HomeMy WebLinkAboutPermit Signage 2009-10-21
~:
~
...~4
~J
..,~
~
-''''''''l
Ip'..
~l
Ci@..l
~
..~
~
~1
~
~\
.:;.>'"~
~~
t__"-;-,~
"<>~f
~1
~~:::-
..-- ~
.-;
~~
~l
~t
e';lJ
cr~)
--'
IJ
I~,~
...~~
~;
~~
~,
~,
~
~Li,
""" i
~~
~~)
-..~~
~)
~
T___"-l~
'~~i
J_~
~l
c:?)
f::...Jj
----
~;
~)
e1
~l
~:
".~
~l
. " ~SlPR:NGFIELD' /'-- I
l~i~,~ll~~ijw~t~_I!~.jf~m!~~~1B1~tfw~~fl}~t~~f~ ~ J ~ ?,,~
ZZ5 f1ITH SfREET . SPRINGf1ELD, OR 97477 . PH:(541)726-3753 . FAX: (54 ])726-3689 i' 1l$O..\{1 '"
City Joh Number C 0 I-V1 ?_C)c') 1- c:> I S 4 2-
5~5i hill"? .it.
Assessors Ma~ \ 70 L :s ( L( I
Job Location
Tax Lot
;02660
:'~~.:ilC~': '. :'~', ":,~ ~?~. /~;~f; ,{, ;'-;:,: .. . ;, .':'~:'~,;~~~~~;:;',,'<'~;;);?:l:,<,;:.;::%::,::;';!;': "
Owner of Property ,';'.e-IcL.-J 11.cH.~.L.-k1 .rY/iev- U~
~..'". '.
Addr....
J ~ 1--1.,
~, '
I.:: l-L<;jeh-L-
f?/...cZ
Phon"
J'-t(, t;,u) 24> GJ---
Zir f1- 1-'t,o s---
$0r;..,c.,
v
City
State . O~
~~~~:~~}!!N;f~i/~~'2~~'~;;~;'....-...})~irY1;(2:.
If'
Ad'!""..
Phor"
City _
State_
Zin
Construction Contractors License #
Expir~.
Description 1.?AvN'et'L Pb'l.JM.\, '\ ee:r=.' Co ~ 200 c; ~ b 0 7 Lt7
Date ofInstallation t,A>> "t::' .b. Date of Removal ' AA ,(t!"J
\~ 1W'
Pet'mit Fee: $225.00 induding SIOO.OO Deposit and applica~le fees.
By signature, I state and agree that I have carefully completed this application ~d hereby certiry 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 renloved 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 pehnit 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 3rf' day to request an inspection to verify the removal of the baimer(s) and/or portable
sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
portablesignWfas )1een :~~oved,
Signatu '.. (;telL- r;) 7/ Dat.. ;./ (0 / 2.1/ D <t
:~'~:;:~;~~i::::~;~:f~1;~~~~~;;~;;:';';::~:mf~te~~(~~~J~:{~:~t:~~: \ 7 ~o 4
/15--
Issued By _
Od
Amount Collected
Shared Thivt'l (T:)/Building'Fonns~r]ortable Sign Pennit CSD 7-08.doe
_G~_'i!~!!~,li!I.~L~9;,
1,"-' ,;<;;i~' e' ";"ITh'~:~~;"' ;';;~
CITY OF 1'lrlUl"t..FIELD
Building/Combination Permit
Status
Finaled
PERMIT NO: COM2009-01542
ISSUED: 10/21/2009
APPLIED: 10/21/2009
EXPIRES: 04/21/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 3831 MAIN ST
ASSESSOR'S PARCEL NO.: 1702314102600
Spriugfield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner -REF:C0D2009-00747
Owner: KRYLS INVESTMENTS 1NC
Address: 3474 SPRING BLVD
EUGENE OR 97405
"
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# 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 DE~ELOPMENT INFORMATION I.
REQUIRED PARKING
Frontyard .Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC I~PROVEMENTS 1
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I ~~!uatio~ Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 on
Status
Finaled
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Amount Paid
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Total Amount Paid
$10.00
$5.00
$100.00
$115.00
Total Value ofProjcct
Fees Pair! I
Date Paid
I Plan Reviews I
CITY OF SPRINGFIELD
. Building/C?mbination Permit
PERMIT NO: COM2009-01542
ISSUED: 10/21/2009
APPLIED: 10/21/2009
EXPIRES: 04/21/2010
VALUE:
Receipt Number
10/21109
10/21/09
10/21109
2200900000000001204
2200900000000001204
2200900000000001204.
1
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.
Reonirer! Tnsnedions I
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 1 further certify that any and all work performed shall.be done in accordancewith
the Ordinances ofthe 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 Services Division, Building Safety,
1 further certify that only contractors and employees who are in compliance with ORS 701.005 wilfbe 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, thatthe 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.
.1U')/ 1L
O~ner or Contractors f.g'nature /
Pa~e 2 of 2
Date
(ro( 2(l) 9
,
1
225 Fifth Street
Springfield, Oregon 97477
541-72&-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0 1542
COM2009-01542
COM2009-0 1542
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200900000000001204
Date: 10/21/2009
Description
Banner Special Pennit
+ 5% Technology Fee
***+ 10% Administrative Fee***
.Paid By
KRYLS INVESTMENTS INC
Item Total:
<":heck Number Authorization
Received By Batch Number Number How"Received
djb
907
In Person
Payment Total:
Page 1 of 1
11 :32:40AM
Amount Due
100.00
5.00
10.00
$115,00
Amount Paid
$115.00
$115,00
10/21/2009