi\ , . ()L/'-o~- d% .t{)i.~?fJi(:et;.fe:. ~: ' D"" or Appli,,"~ ':~:';;j.,; 'ob' C 7: (i 72 ' Rereip" ?>~ Description Date of Installatior Oat" .~y!7 Issued By (rs- AmOWlt Collected g Shared Drive (T:)!Building FonnslBanner]ortable Sign PerrnitCSD 7-OKdoc Status . Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01272 ISSUED: 08/28/2009 APPLIED: 08/28/2009 EXPIRES: 02/28/2010 VALUE: SITE ADDRESS: 3260 GA TEW A Y ST ASSESSOR'S PARCEL NO.: 1703222002300 Springfield TYPE'OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner/portable sign. REF:COD2009-00563 Commercial Owner: Address: DEFOE RONALD MAJOR 90751 PRAIRIE RD EUGENE OR 97402 I ,CONTRACTOR INFORMA TIONI Contractor Type Sign Contractor OWNER License Expiration Date Phone . BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occ,upancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure. Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: . Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I. Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I yaluation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of 2 Status Finaled CITY OF SPRIr~lJt< H.LD Building/Combination Permit PERMIT NO: COM2009-01272 ISSUED: 08/28/2009 APPLIED: 08/28/2009 EXPIRES: 02/28/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Tota! Value of Project . I Fees P~i~ I Fee Description ***+ 100/Q Administrative Fee*** + 5% Technology Fee . Banner Special Permit Amount Paid Date Paid Receipt Number $10.00 $5.00 $100.00 8/28/09 8/28/09 8/28/09 1200900000000001009 1200900000000001009 1200900000000001009 Total Amount Paid $115.00 I 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 workingday, inspections requested after 7:00 a.m. will be made the following work day. Re,"uired I~snections I 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 done 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 OCCU~ANCY will be made of any structure without permission of the Community Services Division, BuildingSafeiy. 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 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. rx~~ ~ Owner or ContrActors Signature V o~ ~.26- 2vd} / Date Page 2 of 2 225 Fifth Street SpringfietU, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department PuhlicW orks Department .Job/Journal Number COM2009-0 1272 COM2009-0 1272 COM2009-0t272 Payments: Type of Payment Cash Change Job/Journal Number COM2009-0t272 COM2009-0 1272 COM2009-01272 Payments: Type of Payment Cash Change cReceint 1 RECEIPT #: Date: 08/28/2009 1200900000000001009 Description Banner Special Pennit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By BUFFET CITY BUFFETCtTY Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person djb In Person Payment Total: Description Banner Special Penn it + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By BUFFET CITY BUFFET CITY Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person d j b In Person Payment Total: Page I of I 2:04:05PM Amount Due 100.00 5.00 10.00 $115.00 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 8/28/2009