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Home My WebLink AboutPermit Signage 2009-9-8 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ~: (01-1:""'00 , - 0 I "!. Z. 0 ~ City Job Number ""/'- ::~ JobLocation 2~ l.J.p_c::.....~ IJ_ S+r-c.-e.J 'ttj) S:P>";"'~i .'~J~ Ov?Cl7'('?? ..~ 170? 77(0 0 ro<:..:::l ~ Assessors M8p .> '- Tax Lot .J ' Q) ~ ~ '.~ > ~ ~ ~ ~. .iI1,~k ~ ~j e;.4 U Ii I, '.. "e~ ...-4 --, ~ 1')1'\, . ~4 ~ ~ "~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~" ...-, ~ M Owner of Property Addre<< !l(SC{ s pP--.1 Crt-eeL (C- Pt","P c:;;I c::5L ZiJ: 97'f77 City , Statp ;~~~1t~~~~ll~:t." imtractor/J. Contractor (C'\\ 1 .. vi ~ Addrp<< J.>honp City S:tate 'lip Construction Contractors License # Expirp< Descriptio!' ?on..MI,.,{e:: $, ~ ~ Date of Installatior 7 - ~ - 0 c; Date ofRemov81 /0 -~-o 7 Permit Fee: $225.00 including $100.00 Deposit and applicable fees. By signature, I state and agree that I have carefully completed this applicatiOli 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 r6moved within 30 days from the date listed above, If the banner(s) and/or portable sign is not removedi'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 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, ' Signa~~r!~ ~ Date of Application 8/0 1 , ~!7 Amount Collected Receipt # 2-2, Issued By Shared Drive (T:~ui1ding FormsIBanner]o~le Sign Permit eSD 7-Q8,doc 1: , 'I CITY OF SPRINGFIELD , Status Iss u ed Building/Combination Permit PERMIT NO: €OM2009-01320 ISSUED: 09/08/2009 APPLIED: 09/08/2009 EXPIRES: 10/08/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 28 W Q ST D ASSESSOR'S PARCEL NO,: 1703271003500 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Portable sign - 090809 removal date 100809 Commercial Owner: BOSISTO MALCOM J TE Address: ,1484 CHECK ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Sign Contractor OWNER License Expiration Date Phone " BUILDING INFORMATION I # of Units: Primary Occnpancy Group: Secondary Occnpancy 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' REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: . Paved Drive Rqd: 0/0 of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type:, DownspoutslDrains: Notes: I Valuation Descriotion I' Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount / Value' Dale Calculated Paee 1 of2 _.liPk~~~!!P.!i~1i!~7 -~: ,", '. !, Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C:OM2009-01320 ISSUED: \)9/08/2009 APPLIED: 09/08/2009 EXPIRES: 10/08/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee~ P3id I Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid $20,00 $5.00 $100,00 $100,00 9/8/09 9/8/09 9/8109 9/8/09 Receipt Number I 2200900000000001012 2200900000000001012 2200900000000001012 . 2200900000000001012 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 RrolJired Insnections 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 shalfbc 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, 1 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 fmntof the property, and the approved set 01' plans will remain on the site at all :;.;s";- . Owner or Contrgrul"s Signature ~ ...-- q -<g--01 Date Paee 2 0l'2 225 F,if(h Street Springfield, Oregon 97477 541-726-3759 Phone a~AI.Na.Fl.BU>n..~ " ,......."'" 'c.. ) 4t 1"[" ,c. ~T. . ~,-c City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-0 1320 COM2009-0 1320 COM2009-0 1320 COM2009-0 1320 Payments: Type of Payment Check cReceioll RECEIPT #: 2200900000000001012 Date: 09/08/2009 Description Banner Special Pennit Deposit + 5% Technology Fee ***+ 10% Administrative Fee... Paid By ROBERT TIMMONS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 27586 In Person Payment Total: Page I of 1 8:50:06AM Amount Due 100,00 100,00 5,00 20,00 $225,UU Amount Paid $225,00 $225.UU 9/8/2009