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Home My WebLink AboutPermit Signage 2009-10-19 ~; ~'i e). ,~ .'!<~4 G@J "~~:i ~ '.-; Ql r;(,;lj ~) i;:.)J ."~i ~ ~4 ClJb ~ ~i~ .~.J~ ~.~.~ """" ~~ ...--.4 ~' ~ Ej; ~ ~; ;.;",;, ~ Ul ,~. IJ .~ ...~"I! g;:' ~: ~, ~ ~~ . ~~ t::""! ~~ I#!):D)' -.~ ...~, ~ QJ). ..:; r,,--.-'4 '~$"2. .: ~ "~j ~ ~~ ~) 1:"1, . ~I ~. ;;",.;; ~) ~l """"j ~~ _. "~J ffll j2..et=; CO 1'-,,200 f- 00 tl.{Z SPRING~IELD ' !!~!~!!!'~ , - ~Z7 CilyJObNumberCOMtc'O C ()f A- -..}- Job Location 7 Z Z- S S Assessors Mar /70:5"3542 Tax Lot o2"CfOa ~:::of~:::~;,:~,;;e:f;:,~i)Z} j~ Addres< 7 c1 ,j JcJ - ;I J r cityfrh/? !/'~ ti :'f;hli:/(J~iJf(Ili;W6tP~:;.":)c,::'.-- .. C~ntractn' . . nt,v,vEC\ ~.,~{Yj~:0j;'~;~t~~".'.}j~;Tl!;i:\.{;;;:~: / I Phon" .5'/1- 7 'I c:: - '1;(5/ State_mf Zir tJ;7Cf ?>-7 Add'''.. Phon" City "tate Zin Construction Contractors License # Expi""< Description ' ~Ci /1 _~/l.Jt/.1 1"(/1.. Dateoflnstallation IO/tj6 9 fr!l11 II /~/bft ., Date of Removal Permit Fee: 5225.00 iJlcluding S 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 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 yen remo;:e~ , Signalt..p r:1h-(ftir~ Oat" /0':'/7- 051 r::~:;'T~~~ii'f~~i;1!~:~(6~~3-o';?i~. R.",," .. I r'iz. h~ Issued By Z-'Z- 5" -- Amount Collected Shared Drive (T:)I)3uildi~ F=/Banner ]ortabLe Sign Permit CSD 7-08.doc CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01527 ISSUED: 10/19/2009 APPLIED: 10/19/2009 EXPIRES: 11/16/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 722 S A ST ASSESSOR'S PARCEL NO.: 1703354208400 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner - 101609 removal date 111609 Ref:COD2009,00742 Owner: HA YDAI INVESTMENTS LLC Address: 1859 PIONEER P ARKW A YEAST SPRINGFIELD OR 97477 ' I CONTRACTOR INFORMATION' Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # 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: VB n/a I DEVELOPMENT INFORMATION' 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: Downspoutsillrains: Notes: I Valuation Descri\?tion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 01'2 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01527 ISSUED: 10/19/2009 APPLIED: 10/19/2009 EXPIRES: 11/16/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description . ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $20,00 $5,00 $100,00 $100,00 10/19/09 10/19/09 10/19/09 10/19/09 2200900000000001192 2200900000000001192 2200900000000001192 2200900000000001192 Total Amount Paid $225,00 I Plan Review's , To Request aD 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 Reouired il1 ",ee,ions I , 1IIIIIIIII 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 1 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 Springlield 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. 1 further certify that only contractors and employees who are in compliance with ORS 70I.005will 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 timt s during construction. ) (1Y)r);1(ilK r ~ f ' L.- "OWner or Contractors Signature Dr,: L 1[1 ~ Ict-oq Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-0 1527 COM2009-01527 COM2009"015.27 COM2009-0 1527 Payments: Type of Payment Check cReceiotl RECEIPT #: 220090000000000]]92 Date: 10/] 9/2009 Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Item Total: Check Number Authorization Paid By Received By Ba'tch Number Number How Received WYNANTS F AMIL Y HEALTH djb 3793 In Person FOODS Payment Total: Page 1 of 1 9:31:30AM Amount Due 100,00 100,00 5,00 20.00 $225.00 Amount Paid $225.00 $225,00 1011 9/2009