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HomeMy WebLinkAboutPermit Signage 2009-9-22 ;" ,.' " g;:l ~ "~~-t ~ ....;:::;:", .. ~-: ..~1 Q\ ~ ~, ~) ...~~ ~ ~{ ~ ~ ~. J___-~J ...~1 ~ ~ ~~ e1 ~ u IJ l..--~ .,~~, ~J ~; ~;: ",."-,, , ~, fi),-~~ ~, ~} .~" .4' .''''''''1 ~) ~i ,._._..:.:r~ .}::)) ~> .;~ bj ~ 1:'\, , ~! ---- ~i 0:), a ~; . .':if ~l REf-":' co~z-oo'i - oobbZ SPRINGFIELD. ~T!~~~~~ City Job Number Co IM\ ZO,C '7 - 0 I LJ e s: Job Location 2. d'{' :R <)/ /?,c ~r ~g;7) , /'5 7? ,~ 1)// /- b Assessors Man /7- c>';3 - :3. ~-;2 - 3 - ! 3~ Tax Lot I 3 .o{ ii;';;;;'ef;:U':'i;.,i(l~cd17t::#./;;>6c>~7''(\. ..., . " . ~:~; ~f ~r~p~rty' fl;; ;'':7 rXo ~~Ll5 f7/ ..... Addre<< /3'7tJ-7 #,pPK; '15L1/Dphovp hJ. g -cz<:!--,-, /":?.-l---g" City S/A:J d'/;' ,!.i/r <=;:;--. State -4 Z . Zij: j<' <:;''4'7r ;~!~~~:::!{(tii~!ji~\:~\;:;-t13{J~'t-~ . .~. Addrpoo Phopp City State Zip Construction Contractors License # Expirf"< Description 1S A III'tVc I{. Y:~J Date of Removal rio' Date of InstaIlatior Pemlit Fee: S225.00 including S100.00 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 3bove 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 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 Wl.'ll begin thJocess to return the $100.00 deposit ifthe'banner(s) and/or portable Sign(~) een removyd.;/ ,7 -1____~( ..., Signalt"~ '/V~~,i ~ DajP '(7 2-7--- -~9 . ;;r,h:(,f'~~11:0~\ l"(~r'{it~(;etfjt~:". ..,. ...... 5'2)~4':;;'\4;Ic ..... ;'~r Date of Application VZ;o/V Job# cry 014&-,5 Receipt#--+! ') ') /, .6~ Amount Collected / / J- Issued By shared Drive (T;)IBuil~ FOffi\lI/Banner ]ortabl~ Sign Permit CSD 7..o8.doc .. .:>. Status Finale!!. """ . , 225 Fifth Street;:Springfield, OR' " 541-726-3753 Phone ' 541-726-3676 Fax. 541-726-3769 Inspection Line SITE ADDRESS: , :l'246 B'ST ,<)i, 't','. '. ASSESSOR'S PARCEL NO,: 1703352313601 o CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: (WM2009-01485 ISSUED: 10/08/2009 APPLIED: iO/08/2009 EXPIRES: 04/08/2010 VALUE: Springfield TYPE OF WORK: Banner .' ...... , PROJECT DES,CRIPTION:, Banner - REF: C0D2009-00662 Owne" Address: ROBERT L JURGENS REV TRUST 13347 MEEKER BLVD SUN CITY WEST AZ"85375 ; : ,;f ,"', I ' ','. Contractor Ttpeii .;,;. Contractor Sign OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Coustruction Type , Secondary Construc~ion Type: # of Bedrooms: TYPE OF USE: New Commercial I CONTRACTOR INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I Pl!BLIC IMPROVEMENTS I I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount BUILDING INFORMATION I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Euergy Path: Sprinkled Building: License Expiration Date Phone :1 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft <!arage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMA nON I Froutyard Sethack:;' Side I Setback: , Side 2 Setback: ,i Rearyard Sethack: ,ii ' ,'1, Solar Setbacks: Street Improvements: Storm Sewer Available: . Special Instruction: .' !... Notes: , :..t Description Tvpe of Construction Page I of2 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk'Type: Downspouts/Drains: Value Date Calculated o CITY OF SPRINGFIELD' Building/C9mbination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax", ",' ".;; 541-726-3769In~pecti';ii'Line ~: \ " '. " - , PERMIT NO: COM2009-0I485 ISSUED: 10/0812009 APPLIED: 10/0812009 EXPIRES: 04/08/2010 VALUE: . Status Finaled ";... .~. i ., , ;. ;'~: '., 't' ,'.' ",.. .~ Total Value of Project Fee~ Paid I , Fee De.scription'; :i,"~C' . , . " ~'. ' ***+ 100/0 Ad~inisirative Fee*** + 5% Technology Fee, Banner Special Permit 'Amount Paid Date Paid Receipt Number , $10,00 $5,00 $100.00 10/8/09 10/8/09 10/8/09 2200900000000001155 2200900000000001155 2200900000000001155 Total Amount Paid - . $115,00 I Plan Reviews I ~i .. 1: "~J I , i~ t . I .. ,~ ",: .r: '~.., 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 wo,rking day, inspections requested after 7:00 a.m: will be made the following work day. I .~ell~i.re~In.~nections I . ." . i :~ , , "~I 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 Servites Division, Building Safety, I further certify that only contractors and employees who are in compliance with ORS 70\.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 dU~ng :.oJ:~r;cti~n, (;--\tJ tJ.-,..V A (ft.'" \;- () /,., . / VIII w~~L._' ~'-.\"", or- fJ I; off/o ., Owner or Contractors Signature ~~ Date I. _I ~. . I \, ',\ ;'" . " , Paee 2 of 2 225 Fif.th Street . Spririgfield, Oregon:~?1F::" 541-726-3759 Phone" Job/Journal Number COM2009-0 1485 COM2009-0 1485 COM2009-0 1485 Payments: Type,of Payment Check 'J:, " cReceilltl -.;-,' ,,"-;"" ,', " " '.'RECEIPT#: 2200900000000001155 . Description Banner Special Pennit , + 5% TechnqlogyFee . ,..;.~*,*.+ 10% Administrative Fee*** r<.'>~.;:l.}~,:)':" '.. .. <c.,':;: , ' '"Paid;By:' . ROBERT JURGENS .... or. ..:.""~':_ '.:,-. . ,i~," ~ .:~. ~i ';-P,' ~.. J' -,~'.. . ~ -'<0- ~I .. ~ '-~ ., " " 'I <;heck Number Received By. Batch Number djb ':' ~ Page I of 1 City of Springfield Official Receipt Development Services Department Public Works Department Date: 10/08/2009 Item Total: Authorization Number How'Received 4546 In Person Payment Total: 7:54:39AM Amount Due 100,00 5,00 10,00 $115,00 Amount Paid $115,00 $115,UU 10/8/2009