HomeMy WebLinkAboutPermit Signage 2009-11-4 (2)
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX. (541)726-3689
t:j:
~
-.. .~.._j4
c:tal Job Location
..,~~
~
'. ._1, Assessors Map
Ql
r ".,.' i
~
~
~)
..~
~,
~
~
~.
Ir-~
.... 'r-l~
~,
~,
~'
~
~j
~
U
IJ
1, '..
"~l
r'
-,
~
f':"\ l~
~.
~.
~{i))
...~14
~
~)
'. 14
.~
~~
-i
~)
~\.
~t
---'
~~~.
-\
-,
-.
-i
~,
. !II
~l
REF: C0D2009-00630
SPRINGFIELD
-'~
. -
City Job Number - COM2009-01540
1291 South A Street
17033541
Tax Lot 09200
--.--
" ".~,~"~~~";;;""_r_.._'~'" ~-;l._"'.,-- ':-'~..;;.;.;;;:::;;;,:::'-.~----'~
---..-...-.....
-~.""'---=-:_--..:-..........~ '-' -~
..................
- '()'V"'f ,-e'y--'---'--- ~ ----
==~l_ .,.;;::;---_.._~_~...........-__
Owner of Property R-H MCKENZIE COMPANY LLC
Address
PO BOX 2280
Phone
City
EUGENE
State OR
Zip 97402
~,_.._.~~._._-_._.._.._,.
-- --~~~"~~~~~~-~.,,,"'.^""-
5G(JhtritctiiYllhsialli/i:::1'=::'."i::T':.
-Ccmtfactof-oWNER":=-------
-
'~~.'~.-'"
.~
--,~..
.....--..-,..
Address
Phone
Cily
!
.1
I
I
Expires
State
Zip
Conslruction Contractors License #
Description, Portable Sign - REF: COD2009-00630
Dale oflnslallalion
removed
Date of Removal removed
Permit Fee:' $225.00 including $100.00 Deposit and applicable fees.
By signature, I state and agree that I have carefully completed Ihis 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 Ihe limeline
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 10 call the inspection line at 726-3769
by the end of the 30th day 10 request an inspection to verify the removal of the banner(s) and/or portable
sign(s), This inspection will begin the process to return Ihe $100,00 deposit if the banner(s) and/or
portable s~ has been removed. '.
Signatufl' . --~ Davj/~'I- (/7
~:=:":.E~::.:::~~-.""'''':~::.;:,'';w:~".''7.::.:(::.--"='''--:;€:;.;z;_::-:;,::.._, _ _,"",-_-==~:::-:::::,;_"': ..::;..::':.73j::~:..:_:.':;>;,~;21E=_=-~_.~
-~~ ---~._--~'~'~~''''''~~- "...-..'...........=..-FOf.'OI''icc-Use-.".. ._~.. .... .. ---..- ...- --.
~;~JL ;,= :::~-- -~-=3~;;~:~~::-;s ~~: 2--kiS,.;;~!.J~~-_.:._"-'''--:---~'~:;;;:::~-";;::_:;:~_r~:::;.~c-= ~~_?"~,~n_ -
Date of Application 10,19,09 Job # COM2009-01540 Receipt # 17--'S (
Issued By
Amount Collected $115.00
'l-.,,<f'
.......-
\\'Y <o~
'{., ~ LlX,'
Sh",d on" (T )1B",ldmg Form.!B,""oc],",bJ, S'g" Pocm" CSD 7-08 doc ~ &
225 Fifth Slreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax . . . ..'
541-726-3769 In,spec..tio~'.Line'" .'
.:)
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I540
ISSUED: 11/04/2009
APPLIED: 10/21/2009
EXPIRES: 05/04/2010
VALUE: '
Status
Finaled
.,' ".
.".
'';''
. 1 . ~ .
SITE ADDRES~:}.;' 1291 S A ~T 1
ASSESSOR'S PARCEL No:L. i703354I09200
,.'-' .~.,
.'" ','
Springlield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Porlable sign-
REF:,COD2009-00630
Owner:
Address:
.,:' ,,:: .~1'.; ;':;'; :.:'
. SILVER LITE TRAiLERS INC
1291 S'^- STREET . .
SPRINGFIELD OR 97477
R-H MCKENZIE COMPANY LLC
PO BOX 2280
EUGENE OR 97402
Owner:
Address:
u
I'
Contractor Type:'
Sign :'
.. -i7:~ '.~' c'"
I CONTRACTOR INFORMATI~N ..
License
Expiration Date
Phone
-
. . Contractor
OWNER
i'
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type !i:? :-i3' .~
Secondary Conslruclion Type:
# of Bedrooms:). .. "
"
# of Slories:
Height of Slruclure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lol Size:
Sq FI 1st Floor:
Sq FI 2nd Floor:
Sq Ft Basemenl:
Sq FI Garage/Carporl
Sq FI Olher:
Occupanl Load:
.,
nla
,
"
',DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Selback:
Side 1 Setback:
Side 2 Selback: ';' '..' .W'
Rearyard Setba~k:;i "
Solar Selbacks:',
.)
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lol Coverage:
Tolal:
Handicapped:
Compacl:
,~...~\~' .'
I PUBLIC IMP~OVEMENTS I
Street Improvements:
Slorm Sewer Available: ,
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Noles:
:;1
.::'"
"
j
. t; tt
,i-
,. 1,'. : .,','"
. ltn" ,.~
.. ,
4,;
Page 1 of2
~.;->4.
.-
.:,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01540
ISSUED: 11/04/2009
APPLIED: 10/21/2009
EXPIRES: 05/04/2010
VALUE:
Status Fi~ale~, C%'"
," ""."
225 Fifth Slreel;Sp;ingfield, OR
541-726-3753 Phone"...:'. .
541-726-3676 F~~ 'i;i:"';"f,:- '.
541-726-37691nspeclion Line
".,'"
7' ,
":":'"
'::Z"..
~,,:, ,~~.
~. : I
:'.
..
..i::,':.I':'- "
. '.:,' ;,~:.;~.~:.t:;';,:"
;, .....-
I Valuation DescriDtion I
$ Per Sq FI
or multiplier
Square Footage
or Bid Amounl
Value
Dale Calculated
Total Value of Projecl
F"es Paid I
"'~h:i:.I'"
:' :' ~ ..l'~~> ...,. _..~.~:':"' -Amount Paid
Fee Descriplion: ,f;':':
***+ 100/0 Adniinisir~tive Fee***
i " ~
+ 5% Technology,F,ee t,
Banne.r Special Permit;.:1 ........ .__~ ..
$10,00
$5,00
$100.00
1114/09
11/4/09
11/4/09
Receipl N umher
1200900000000001231
1200900000000001231
1200900000000001231
Date Paid
Tolal Amounl Paid
$115.00
. . ..,
~.: ~ i! ,\,:j:.~ ..
;' ~ . .
.;"i i>
Plan Reviews I
'.
To Request a~ 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.
"
'; !~ Rrclllir~d Ins~"ct~
(:.', .
By signature, 1 slale and agree, Ihat-I have carefully examined the compleled application and do herehy cerlify Ihat all
informalion hereon is true and correcl, and I further certify Ihal any and all work performed shall be done in accordance wilh
Ihe Ordinances ofihe City of Springfield a!"d Ihe Laws oflhe Slate of Oregon perlaining 10 the work described herein, and'
Ihal NO OCCUPANCY will be made of any struclure wilhoul permission of Ihe Community Services Division, Building Safety.
I further cerlify Ihal only conlraclorsand employees who are in compliance wilh ORS 701.005 will be used on this projecl.
I furlher agree 10 ensure Ihat all required inspecliolls are requesled al the proper lime, that each address is readable from the
street, Ihal Ihe permil card is localed at Ihe fronl of the property, and the approved sel of plans will remain on the site at all
'.Ozj=w.
Owner or Conlraclors Signafure
p
11- L/. tJl
Date
. .., ,.
; ;~~ '
, I
\....!'it.,l:..
, . ": ...~~ ..
~. ~
1:
.-
Paee 2 01'2
~~
225 Fifth.Street.
Springfield, Oregon 97477
541-726-3759 Phone ._.
.~r"
\;:;;~;kEtEIpT~#:'
B
City of Springfield Official Receipt
Development Services Department
Public WorkS Department
1200900000000001231
Date: 11/04/2009
Job/Journal Number::":~'~: ~escription ..'
COM2009-01540 . ;,t';'~;";:B,;ru,er SpecialPennit
COM2009-01540'-i- 5% T~~h~~iogyFee ' .
COM2009-01540 "'+ 10% Administrative Fee'"
Payments:
Type of Payment
Check
. . .
. :,Paid:By};:.
,;,SILYERLITE TRAILERS lNC
~",'
~:~f;. "
" .'.~,,"
. ":.~,
~:
"of 7 t ,""
::; .~10
-,
. .1'-,'+.
jt; ~
,
j,
" .'
"~"-'-I ~'p
_ I,.. .J. ~.
". ~''\ ~::'" ,:";. ;./j i~
,
..~.. .
- .
"'7~:' ~ 'i~' {.
", .:"
..
"
_i ~~' '
,
~ ~
~,
.
.~
..~i~it"
,!
..
"
,
~, t,
.
.!
, 1
.[,
~ ~~~
<,
~r
cReceintl
Received By
Item Total: .
Check Number Authorization
Batch Number Number How Received
53740 In Person
Paymenl Tolal:
DJB
"
"
,J
Page I of I
2:12:40PM
Amount Due
100.00
5.00
10.00
$115.00
Amount Paid
$115.00
$115.00
11/4/2009