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Home My WebLink AboutPermit Signage 2010-3-22 Mar 22 10 03:40p ~ .c-~ I ~ ~ ~, .0,"""" ~L:>o,--::'" " ~.t'"-!.l ~ .,..-..:l; 'T~ ~ ~ ~ ;;.-..: I """ of App",,"~ -$ - h '" ; 0 Issued By_k(yP Ie ~~; vl~d-A -::H~ 0\~~?>3,~ ~Li-r::;. = ~ ..~ ~' .- ..' '~ ..,~ ~ ~ ~ r::.b ...;;;;r, ~ ~ 1'P,L!i"t ',.,' ~~~ ~ ~. "a; ~ ~"- ,'- ^ ( .- ~ U .. Jack in the Box 5417363861 p.l SPR1NCFJELD ~..~~~~ .'. . ..&-~- ~; ~~{[~6~~~~Ifi;c~'tillo'il City Job Number st; Job Location Assessors Map Owner . , Tax Lot Address ~ 4\ -4-'Y.,o ~3~~~ Zip 1~ Phone 81 ! OfZ tate' , Contractor Address PhOl:>'" City tate i I i Expire. Zip Construction Contractors License # Descriptio ~ 910 ~" YI'\ 5 -'};j) U ""-^'" I r.::; ~. 0 Date of Installation --.., ".\ ,L..-JV of Removal (1" VV -:1 ' ,J ~ I . / -4- t:: -, 5 oc Permit Fee: 5225.00 including S10.0 Deposit and appli6tble .fees. -::":, ID- J . By signature, I state and agree that I have carefully forri teted this application and hereby certify that all information herein is true and correct. I furthbr aglfee : d understand that the above described banner(s) and/or portable sign(s) is not larger t1Jn 60 bq' feet, and will be removed wifuin 30 days from lhe date listed above. Iflhe banoer(~) and/1r PO~I. sign is not removed wifuin lhe timeline specified, I will forfeit the $100.00 deposit. I alfjD under' d that this special permit can be issued only twice per calendar year per development area. 1 ~so: agree to call the inspection line at 726-3769 by the end of the 30th day to request an inspectioh to ~ " the removal of the banner(s) and/or portable sign(s). This inspection ",ill begin lhe process t retutn ' $100.00 deposit if the banner(s) and/or portable sign(s) has bee~oved, A/. II . (J/th-?N4 . , Slgnatur Dat'" 31?-2-11~ For .." , if.{treUe,' 'I' "..' '1. :", ..'. ; Ir :J- Receipt # o! t Collected -t' 2-2-5-' er&. /'V ,,jp ') .~ I . (r:}'IluiIdmgFom.IBallo=]o"""",Si..PmnitCSD7-<l8,doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00419 ISSUED: 04/05/2010 APPLIED: 04/05/2010 EXPIRES: ' 10/05/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,~. ".;,j ; ,. , , , 'Springlield TYPE OF WORK: Sign SITE ADDRESS: 4175 MAIN ST ASSESSOR'S PARCEL NO.: 1702323202500 "I .,..'," .' "? TYPE OF USE: Commercial PROJECT DESCRIPTION: Portable Sign- Removal Date 5/5/10. Refund to Vin Mehta, 4150 Paciftic Hwy, Suite B, Medford, OR 97501. Owner: HERBERT F GABRIEL TRUST Address: 1023 LEONARD AVE OCEANSIDE CA 92054 1 CONTRACTOR INFORMATION . Contractor Type Contractor License # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: { I BUILDING INFORMATION} t tJ'vv ....vc,.. vvv po -. 't~-.::, UO!I'80!I!lON !.l!Il' if~J .alll JOI Jaqwnu e~qlldalal alii t liJ90 9~16u!lltlO Aq s~nJ 911110 s crmiUi fiOA '0600 "lOO-C:ge HVO 1I6 Ilf _ttOO-C:96l:lVO ul l/iJ0119S 9JtI saln~Il'q.t.' Y.RIl. ua:) UO!ltlO!l!loN Aill!ln U069JO 9Bi'J'!~"P~YHI\i>tI sainI MOllol 01 no!. S9Jlnbaliil~rruo!lMe; :NOI1N3llV . Sprinkled Building: nla ,I DEVELOPMENT INFORMATION ~ Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overiay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: .' 1 PUBLIC IMPROVEMENTS , Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutsfDrains: Notes: Description I V alu,at~onDescription ~ "'~',~t h ~".,' $ Per SqiFt ' ; i', Square Footage or multiplier . or Bid Amount Tvpe of Construction Paee I 01"2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00419 ISSUED: 04/05/2010 APPLIED: 04/05/2010 EXPIRES: 10/05/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L Fees Paid ~ Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid.,~~.~"; $20.00 -'.', $5.00" , $100.00 $100.00 ~. . Date Paid Receipt Number 4/5/10 4/5/10 4/5/10 4/5/10 2201000000000000320 2201000000000000320 2201000000000000320 2201000000000000320 Total Amount Paid $225.00 I 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 ReQuired Insnections ~ Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may forfiet the deposit. '.."j '~I'-~-:: .; ."", By signature, ] state and agree, that I have carefully .e;~I~min:ea i'he 'completed application and do hereby certify that all information hereon is true and correct, and I furthe; c~rtify that any and all work performed shall be done in accord~lJ)ce 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 strncture without permission of the Commuuity Services Division, Building Safety. I further certify that only contractors and employees who are iu 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 readable from the street, that the permit card is located at the front of the property, aud the approved set of plans will remain on the site at all times?rin~~CI;~. Ot/ C>~_/ ~J F( kJru --=~ ~ Owner or Contractors Signature Date '. Page 2 of 2 ,:'.'.,-~.-. ',J.. ":,-".,', ~~ 225 Fifth Street Sprfngficld, Oregon 97477 541.-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000320 11 :39:39AM Date: 04/05/2010 Job/Journal Number COM20 I 0-00419 COM20 I 0-00419 COM20 I 0-00419 COM20 I 0-00419 Payments: Type of Payment Check cReceinll Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Amount Due 100.00 100.00 5.00 20.00 $225.00 Paid By VR INC. Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid KLK KLK In Person Payment Total: $225.00 $225.00 27048 . ~~ 1, ::~r!f; *:~.' .i ~r , ~,:;! '.'- Page I of 1 4/5/2010