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Home My WebLink AboutPermit Signage 2010-3-9 225 FImI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ..~ ~4 Job Location ..~ '. ~ Assessors Map Q ~ ~ ..~ ~~ ~ City. ~ ~ "~ ~ I .~ II I. '. "~ ~ ~ I~ ~ ~4 ~ ~) "~ ~ .~ 1 ~ ~. ~ i ~ ~ . " ;".: .~".q"'QITY'@Fj;pRtNGFrE[b: OREGOf\l.:J':~1:""J . . -~.. -- :<,..,9' ~ _~_, -"'.". ,,:~!,_. . SPRINGFIELD ~..,..,_.... '- -",~.' . -. ':.~"-_n'_. .',--~' ....."'..~ j C 0- 6cYZ. '71{ City Job Number OVV\ Z-O( L-II ~ & ~!'VL 'S 7 {I'-ce{ 1702-5232- o (t{ 00 Tax Lot .i:.'.~l Owner of Property 12~ Vl (r-e.7.cJ).VLd <?A ( J Address L-(7 S- '2w~,," I tc..-v' 6'/.; d Sl r, ~~ r: .) L State 612..- Phone 5'( ( ~ 7'< 7 - '7 20~ 97'<77 Zip ~_?-:.- .':' ';''';,':'L": ~rr: ,',,'1. -.'\ -, ;~ ~~:::;:~';:~"Z:~,~~r:;~~~~;~;,' "":;.',?, c _~;~""-:_-~~?~~l>.,;~;::'2;:~~1/:::':'\{'"';~~&~;--?:;.~:"'::T;-V:i~t:~:'"I:~7"~\~-:.f77~-~-(,:;;"':-' ,--~-' ~-~ '.Contractor/Installerc, '",."."...'17..... . '7. .. ',w .' "",,1l .... .' d. Clh. '. -."^''"''''"....~.,''' . '" _ '~',. _;:>',. _' __...."',.~;_::...._,'.._~."./i...,A-',_._~, ':.s.: .','i,.'''';;'-"~l,'''-'--"~-:,,,, .;".' ~.<f,",_. .,..~--."',:?;., .~~.<.:,..,.~,..,,:,-,~,;, ',.,.... 'C~~;;~~~;.. "'q,-f.'r ?=-"'~'-~--~~'-~'---'-----_. M'_'. --~""-----~--_., ~ c.r (- 7C; )~o/ leJ 'J Zip 97 tf77 , Address 47 S- r1<-eVeV City ~ /Y/""IJ /-'(; ( rI !Sf \ru~ Construction Contractors License # Expire. . Description l)o-.. VI ~V' .s; CA. 1/14 f~aahfr' c;)Y7Fa, Date of Removal if - 9 -I (!) Date of Installation 3-q-!(!) Permit Fee: $225.00 including $100.00 Deposit and applicable fee~. 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 $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 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 :~:::ign(~;rOVedi9 ~~' _ . Datp ~ ~k ~"';;'~'~:::;{F;7;J7 ~F;;::o.ti=U;~'::S>'7:~~:4 ,;',-" t":"':':_Ji.J~.'-'.:' ',~ ,.;.~ ...;~~~ _ '""" .....sJ... ~_...----==-.n.);_::"~ "'::'~_~~~~_;\.~.." (..i","-=---:1w,t__.~ 0-&i':i...ft"_-. __~':. _~~'-"!! ~JJ.K-!.lI""::"":'::'.~ __ .~J Date of Application "3 r. rO Job # Ct 0 - 00 Z '1 'f Receipt # /201- 0 Z 1,-\ Issued By "'::h~ ?-'Z5: ~ Amount Collected Shared Drive (T:)lBuilding Forms/Bannc:r ]ortable Sign Permit CSD 7-08.doc Status Issued (;;: '"~ ii' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00294 ISSUED: 03/09/2010 APPLIED: 03/09/2010 EXPIRES: 04/09/2010 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4136 MAIN ST ASSESSOR'S PARCEL NO.: 1702323201400 Springtield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner and portable signs - install 030910 removal date 040910 Commercial Owner: Address: FRISENDAHL RONALD & MARIE F 475 RIVERVIEW BLVD SPRINGFIELD OR 97477 Phone Number: 541-747-9205 I CONTRACTOR INFORMATION ~ Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INFORMATION ~ # 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 GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION ~ REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: J",. ~ ., ' \.!.\.. '..,\.'i,'.t..". ,', i~!~ Sidewalk Type: DownspoutsfDrains: Notes: I Valuation Description ~ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pagel 01'2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00294 ISSUED: 03/0912010 APPLIED: 03/0912010 EXPIRES: 04/09/2010 VALUE: 225 Fifth Street, Springfield, OR 54] -726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line ,. . , ; '. 'i; . ~," Total Value of Project I Fees Paid ~ Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit . Deposit Amount Paid Date Paid Receipt Number $20.00 3/9/10 ]201000000000000214 $5.00 3/9/]0 120]0000000000002]4 $100.00 3/9/]0 ]20]0000000000002]4 $]00.00 3/9/10 .1201000000000000214 Total Amount Paid $225.00 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. l Re(]tii~ed 1~'~Dections ~ "'~,.~. . " Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may fortiet 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 Springtield 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, Bnilding 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 readahle 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 cons ruction. Owner or Contractors Signature Date ,:-iD\ !~ '~- !, . '. f!", Puee 2 of 2 225 FinK Street Springfield, Oregon 97477 541-726-3759 Phone iif_: City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000214 Date: 03/09/2010 II :34:03AM Job/Journal Number COM20 I 0-00294 COM20] 0-00294 COM20 I 0-00294 COM20 I 0-00294 Payments: Type of Payment Cash Change Description Banner Special Permit Depos it + 5% Technology Fee ***+ 10% Administrative Fee"''''''' Paid By BOB GONZALES BOB GONZALES Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 100,00 100,00 5,00 20,00 $225,00 Amount Paid $230,00 ($5,00) $225,00 Job/Journal Number COM20 I 0-00294 COM20 I 0-00294 COM20 I 0-00294 COM20 I 0-00294 Payments: Type of Payment Cash Change cRcceiotl djb djb In Person In Person Payment Total: Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee"''''* Paid By BOB GONZALES BOB GONZALES Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: : ,. Pa,gc I of] Amount Due ]00,00 100,00 5,00 20,00 $225.00 Amount Paid $230,00 ($5,00) $225.00 3/9/20 I 0