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Home My WebLink AboutPermit Signage 2010-2-22 ZZ5 FlITH STREET. SPRINGFIELD, OR 97477 . PH:(54 ])726-3753 . FAX: (541)726-3689 ~:=l: ~ -4 'r-I, ~l Job Location ...~~ ~ ". ._1, Assessors Map. ~l ~ ~ ~J . .~I, Address "?i: ~ City Eugene ~ ~. I~ .... ...--I~ ~, ~~' ~, ~ eEl ~< ~l -I ~ U I. " ....,_....1,1 ~ 1't' -i ~ fI' I~ ~, ~, ~J,i)J -", .,_...J4 ~ GlI)) " '-1, .~ ~:"1 :....., ~ Signatur" ~ ~:: -~.:;-:...-;;:..- ._----:---,:<--:...._;~:,,:::.::;-.:;,-::- -. :-;.~-:-.---;.::.....- ---,-..-.:.::~~.:;--~,- '.;:;;:;;::;;~:-~"~~~:::;;;;':'-';;:~:'-"-:.'::-.. ~ --- ~, :''';''=::::5::;;]'i::ii~~==='ff:;:11'f=;S:::f;'~~':E.or.'i!jjl'ci{ufe~:~~-?~.~'::~f:;'::~~":~':: ~.:-. r. 'i --_._..._~-/.._"'_.._..._........_" .... .-..-.-.....----...-.-.....--., ~ Date of A~Blication..) 02-22-10 Job # COM2010.00225 Receipt # ~i // I ~l C.J~sued'By(;l~ /1LtCt~ tc.c,L,; @~ ;' ... I . ~ Ii' ~l ( C/ I] SPRINGFIELD' ~f, ' . CITY OP 'SPR11;-lGFIELD, OREGON ..... ~ ~, ,"" J' ~ . , .~ City Job Number COM2010-00225 5807 Main St 17023341 Tax Lot 03700 ;~~v~~~~-~_~_~~__~~_~-=_~~_~~~~~~~~.::~:;._~~~::~~=:::__~~:~~~~_~~~ Owner of Property East 13th Ave investments LLC PO Box 529 Phone State OR Zip 97440 .........--_._M__--='__~~._________ '.. ___ ~___'.~___ .~ ._~-~"~~~~'" =-----~-- _. ._~.,.. -- -~ =ejjntriiCitO;:/IiiS"tiiller~=~~.~'"'c:;;.=....".c__ .",,_....--- ~. "~:=~. ~- - _.. ~-"'---^--'-';;;';-:-'~~"- '^.- -:;.~ -----;~-...::.;;:,~-"'.- - -=~...;::..;;:-'-~-..:.::::;.=~...--:,~,.::::....--_..:;:=: Contractor' 'OWner . . .. ... ." " . . Address Phone City state Zip Construction Contractors License # Expires Description - Banner - REF: COD201O-00085 Date of Installation 020210 Date of Removal 020210 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 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 $] 00.00 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 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 s.ign( s) has been remov~d. ~.~/ Dat" ~ ) ).j-N 0 Amount Collected $115.00 Shared Drive (T:)lBuildlng FonnsIBanner]ortable Sign Pennit CSD 7.0S.doc Status Finaled CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00225 ISSUED: 02/22/2010 APPLIED: 02/22/2010 EXPIRES: 08/22/2010 VALUE: 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541.726.3676 Fax 541.726.3769 Inspection Line SITE ADDRESS: 5807 MAIN ST ASSESSOR'S PARCEL NO.: 1702334103700 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner. ref:COD2010.00085 Owner: EAST 13TH A VENUE INVESTMENTS LLC Address: PO BOX 529 EUGENE OR 97440 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 Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION ~ Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: . u/o of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: .i .' ;'" " .( I Valu'ation Description ~ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of2 Status Finaled CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2010-00225 ISSUED: 02/22/2010 APPLIED: 02/22/2010 EXPIRES: 08/22/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description ***+ 100;;) Administrative Fee*** + 5'Yo Technology Fee Banner Special Permit Amount Paid Date Paid Receipt Number $10.00 $5.00 $100.00 2/22/10 2/22/10 2/22110 2201000000000000160 2201000000000000160 2201000000000000160 Total Amount Paid $115.00 I Plan Reviews ~ 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. Reauired InsDections I 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 propel' time, that each address 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 construction. I _....''":< ___,-".c-'-'-~ // (' /' - . ..," C ~ Owner or Contractors Signature -.- d-/J~/).o/& Date , Page 2 01"2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Slj:OF:;fij.. . . u... .. . IlL City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000160 Date: 02/22/2010 11 :43:09AM Paid By ROBERT BLOOMEFIELD Item Total: Check Number Authorization Received By Batch Number Number How Received njm In Person Payment Total: Amount Due. 100.00 5.00 10.00 $115.00 Job/Journal Number COM20 1 0-00225 COM20 1 0-00225 COM20 1 0-00225 Description Banner Special Permit + 5% Technology Fee ***+ 10% Administrative Fee*** Payments: Type of Payment Cash Amount Paid $115.00 $115.00 cRcceiotl Page 1 of 1 2/22/2010