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HomeMy WebLinkAboutPermit Signage 2009-12-2 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ~ ei City Job Number ee~ e. ~~ Job Location ~ .. ~~ Assessors Map Ql ~ ~ ~ ..,,-1, ~ r~ ~ City GlAc.; 67tflr ~ ~. I, '. ..~ i I 'rc3 II I, '. ..~ ~ ~ ~ ~., ~~ ~ ~l,!)) -. 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Addresr 1;& u'7L/F, L-;o ~!.. _"S 11~- [) phon" State ~ Q1'-!o I Zir F~ ~T.;"~'}..~~pJ~-~r~~~~ 1-"' (,.....4N8?-~:~~h~?V:~~,:~ ::;# 'G]:":F~7'::''''" "-~l,'';>{T'~~-;:-:'''''' ~v ;r-F~ _;.,"'?'1i':'.;~'WJ~~wvr.~-=- 4~; ~.?:. Ii Cont!..actor.nnstallet::{~~i~~ ~ {J,;Jl::fp~i&c.Y~f OC~::(4!~ ~~'7~~:^'y. ';~~'~f~"1ff.::iMiff:~.~;~::J:;::~:\jSi?!!t~?^' 1{;l~~~'~v:~~' "~'''}f'%tj,. r':? ti "'~~:-=;~~:"L:;.,.~''''''1l!l'''.ti1'~Z-' '. """", "~'" "-"""L".."~,""",='2.",...lj~~~"",~""",, - -.'.'=-'"",,,,, Addres" ~ r 6 l3 nfL/be:.! c.. U u/J, Phon" ~,-1:-t7~ -<fv +~ City 4w-~ eJJ / State 1"\T) Zip C?=r4-~':1- I ~' ~, Construction Contractors License # Expir"" , Description Date of Installatior C( 1::>;0 .- ~- />1- Date of Remov81 (':J-hb/~~ Permit tee: 1$225.00 i'cIUding $100.~0 Deposit and apPlicable fees. . By signature, I state 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) arid/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 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 inspection to verifY the removal ofthe banner(s) and/or portable sign(s), Tills inspection)?'ill begin the process to return the $100,00 deposit if the banner(s) and/or portable sign(s) has bflin removed. Signat>~~ Dat" 1..l---3~of ~:, ~~~!J/if.o;~ lro"'~' ,., '''',.c~el1>u:d "s<?e.~..~T,J;:~'b:~~"!i~,tr;., ", 1'1 '," lffi., , e.'I'#f",~y~+"" ~~,,~. -'t'+_,_.~I)-{ng;jfi.'*~:H'.rr~~15;';'inV~%'f:"/''':' - -J~b # (J D; - 172-ty- Date of Applicatinn 1 J-I Z. /0 f Receipt # ,., -&-0 .....2-'" ~_ Issued B~' C?C:;. ~, Amount Collected Sbared Drive (T:YBuilding FormslBanncr]ortable Sign Permit CSD 7..Q8.doc 'Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01724 ISSUED: 12/03/2009 APPLIED: 12103/2009 EXPIRES: 12/30/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone' ' 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS:, 2090 OLYMPIC ST B ASSESSOR'S PARCEL NO.: 1703253107701 Springfield TYPE OF WORK: Banner TYPE OF USE: PROJECT DESCRIPTION: Banner special permit REMOVAL DATE 12130/2009 Owner: MCKA Y COMMERCIAL PROPERTIES LLC Address: 76 CENTENNIAL LOOP STE D EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type, Contractor License Expiration Date Phone BUILDING INFORMATION g # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary ConstructiOn Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: W'ater 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 DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Reary.rd Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Cuverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC ~MPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: ' Sidewalk Type: Downspoutsillrains: Notes: 'yaluati,?n Descriotion , Description Type of Construction, $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 Status Issued 225 Fifth Street. Springfield, OR 541-726-3753 Phone, 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description ***+ ] 00/0 Administrative Fee*** + 5% Technology Fee' Banner Special Permit Deposit Total Amonnt Paid Total Value of Project ~ F.,e~~ P/~ i~ I Amount Paid, " Date Paid CITY OF SPRINGFIELD Building/Cqmbination Permit PERMIT NO: COM2009-01724 ISSUED: 12/03/2009 APPLIED: 12/03/2009 EXPIRES: 12/30/2009 VALUE: . Receipt Number 2200900000000001348' 2200900000000001348 2200900000000001348 2200900000000001348 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. $20.00 $5,00 $100.00 $100.00 12/3/09 12/3/09 12/3/09 12/3/09 Banner Removal: To be requested the day following tbe expiration of the permit, If inspection is not requested, " tbe applicant !)lay forliettbe 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 ohny structure without permission ofthe Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wili be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each ~ddress is readable from the street, that the 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 c:str~ ' //] ..../ ~7Contrac~ors S~re $225,00 I Plan Reviews ,I I Rev~]ir,fd ,Ins.ne,ctio,~,~ I rage 2 01"2 /IL~~~~ ) I , Date 225 Fifth Street Springfield,Oregon97477 541-726-3759 Phone City of Springfield Official Receipt Developm~nt Services Department Public Works Department Job/Journal Number COM2009-0 1724 COM2009,O 1724 COM2009,O 1724 COM2009,O 1724 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200900000000001348 Date: 12/03/2009 Description Banner Special Penn it Deposit + 5% Technology Fee :~**+ 10% Administrative Fee*** Paid By MOO KYU LEE Item Total: Check Number Authorization Received By Batch Number Number How, Received cjc 152965 In Person Payment Total: Page 1 of I 1I:12:30AM Amount Due 100,00 100,00 5,00 20,00 $225.00 Amount Paid $225,00 $225.00 12/3/2009