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Home My WebLink AboutPermit Signage 2009-11-5 "I ~ , ~~s{~ :" ':f;':.- QltM~@FilspRilli--iGIUEf.iQ'"'OREGO:N~;~~~;i=' :-: ,_:::r"",~:.,:~T~:,:.","'T" )'::~i/..+~-~k<~~~-:"/:Pl,1"1\rr 'f",~J1_. ~".~{',--d'-~ -'. >-;;~~"~"J;~:ljy 225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ..~ City Job Number ..~ . Job Location ~ '. ~ Assessors Man Q ~.l ~ Owner of Property ~ .."",--~ . Addr".. 2 (q 7 ~ ~ City C::;.::;>c, >'150,.., t ~ ~!btElfi/irll[il}fJl:i'!t ~ 'i!t!t'l:l:;i1",:~i_'it.1U')iSl'~,~Wf.(:';~;'; ..~: ~; Contr?"tM ~ ~' ~ .~ I. '. ..~ L,l( Permit Fee: $225.00 including $100.00 Deposit and applicable fees. ~. , .... '" , ~ By sIgnature, I state and agree that I have carefully completed this applIcatIOn and hereby certify that r- ~ 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 1za1J)) " 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 iIlspection to verify the removal of the banner(s) and/or portable :.~ sign(s), J?is inspection will begin the process toreturn the $100,00 deposit if the banner(s) and/or ~S portable Stgn(s) has been removed, ~ '~ ~ Signatw.-i - ~ ~ ~' I ~ Issued By ~ CotA-1 Zoo '1-0fbZb '21 q,l OrvtlVlPIC. Sf 5p(IVIc;f.e/L 170:s.ZS"C{L o ( 2.0 z.. Tax Lc,t I 51- o >1Mf1c PrOn,. State_()R Zir C17t./77 OW He-V!::., Addres. City Zip Construction Contractors License # . ,. Expire. II Description Lhq.".t-MCl~ ~-e.G Date of Install<itior ~ce",be.r Date ofRemov~l Uce"" ~t'r 2.3, '2.oC!:JOl. Ld S,c..., s. Zcoq /1 ./ Job # Receipt # ~ zz~- Amount Collected Shared Drive (T:)lBuilding FonilslBanner ]ortable Sign Permit CSD 7-08.doc November 4,2009 , ., To wh0111 this may concern: We, the propeJiy owners of Cash Connection, give permission for Crossfire World Outreach Ministries to us r property, located at 2197 Olympic St. Splingtield, OR . 97477, for the duration 0 1e 2009 Christnlas tree fundraising season, -f/JlMllJ Status Issued. U 1 i' OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01626 ISSUED: 11/05/2009 APPLIED: ] 1/05/2009 EXPIRES: 12/31/2009 VALUE: 225 Fifth Street, Springfield, OR , , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2197 OLYMPIC ST ASSESSOR'S PARCEL NO,: 1703254201202 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner/portable signs - 120309 removal date 123109 , , ' Commercial Owner:" Address: POLEN DEVELOPMENT LLC 2197 OLYMPIC SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ,. 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 Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: .. Overlay Dist: # Street Trees Rqd: Paved Drive,.Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm S,ewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion , Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated :4' Page 1 of2 Status' Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-01626 ISSUED: 11105/2009 APPLIED: 11/05/2009 EXPIRES: 12/31/2009 VALUE: 225 Fifth Street; Springfield, OR 541-726-3753 Phone 541-726'3676 Fax 541-726'3769 Inspection Line i';. Total Value of Project Fees P9irl I Fee Description' *"':*+ 100/0 Administrative Fee*** + 5% Technology Fee Bimner Special Permit Deposit Amount Paid Date Paid Receipt Nomber . $20.00 $5,00 $100,00 $100,00 1I/5/09 1115/09 ll/5/09 11/5/09 2200900000000001262 2200900000000001262 2200900000000001262 2200900000000001262 Total Amount Paid $225,00 I Plan Reviews I T~ Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.lll. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Re(lll"'ed Il1snections I III f Ii.. I I I I I.. r~ I, Banner Removal: To be requested the day following the expiration of the permit, If inspection is not requested, the applicant may forfietthe deposit. 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 Services Division. Building Safety, I further certify that only contractors and employees who are in compliance with ORS 701.005 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 c~rd is located at the front of the property, and the approved set of plans will remain on the site at all :;ingC7~' 1I/o5'/aq Owner or Cont~ature f Date f Pa2e 2 of2 225 Fifth ,Street Springfield, Oregon 97477 541-726-3759 Phol!e " Job/Journal Number COM~009-0 1626 COM2009"0 1626 COM2009-0 1626 COM2009-0 1626 Payments: Type of Payment Check cReceintl City of Springfield Official Receipt Development Services Department Public Works Department ";.:' RECEIPT #: 2200900000000001262 Date: 11/05/2009 Description . Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By CROSSFIRE WORLD OUTREACH -, Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2988 In Person Payment Total:' l',., " Page 1 of 1 2:22:52PM Amount Due 100,00 100,00 5,00 20,00 $225.00 Amount Paid $225,00 $225,00 I 1/5/2009