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Home My WebLink AboutPermit Signage 2009-9-4 225 FIITH STREET. SPRINGFIEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689' ~ /'~ 0_01311 . (C); City Job NumberL.V~ Z. <.:> 0 ( .#~ .. ..~ Job Location ..~ Assessors Map /702:> Z 3. z.. Q) ~ .. ~ Owner of Property "'-- ' Addres< ~ ~ City ~ "~ J, '. ..~ ! I -~ u II I, \, .'a ~ ~ ~ . l ~ ~ .o~4 ~ ._~ ~ ! ~ ~-I, 1 m .;y'~;<> '7 ~a-l~ 5t sj)(f , V7'-/7P 01 ~ 0 C":::) Vr' " I Tax Lot I g/ 0 . I <:;+C-- 5,()t2- \ '^ 5 -I~ tJ , l'hon,. :5'-1/- '7/.2.- 7700 Zir' 97if77 at- State Address Phon,. Cit:' ')tate Zin Construction Contractors License # o/v9 Expir,.. . Descriptio!' 1S'M.tY~rt. Date of Installation 9- $-0 c; 19 -8--0 '7 Date ofRemov~l Permit Fee: $225.00 including $100.00 Deposit and applicable fees. By signature, I state and agree that I have carefully completed this applicatioIl and hereby certify that all information he~ein 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 r~movedwithin 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 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. Signatur~' Dat,. ?- 7"- t:7? Date of Applicatinn J-l(-C> "bf7 Amount Collected R.eceipt # ZZ~,- Issued B~' Shared Drive (T:)lBuildin~ FormslBanner]ortable Sign Permit CSD 7-08.doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01311 ISSUED: 09/04/2009 APPLIED: 09/04/2009 EXPIRES: 10/08/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726_3753 Pbone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 4229 MAIN ST ASSESSOR'S PARCEL NO.: 1762323261966 j' Springtield TYPE OF WORK: Banner , TYPE OF USE: New, PROJECT DESCRIPTION: Banner - Debs Family Restaurant. Install 696869 removal date 106~09 Commercial .~ Owner: DONALD V PFEIFER TRUST Address: 1816 15TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INFORMATION' 1/ of Units: . Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: 1/ of Bedrooms: 1/ of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Siz~: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft B'asement:, Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: 1/ Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: , Handicapped: Compact: I PUBLIC IMPROVEMEN~S , Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Desc~~9tion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amouut Value ,. Date Calculated Paee 1 of 2 CIT)( OF SPRINGFIELD Status Issued , BuiJding/C6mbination Permit PERMIT NO: COM2009-0I311 ISSUED: 09/04/2009 APPLIED: 09/0412009 EXPIRES: 10/0812009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fees Pairl I $20.00 $5.00 $100.00 $100.00 9/4/09 9/4/09 '9/4/09 9/4/09 Receipt Number 2200900000000001006 2200900000000001006 2200900000000001006 2200900000000001006 " Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Total Amount Paid $225.00 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-;3769. All inspections r~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 ~~Illlire~, Insnections I , , Banner Removal: To be requested theday 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 h~reby certify that all information hereon is .true and correct, and I further certify that any and all work performed shal~be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the wo'rk described hercin, and that NO OCCUPANCY will be made of any structure without permission of the Community Servi~es 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. ~~~~. f2-7"-~c;? Owner or Contractors Signature Date Page 2 of 2 225l'ifth.S!reet Springfield, Oregon 97477 541-726-3759 Phone .'-- City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000001006 Date: 09/04/2009 9:25:19AM Payments: Type of Payment Paid, By Check G AND B DENT INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 3029 In Person Payment Total: Amount Due 100.00 100.00 5.00 20.00 $225.UU Job/Journal Number COM2009-0131 I COM2009-013 1 1 COM2009-013I1 COM2009-0 I 311 Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Amount Paid $225.00 $225.UU cReceintl Page I of I 9/4/2009