HomeMy WebLinkAboutPermit Signage 2009-11-4
Oct 27 09 10:52a
Pad N Lock
. 5417267680
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Z25 nrn SfREl:l" . SPRlNGnEW,0l197477 . PH:(541)726-5753 . FAX: (541)726-5689
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Job ;.ocation' ~rr.cl-Vl' LOLL
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OWller of Property . maNLf-tYv\mT
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COIltractor
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COIlStIuction Contractors License #
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D.1le ofInstallation
\.Q?50. .
. Tax Lot
COlTlpl15
I4Je- Phon..
Slale-6~
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State
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IN'MO! 'OJ
Date of Removal
t,-Q11. J.3/,p. q'0~
Zip ChLl1'J
Zin
Expir...
10- a S/-oq
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By ,.lgnature, I state and agree thai I have carefully compleled this application and hereby certify thai
all i lformation herein is true and correct. I further agree and wderstand thaI the above described
baruter(s) and/or portable sign(s) is not larger than 60 square feel, and will be removed within 30 days
fror t the date listed above. If the banner(s) and/or portable sign is nOI removed within the timeline
spet jfied, I will forfeit the $100.00 deposit. I also undelStand that this special permi I can be issued
001) twice per calendar year per development area. I also agree to call the inspection line at 726-3U9
by t Ie end of the 30'" day 10 request an inspection to verify the removal of the banner(s) and/or portable
sigr(s). This :...,,,~_;:on will begin the process to return the $100.00 deposil if the banner(s) and/or
poll able sign(s) has been removed- ~. i . 1 /
Si!ll'at\lre::1~:::~,l..!-,~ ~~~..t.A-J( _) Dat~ Ie; ft r D 7
Oat, of Application I~ ~ '7
Issted BVQ(Jt:\-n-l1'JrJ(
lob #
Ff::j' {)irk!;' 1. :::~,
c. 7 -0/6/ J Receipt #
Arnowt Collected ,,-..:::;.:90)
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SharcdDrivc(T:)lBuildiJlg1"~]mabItSiplPmnil:CSO 1.08.doc
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225 Fifth Slreel, Springfield, OR .
541.726-3753 Phone. ..." .;.~.;.r.. :'_
541-726-3676 F~x'. <: - '.):;,.., Ie :)~'.;!i. ':.
541-726-3769 Inspectiori'Line ., <
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SITE ADDRESS, " "': 633 SHELLEY ST
ASSESSOR'S PARCEL NO,,' 1703271008401
CITY 01' I'lrKlj~tJl'mLD
Building/Combination Permit
PERMIT NO: COM2009-01615
ISSUED: 11/04/2009
APPLlED: 11104/2009
EXPIRES: 05/04/2010
VALUE:
Springfield TYPE OF WORK: Banner
PROJECT DESCRIPTION: Banners - ref:C0D2009-00764
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Owner:
Address:
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RJK-LPK III LLC":" .; .
14855 SE 82ND DR
. CLACKAMAS OR 97015
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Contractor Type
Sign
Contractor
OWNER. .
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# ofUnils: . (.., .:.
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Conslruclion Type
Secondary Conslruclion Type:
# of Bedrooms:
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4..,',_'.
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Frontyard Selback: .
Side 1 Selback:
Side 2 Setback:
Rearyard Selback:
Solar Selbacks:
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Streel ImproVemenlS:
;r : t t
Slorm Sewer Available:
Special Inslruction:
Noles:
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.. Type of conslruclion
Description
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TYPE OF USE: New
Commercial
I CONTRACTOR INFORMATION I
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License
Expiralion Date Phone
BUILDING INFORMATION I
u
# of Stories:
Heighl of Struclure
Type of Heat:
Water Type:
Range Type:
Energy Palh:
Sprinkled Building.
n/a
Lot Size:
Sq FI IsI Floor:
Sq FI 2nd Floor:
Sq FI Basement:
Sq FI Garage/Carporl
Sq Ft Olher:
Occupanl Load:
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Slreet Trees Rqd:
Paved Drive Rqd:
u % of ~ot Cover~ge:
I PUBLIC IMPROVEMENTS I
.,
I Valuation Description I
$ Per Sq FI
or multiplier
REQUIRED PARKlNG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Square Footage
or Bid Amount
Value
Dale Calculaled
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Page I of2
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Status . Firialed",
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225 Fifth Slreel;'Sjn1ngflel,d, QR;;' ;,
541-726-3753 Phone c. .:j.t'
541-726-3676 Fax'
541-726-37691nspection Line
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Fee Description
***+ 100/0 Administrative Fee*** ,Y', .
+ 5% Technology Fee" .,:. .~f:;ii;'",.'
Banner Special Per'.11il ,: ...it ,;;-
iff I .
TolalAmounl Paid
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Amount Paid
:, $10.00
$5.00
$100.00
$115.00
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Tolal Value of Projecl
Fees Pairl J
I Plan Reviews I
Dale Paid
11/4/09
11/4/09
11/4/09
CITY OF SPRINt..HI!.LD
Building/Combination Permit
PERMIT NO: COM2009-01615
ISSUED: 11/04/2009
APPLIED: 11/04/2009
EXPIRES: 05/04/2010
VALUE:
Receipt Number
1200900000000001227
1200900000000001227
1200900000000001227
,
To Request a!l in~pection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requesled after 7:00 a.m. will be made the following
work day,'.!' I; ",
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By signature, 1 stale. and agree, thai 1 have carefully examined Ihe compleled application and do hereby cerlify Ihal all
informalion her~on i.s Irue and correcl, and 1 furlher certify thai any and all work performed shall be done in accordance with
Ihe Ordinances of Ihe City of Springfield and Ihe Laws of the State of Oregon perlaining 10 Ihe work described herein, and
Ihat NO OCCUPANCY will be made of any slructure without permission of the Community Services Division, Building Safety.
1 furlher cerlify Ihal only conlraclors and employees who are in compliance with ORS 701.005 will be used on this project.
1 furlher agree to ensure Ihal all required inspecllons are requested al the proper time, that each address is readable from the
slreel, that Ihe permil card is localed al Ihe fronl ofthe property, and Ihe approved set of plans will remain on the sile al all
times during construction. .., ."":t~;t-~ _. . -.
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Page 2 of2
Dale
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225 Fifth Stre,et
Springfield, Oregon 97477
541-726-3759 Plionem-------
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.( %~. RECEIPT #:
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City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001227
Date: 11/04/2009
Job/Journal Nu'~ber~~;'i D'esd'ipti~D_ ,:,:f; .)
COM2009-01615 '-+'5% TeClm610gy Fee
COM2009-01615 Banner SpecialPennit
COM2009-01615 """+ 10% Administrative Fee"""
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Paymenls:
Type of Payment
Check
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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
D18 2374 In Person
Payment Total:
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Page 1 of 1
9:29:58AM
Amount Due
5.00
, 100.00
10,00
$115,00
Amount Paid
$115.00
$115.00
11/4/2009