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Home My WebLink AboutPermit Signage 2009-9-16 ~; .;.,,,.1 . ~J ""...""j4 tiIJ:l, -, . ,;~~;,J~ ~". .", ..;,".,~,(,i ~, ~~ ~l ~'<" " ,,'1" 0 ...~1 ~~ ~ ~ Tfu?') \~'I?(...!J ~, T:^M'?:; '" .-ji-~{ ~ ~ ~i ~ Q) rr ''t, ~J I, Ir"~-" "-e:.1 ~:'~:' .~ ," t ~, f:Llj ~: 0JbJ "",~'jff ,"",~, ~'tP~t ~; '<"<""" ,<~} ~" ~J """ ' ~J a.., ~ $;",i, ~} a' _"I "..; ..-...f ~ ~<< r"'T~--" '., ,( le.~Y-~CJ Slsna~) ..~ 225 FWI'H STRf:ET 0 SPRINGFIELD, OR ;)74770 PH:(54I)72(;-:<753 <0 FAX: (54I)72(;-3(;g;J City Job Numher' COWl {..OC> 7 -0 I 5 7 0 . JobLocationB~ I rJ.s 5190 ffio.;f\ .?r\-. 3rV";>0J.A:"JA ) ()~ ql4li Assessors Map / 70 Z. .s 3. <{ ( Tax Lot 61 9G"C Owner'of Ptoperty "is; <' }.&'\ .< .....:y. '< Z ( ., 7 Addres< 300 Pb{! \ if). 12.d" City \'0\11 s;: P.fld. stato.p.l{ f.e... Phoro b{L Zij:...~ 97ft'77 Contract"- Addrecc o~ fl/c(L Phone City Statf' Zip Construction Contractors License # Expire" Description T~~ S:-~cY"\t> J.. 0 , Date ohns~n- 9- Z4 - 0 '7, -Q- !::Fa........l ~...:.'\3 Un -A.- 1\ 'bq Date of Remov~ I 10 - z...q -( .'l Permit /ice: $225.00 indud<ing $100.00 [)eposit and applicable fees. By signature, I state and agree that I have carefully completed this application arid hereby certifY that all i'nformation herein is true and correct I further agree.and understand that the above 'described banner(s) al1d/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 banner(s) and/or' portable <sign(s)< This inspection will begin the process to return the $100,06 deposit if the banner(s) and/or portable sign(s) has been r';<~lV~d,. <' Si"natur~ U~ o ~ Date of Application Job #' Receipt!' /D)' I 7- z..s - Issued By ~~ Amount Collected Shared Drive (T:)/Building FonmlB:mner]ort<ihle. Sign Pennit em 7-08.do~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01370 ISSUED: 09/16/2009 APPLIED: 09/16/2009 EXPIRES: 10/24/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5790 MAIN ST ASSESSOR'S PARCEL NO.: 1702334101900 Springfield TVPE OF WORK: Banner TVPE OF USE: New PROJECT DESCRIPTION: Banner - install 092409 removal date 102409 Commercial Owner: POLEN DEVELOPMENT LLC Address: 2197 OLYMPIC SPRINGFIELD OR 97477 Contractor Type Sign Contractor OWNER I CONTRACTOR INFORMATION' License Expiration Date Phone' BUI~DING INFORM~T10N U # of Units: Primary Occupancy Group: Secondary Occupancy 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 INFORMATI~,N I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback:, Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: .Paved Drive Rqd: %' of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I V ~Iua~i?~ DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa~e I of2 Status Issued' 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees.Paid . Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit AmoUIitpaid Date Paid $20.00 $5.00 $100.00 . $100.00 Total Amount Paid $225,00 I Plan Reviews I 9/16/09 9/16/09 9/16/09 9/16/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0I370 ISSUED: 09/]6/2009 APPLIED: 09/]6/2009 EXPIRES: 10/24/2009 VALUE: Receipt Number 2200900000000001051 2200900000000001051 2200900000000001051 2200900000000001051 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. Rellu,ired Insoections I Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, tbe applicant may fortiet the deposit. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informatiou 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 ofthe State of Oregon pertaining to, the w'ork described herein, and that NO OCCUPANCY will be made of any structure without permission of tbe Community Services Division, Building Safety, I further certify tba' only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure tbat 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 construetion'l 6t.'71 ~;4-( s (".....Art'. J I p.. IJ~ A I 0 -- HI Owner or Contractors Si ature '..-v'~ Paee 2 of2 ..jlyt~ 225 Fifth Street Springfield; O'regon974n 541-726-3759 Phone Job/Journal Number COM2009-0 \3 70 COM2009-01370 COM2009-01370 COM2009-01370 Payments: Type of Payment Check cReceintl , RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001051 Date: 09/16/2009 . Description Banner Special Pennit Deposit + 5% Technology Fee .***+ 10% Administrative.Fee*** Paid By ASAP PROMOTIONS INC Item Total: Check Number Authorization Received By Batch Number .Number How Received djb 21315 In Person Payment Total: Page I of 1 2:06:55PM Amount Due 100.00 100.00 5.00 20.00 $225.0U Amount Paid $225.00 $225.00 9/16/2009