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Home My WebLink AboutPermit Signage 2009-9-16 225 TIITH STREET. SPRINGTIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726~3689 S City Job Number ..~ .. ~; Job Location ~ ..~; Assessors Ma, Q ~ ..~. Owner of Pro pert:' ~ ~ ~ ~ ~ Contractor ..~ ~ ~" ~ 8 II I, 11 ..~ e ~ ~i ~ ~ ..~ .~ ~ :~ I ~ ~ ~ I ~ LoW'\. ZOO 9- 0/371 5SS W ContnfLlO\ ~ /70 3 Z7C{~ Tax.Lot o sS'() S- '50. Ye..c ~. UQ... /. ,33 Ad&ess~S' \t\r Cf':nh:v\\~ \/ . Ph.onp ~ - ",C'n\cl s~M~(.sc-oAC' LA City_ PC\V"'\1j ~ State C'lR . Zir feP/fllf!J~if/;.'J1~~7Jl. ~';::?J!Diqt--J:'ti:'h+;;W:\L~?t;;;+!_-tWlf0 9W3J CC7Y77 Cl./N~ Addreoo P}1nnp City State Zip Construction Contractors License # Expirpo . Descripti~n 14= t t",w-.e..Qv\ '"Rr-"~~~^ Date of.lrJ.stallatioT Oc-t. I' :l,<:x:)C{ ?.[ doo~ Date of Removal Oct . 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 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 timeliIie 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 ari inspection to ve' the removal of the banner(s) and/or portable sign(s). Thi 's insP. e tion will beg~. the n cess to r e $100.00 deposit if the banner(s) and/or portable sign(s) S beeJle,oved. , . Signahrrp 14P~ tt _' / q-/Sr~Oo; Date of Application lob# C <J -0 (37 L Receipt # '2 Z.S - Issued By ~ Amount Collected Shared Drive (T:)lBuilding FonnsIBanner_Portable Sign Permit CSD 7-08.doc _~AI.~!l'I~;;"'n' _. 1." lt~ 'J -j;.~. }It 1ft ' ~ . '" -'" ,.~; Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0137I ISSUED: . 09/16/2009 APPLIED: 09/16/2009 EXPIRES: 10/31/2009 VALUE: 225 Fifth Street, Spriugfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 555 W CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703274305805 Springfield TYPE OF WORK: Bauuer TYPE 01' USE: New PROJECT DESCRIPTION: Banner - iustall100109 removal date 103109 Commercial Owuer: CENTENNIAL SHOPPING CNTR LLC Address: 331 FILBERT ST . SAN FRANCISCO CA 94133 I CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License Expiration Date Phone I BUILD~NG INFORM~T10NU # of U nils: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructiou Type SecondaryCoustructiou Type: # of Bedrooms: # of Stories: Heighl of Slructure Type of Heat: Water Type: Range Type: Energy Palh: Sprinkled Buildiug: Lot Size: Sq Ft 1st Floor: Sq Ft 2ud Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Olher, Occupaut Load: uta I DEVELOPMENT INFORMATION I Frontyard Setback: , Side 1 Selback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Streel Trees Rqd: Paved Drive Rqd: % of Lol Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvemeuts: Storm Sewer Available: Special Iustructiou: Sidewalk Type: Dowuspoutsmrains: Notes: I Valuati?n Descriotion I Description Type of Construction $ Per Sq 1'1 or multiplier Square Footage or Bid Amounl Value Date Calculated Paee I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01371 ISSUED: 09/16/2009 APPLIED: 09/16/2009 EXPIRES: 10/31/2009 VALUE: 225 Fifth Street, Spriugfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-37691uspection Line Total Value of Projecl F~e~ Paid' Fee Descriptiou ***+ 100/0 Administ'rative Fee*** + 5% Technology Fee Bauuer Special Penhit Deposil Amouut Paid Date Paid Receipt Number $20.00 $5.00 $100.00 $100.00 9/16/09 9/16/09 9/16/09 9/16/09 1200900000000001070 1200900000000001070 1200900000000001070 120090000000000t070 Total Am,ount Paid $225.00 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 ~etll~~re~ r ~slmctions , Banuer Removal: To be requested Ihe day followiug tbe expiralion of the permil. If iuspection is nol requested, the applicant may forfiel 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 aud correct, aud r further cerlify that auy and all work performed shall be doue in accordauce with tbe Ordinances oftbe City of Spriugfieldaud the Laws of the State of Oregou pertaiuiug to the work described bereiu, aud that NO OCCUPANCY will be made of any structure withoul permission of the Commuuity Services Division, Building Safety. I further certify tbatonly contractors aud employees who are iu compliance wilb ORS 701.005 will be used on this project. I further agree to ensure that all required iuspectious are requested at the proper time, thai each address is readable from the street, that tb permit card is located at Ihe frout of Ihe property, aud the approved set of plaus will remaiu ou the site at all ~:':~h; ff~')' f /&-09 Owuer or Contractors Signature/' Date Pace 2 of2 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield,Oregon,97477 541-726~3759 Phone Job/Journal Number , COM2009-01371 COM2009-0137I COM2009-01371 COM2009-01371 Paymeuts: Type of Payment Cash Change Job/Journal Number COM2009-0 13 71 COM2009-01371 COM2009-0137 I COM2009-01371 Paymeuls: Type of Payment Cash . Change cReceintl RECEIPT #: 1200900000000001070 Date: 09/16/2009 2:34:04PM Description Banner Special Permit . Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Amount Due 100.00 100.00 5.00 20.00 $225.UU Paid By VALUE VILLAGE . , VALUE VILLAGE Item Total: Check Number Authorization Received By Batch Number Number How Received . Amount Paid djb djb In Person In Person Paymeul Total: $240.00 ($]5.00) $225.UU , . Description Banner Special Permit Deposit' + 5% Technology Fee ***+ 10% Administrative Fee*** Amount Due 100.00 100.00 5.00 . .20.00 $225.UU Paid By V AWE VILLAGE VALUE VILLAGE Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person djb In Person Paymeul Tolal: $240.00 ($15.00) $225.UU Amount Paid Page I of I 9/16/2009