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Home My WebLink AboutPermit Signage 2010-2-4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line SITE ADDRESS: 28 W Q ST C ASSESSOR'S PARCEL NO.: 1703271003500 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00149 ISSUED: 02/04/2010 APPLIED: 02/04/2010 EXPIRES: 08/04/2010 VALUE: Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Portable Sign - 02104/2010 - removal date 03/04/2010 Commercial Owner: BOSISTO MALCOM J TE Address: 1484 CHECK ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Contractor , # of Units: Primary Occnpancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: M Vlhr B~J\LDI~G INFORMATION I # of Stories: Height of Structnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: License Expiration Date Phone n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Pav.ed Drive Rqd: % of Lot Cove~age: REQUIRED PARKING Total: Handicapped: Compact: . I PUBLIC IMPROVEMEI'Vi'~,,' t:NTION: Oregon law re . , I '!, v rules ado t qUIres you to . Vot'flcatiol$i!J~rrllJ~ ~Q.v, the Oregon Utility In OAR 952.d1n1 . Use rules are 0090. You Mt'n9~oU't~gtJJmAR 9~~ forth calling th Y Ootam Copies of th -001- e center (N e rUles by nUmber for the O' ate: the telephone Cregan Uti/it N .. enter is 1-800 332 Y obflcalion - -2344\ .., ,...Tr'" c:. ;"'~ ,,--- IT SHALL EXPIRE (, ::'': "J.:: THIS PER~D UNDER THIS p~~I1iaacHPi)escriDtion I MJTHORI NDnNEO ~Utl CO[v'-M~~cm- OR,IS ~~A "'j;-P-er Sq Ft Square Footage ANY 180 ~Ay~rltltW'. I or multiplier or Bid Amount 1-, Street Improvements: Storm Sewer Available: Special Instrnction: Notes: DescriPtion Page I of2 "Si ,i ,., Value Date Calculated _Sf.!l'IIl"'~I1I~t;I~ l " Status Issued 225 Fifth StI"eet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Total Amount Paid ..' , Total Valne of Project Fee:, P~id I Amount Paid Date Paid 2/4/10 2/4/10 214/10 2/4/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00149 ISSUED: 02104/2010 APPLIED: 02/04/2010 EXPIRES: 08/04/2010 VALUE: Receipt Number 1201000000000000103 1201000000000000103 1201000000000000103 1201000000000000103 To Request an inspection call the 24 hour recording at 726-3769. All i~spections requested before 7:00 a.m. wiII be made the same working day, inspections requested after 7:00 a.m. wiII be made the following work day. ' $20.00 $5.00 $100.00 $100.00 ""il $225.00 ' '" I Plan Reviews I I Rerlui,red Insnections I _lllIlllloIir "I '" Banner Removal: To be reqnested the day 'following the expiration of the permit. If inspection is not requested, the applicant may forfietthe deposit. By signature, I state and agree, that I have c31'efully examined the completed application and do hereby certify that all information hereon is true and correct, and I fnrther 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 deseribed 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 hi compliance with ORS 701.005 will be nsed on this project. I further agree to ensure that all required inspections '~~e req~e'sted at the proper 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. . -~~ ~--"- Owner or Cont~ignatnre Paee 2 of2 :l - '-( - /(j Date 225 FlITH STREET . SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FAX: (541)726.3689 ..~ CilyJObNUmbef/t? --- {tv?/'9 .. ~~ Job Location ?. '7s l A ) L'> ""'-, {- ~ ..~t Assessors Map. ~ ~ ~ ..~ t: ~ ~ ~ ...~ ~ a ~ij y II I. '. ..~~ ~ ~ ~ ~t ~ ~;(9) -. ..,......-4 ~ ..~ ~) ! ~ ~ .'-'" """"'J~'''f?''~'~''''''"'"~ ~ ~'"",, -~~"" r' '0"'J_J.~*'~. ',,~" - "'-'1 "'?-,-I;:.VJij".."".,y;.lg'lJ""'b~i'''':;:':''}''r,;~.-.; - '"et''-'-''''' ,~'<::/ "" -~'7~-;:""''''''' .,' ,~~;~J' ~ ..~?::c",t'~.~;:f"'''D '0 ~ :TT :l'~ \.f",J-'t'-(..',q':' ,''';:'.7r1'J_'<'-':;' r::.,' d.'" "\.. 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Construction Contractors License # <A- ~ Lf.L:..,/' y- 5 ~(r II q ? L(7? (':) G Phonp (')!2- City State Zip Expirpo Description T~e L-.i.f -In "5 < "c:;~ t 3-L{-{u Date of Installation Date of Removal 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 witllln 30 days from the date listed above. lfthe banner(s) and/or portable sign is not removed witllln 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 im 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 be.? ~~o~ed. Signatur".4?~ .~ Datp )... -if ~ LA Job # Receipt # Amount Collectecl /j dd S--, oV Shared Drive (T:)lBuilding FormslBanncr]ortable Sign Permit CSD 7-08.doc r~~~::_, Kc City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00 149 COM20 I 0-00 149 COM2010-00149 COM2010-00149 Payments: Type of Payment Check cReceintl RECEIPT #: 1201000000000000103 12:27:53PM Date: 02/04/2010 Description Banner Special Permit Deposit ***+ 10% Administrative Fee*** + 5% Technology Fee Amount Due 100,00 100,00 20,00 5,00 $225.00 Paid By ROBERT TIMMONS Item Total: Check Number Authorization Received By \ Batch Number Number How Received Amount Paid njm In Person Payment Total: $225,00 $225.00 28015 :~'~f . ~: ,. ,,-' Page I of I 2/4/2010