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Home My WebLink AboutPermit Signage 2009-12-21 , 225 FIITII STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX, (541)726-3689 ~ C",-. 2.009 - 0 f g 17 _.~ City Job Number ~t'V1, I ..~ Job Location 2~2J Z!lyWlp;C St. -.~, Assessors MaD I 70 3, Z S-Y I Cdl ~ ~ -.~ >, ~. I~ ~ City ~ ~, I~' _. ~ Contractor ~ = I ,8) . II ~ -.~ ~ ~{ ~. ~J1Jj ..a~~ ~ ~ '< j~ ~) ~. e ~ ~ ~ i ~ ~ Ut:. Co.oZc) 0 7- 0083. C) S'P~'i1p'(10 I t)f 0110 ( Tax Lot Owner of Property j IAA'?'(( , ?hlf~ I Addres< ? 0 g 0;< z. b (z. S- l"~nnp ~ G--~(e Stato c::IZ-. Zip 97C(07 Addre<< ~ City ~tate Construction Contractors Li;5PS~ ,Descriptior ? ,,-xt,..-\.,Aj, ("", ~ ~ Date of Installation I Zhb~ ( / / 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 all information herein IS true and correct. I further agree and understand that the above described banner(s) and/or portable sign(s) is notJarger than 60 square feet, and will be removed Within 30 days from theO'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" er development area. I also agree to call the inspection Ime at 726-3769 by the end of the 30th day. re uest an' ection to verify the removal ofthe banner(s) and/or portable' sign(s). This inspectio ;viII egin the "rocess to return the $100,00 deposit if the banner(s) and/or p~rtable Si~(S~ eii roved, /j SI~"hlTP '7t /2. 2( ~ 0 1 Zip Expiro~ Date ofRemov~l /Vo Date of Applkation Issued By Tob# Receipt # ~cC Amount Collected z- Z.s- ..-- Shared Drive {T:)lBuilding Foi:msIBanner]ortable Sign Permit CSD 7-08.doc _~~~:U~,~,~I,~~',,~IH~"'d"i i i (' Status Issued CITY OF I'lt'Kl!~GFIELD Building/Combination Permit PERMIT NO: COM2009-0I8I7 ISSUED: 12/21/2009 APPLIED: 12121/2009 EXPIRES: 0I/1612010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2329 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703254101101 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Portable sign - install 121609 removal date 011610. REF:C0D2009~00830 Commercial Owner: OLYMPIC STREET PROPERTIES LLC ,Address: PO BOX 26125 EUGENE OR 97402 I CONT~C~OR 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 Secundary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water 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. 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 Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Desc~i9tion ..1 Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 2 li~' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01817 ISSUED: 12/21/2009 APPLIED: 12/21/2009 EXPIRES: 01/16/2010 VALUE: Status Issued 225 Fifth Sireet, Springfield, OR 541-726-)753 Phone 541-726-3676 Fax 541~726-3769 Inspection Line '- Total Value of Project Fees Paid I Fee Description ***+ 100/0 Administrative Fee*** + 50;', Techuology Fee Banner Special Permit Deposit Amount Paid Date Paid ReceiptNumber $20.00 $5.00 $100.00 $100.00 12/21109 12/21109 12/21109 12/21109 1200900000000001352 1200900000000001352 1200900000000001352 1200900000000001352 Total Amount Paid $225.00 Plan Reviews I 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. I Reoll~r.~~ I~~l1ec.tions I Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may forliet the 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 ensure that all required inspections are requested at the proper time, that each address is readable from the street, thatzh pe mit card i ocated at the front of the property, and the approved set of plans will remain on the site at all times durin c~ fruetio ~ 1/1-"/1.' /2,2/~09 ownf o~ontractors Signatnre Date " ;,1' ~ ,,",- Page 2 of 2 . q 'i' iT. ,'.. .,......"~,~.w_,.._,_.... ..... -. ... 225,Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1817 COM2009-0 1817 COM2009-0 1817 COM2009-0 1817 Payments: Type of Payment CreditCard , cReccintl City of Springfield Official Receipt Development Services Department Public Works Depart~ent RECEIPT #: Date: 12/21/2009 11:34:47 AM 1200900000000001352 Description Deposit , + 5% Technology Fee ***+ 10% Administrative Fee*** Banner Special Penn it Amount Due 100,00 5,00 20,00 100,00 $225,OU Paid By THE MATTRESS COMPANY Item Total: Check Number Authorization Received By Batch Number Number How Received djb 024641 In Person Payment Total: $225,00 $225.UO Amount Paid , Page I of 1 12/21/2009