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Home My WebLink AboutPermit Signage 2009-8-31 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 4205 MAIN ST ASSESSOR'S PARCEL NO,: 1702323201900 CITY OF SPRIN\.Jl'lJ!.LD Building/Combination Permit PERMIT NO: COM2009-01279 ISSUED: 08/31/2009 APPLIED: 08/31/2009 EXPIRES: 10/01/2009 VALUE: Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner - install 090109 removal date 100109 Owner: . PFEIFER VIRGINIA E TE Address: 1810 15TH ST SPRINGFIELD OR 97477 Contractor Type Sign Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction Commercial I CONTRACTOR INFORMATION .' License Expiration Date Phone BUILDING INFORMATION I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occnpant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive411d; % of Lot ~>;~'''\i i iO Va/it.. lit "'I. ~:u h _ 1f!or 4i~. r",... ,.~ -"0 ol<J I PUBLIC IMO~J, "'1t~ :ort\1/:) J'lI'V r . ~,,~.~,_ ffJr. Sjl12~f~", e~~I{.,.s ~~ It,.TOCOo~O n'f'J6'&r~ U).!~qn~~Ol.itc "'Oc>r."e", ~....~,R9~t\t~iiiS~1/~, '0,. "',., Co...,.'~f)Q Ie...... tit tt-'4l a.... ("''':~ ~.t? e.. ~ Ie . ., '9Of.. Wflle '?~-o .<;> To.!?/") 011 s: tlie l~ rli,~ ( , n..~_ ^tc ~~ s .'<( ',," ,"'- ..~? Ilru.. ~ I I ,.'" -e ' ...4ft' VaIuation Descriotion I tV" Total: , Handicapped: Compact: $ Per Sq Ft or mnltiplier Square Footage or Bid Amonnt Value Date Calculated Pa2e 1 of 2 -~~~I~~!ffir~#,~~..;: I' .,' .. <1 . w- Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01279 ISSUED: 08/31/2009 APPLIED: 08/31/2009 EXPIRES: 10/01/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee.s, P~i~ 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 8/31/09 8/31/09 8/31/09 8/31/09 2200900000000000984 _ 2200900000000000984 2200900000000000984 2200900000000000984 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 R,elluired I nsnections . Banner Removal: To be requested the day following the expiration ofthe 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 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 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 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. x ht '-"-- ~ ~ g/3//u)'. Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Street Springfield', Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-01279 COM2009-01279 COM2009-0 1279 CciM2009-0 1279 Payments: Type of Payment Cash cReceintl RECEIPT #: 2200900000000000984 Date: 08/31/2009 Description Banner Special Penn it Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By MUCHAS GRACIAS RESTAURANT Item Total: Check Number ,Authorization Received By Batch Number. Number How Received djb In Person Payment Total: Page I of I 2:25:20PM Amount Due 100.00 100.00 5,00 20,00 $225.0U Amount Paid $225.00 $225.UU 8/31/2009 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~: /'/"\,.;., 7~O 9 -0 (27 '( ~ City Job Number L.J-"~- I ~ ::~ JobLocation l( zo.s- f/I'lAfN S:r ..~ 1'70;::5.232 ~ Assessors Ma!J Ql ~ ~ Owner ofPrope~' ..~ >;..".," Addre~< ~ ~ Ci~' ~ ~ ."*~ ~" .~ ::-. r8 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 ~j banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days ~:(j)) from the date listed above. If the banner(s) and/or portable sign is not removed within the timeline .<l<~~ ~ 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 banner(s) and/or portable ::~ ,i""J. Thi, i""",linn will "'~" ." proreM '" rel= "', $100.00 ',,,,""f "', bmmcr{'J """,, . portable sign(s) has been removed. ." , ~ ~ignaturo '"'W\ LA. -_ i\::f'--~ . Dat t:? I ~ I / 0 ~ ~~ ~ I ~ ~ Date of Application ; Issued By M II I. '. ..~~ @ ~ ~ r--~ Tax Lot O( '700 /8/0 ~ "?F~ ft"Q. (~V- ..J- /5-1-t....... Phonl> Stato oL.. ZiF 9 7C{7 7 -:> ~~ pl'"mp ~ / "tate Zip Construction Contractors License # Expire< Description "'E/'rN'N'CC(. Cs) Date of Installation r ~ i Mv-c.lr.; ~ IL4cJrs ?CS~~ +- Date of Removal /~/D7' ~ ~eceipt # b~ Amount Collected Z2~ '-,' Shared Drive (T:)lBuilding FormslBanner ]ortable Sign Permit CSD 7-08.doc