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Home My WebLink AboutPermit Signage 2009-12-1 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . fAX: (541)726-3689 """"! ~! CO) City Job Number ...~~ ~j ..~j Job Location ,'~ o. . lj Assessors Mar, gd\ ~J -n n . iJ, ~ Owner of Property I ""-01";;". ( 1::>1'1 0 rT~ o.~ Addres< qS-D )ov---t'k Lfo-tl." PINe.. Phonp 541-7lft-?S-6J' --~~~-Ci0-S:~r-~C}~;-p'hA-.~-'-~ StateJ)'~~' z'lr-q-1Lj.::y~"i?--~~-~ -- - - ~ Contractorllnsta/ler ~J "~l Contractor g:! ~I ~. ~: -! , ! . :=! _I -! ~ U ~ .......... I p-,',/ ," '...~ ~t' . I] . 1",0 "e~l --I ,! -! ~ ft" Ii ~; ~, ~lj)) ...~( ~ ~? ~j .~ e -l ~ ~.. ~l ---- ~; ~) ~I _f -! ~! ,!) ~l g,r=e (OQZoo7'-OO~02.. , , t~ ~.'~ \ \ CITY OF SPRINGFIELD, OREGON C c",-" e..o c 9' - C> , 71 b ~22.'2.. N. 2. <;g-ft... 5-1: )Pr-Iv..c. (...J.J. . r)('{ 17lfr7 Tax Lot Owner ot.....; N e-rt. Addrp<< Phonp City State Zip Construction Contractors License # , Expirp< Description c:;: ~)b'>'%'~~.(-re('" ~^n-r...l f/ rob E::' €?IF co",^PLt~cfE Date of Installation ((!Z~/() 'j' Date of Removal IPYO C). Permit Fee: $225.00 including $100.00 Deposit and applicable fees. By signature, lstate 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. ]fthe banner(s) and/or portable sign is not removed within the timeline -:--- - ..::- - specified, I will, forfeit the $100.00 deposit. ] also understand that this special permit can be issued only twice per calendar year per development area. ] 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 been removed. . ,.. Signatu~f:;:",~.;~~54g.Y~~:~~'!;';7c..it~~~ ~ For Office Use Job# C / -0 (7/b Receipt # " , :~. . Date of Application IZ-f-D 1- ';-...,/'1 Amount Collected /3q I rzz-s- Issued By Shared Drive (T:)IBuildirig FonnsIBanner]ortable Sign Permit CSD 7-08.doc Status Issued CITY OF SPRINGFIELD 'Building/Combination Permit PERMIT NO: COM2009-0I716 ISSUED: 12/01/2009 APPLIED: 12/01/2009 EXPIRES: 12/23/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 222 28TH ST ASSESSOR'S PARCEL NO.: 1703361422300 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner/portable signs- install 112309 removal date 122309. ref:COD2009-00802 Commercial Owner: BEDORTHA HAROLD K 1-2 Address: 950 S 40TH PL SPRINGFIELD OR 97478 1 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a 1 DEVELOPMENt m~uKjv1ATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: . # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: 1 PUBLIC I,MPROVEMENTS I Street lmprove~ents: Storm Sewer Available: Speciallnstructi9n: j-, Sidewalk Type: Downsponts/Drains: . ',"-, Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Dale Calculated Paee I of 2 CITY OF :')n~muFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01716 ISSUED: 12/01/2009 APPLIED: 12/01/2009 EXPIRES: 12/23/2009 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description ***+ 10(% Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $20.00 $5.00 $100.00 $100.00 12/1109 12/1109 12/1/09 12/1109 2200900000000001341 2200900000000001341 2200900000000001341 2200900000000001341 Total Amount Paid $225.00 , I Plan Reviews I To Request an inspectil;m 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. ~,elllJir,ecl Ins'lection. I Banner Removal: T~ 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 ag'l'"ee, that J 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 I'f Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any strncture without permission of the Community Services Division, Bnilding Safety. I further certify that only c~ntr"ctors ' loyees who are in compliance with ORS 701.005 will be nsed on this project. , further agree to ens . l;", quired inspec 'oos are requested at the prop,er time, that each address is readable from the street, t the i I'd is locat d at the front f the property, and the.approved set of plans will remain on the site at all dur' ~tion. (;Qrv, rr5? gnature Date Page 2 of 2 225 Fifth Street Springfield, pregon 97477 541-72u-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-0 1716 COM2009-0 1716 COM2009-0 1716 COM2009-0 1716 Payments: Type of Payment Check cRcceintl RECEIPT #: 2200900000000001341 Date: 12/01/2009 Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By KIM WINTON It'ern Total: Check Number Authorization Received By Batch Number Number How Received djb 5034 In Person Payment Total: Page 1 of 1 2:25:56PM Amount Due 100,00 100.00 5.00 20.00 $225.00 Amount Paid $225.00 $225.00 12/1 /2009