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Home My WebLink AboutPermit Signage 2010-4-6 225 FIITH STREET. SPRINGFIElD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 = /' _cc>Lf'J3. ~ City Job Number LO""",,, 2=10 "~ Z C- lJ ex '&+ "~ Job Location C> ~ ..~~ (Q ~ ..~ "'-.. Address I L{ 2' L( ~ ~ City ~ f~~~":~01~<(::t:tt~-;<"1f Y~"~^:r:>?;;V:~l~:[;}f;-:~~\~W:~vj?~~~~~~fJ~tY;~;J;;:i:{~~"'::;0 ~ 8~,~~,~(C~5!~rlJt!~~t11~J1~~~~:1~f;t~V~~,~~~7;:~:'fiYjlt;:~tl1,~~~: ..I_~ ~; Contractor cS::> Lv' tV et'\. ~ ~ ~ Address ~ Phon" ~ Cily ~'"" ~ Construction Contractors Lice/ 7r~ y ,:;'. ?.. II I, ,., "~ ~ ~ '~\-4 d ~ "~ ~ ~ :~ ! o ~ ~ i ~ CITY OF-SPRINGFIELD, OREGON' .: ' . . " , . qd'~ AssessorsMap~70:S 27 ( c::::> D"5 s-~ C:::. Tax Lot Owner of Property --:jS.o S ( .>10 ell eb-rc- ';., Phone <;. ~ l~ oa- Zip 9747, State :~iti~~;~[t~lg~~~~~,~~~~, ;~ .;<:Lo!,,! Zip Expireo ( ?< z) Description ~(l..-U( ~ 4-5'-10 Date of Installation s'5..... Date. - ~ Permit Fee: $225.00 including $100.00 I-~J 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 sigu(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 sigu 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 ofthe banner(s) and/or portable sigu(s). This inspe' will begin the process to return the $100.00 deposit if the banner(s) and/or portable sigu e re ved. . Job # oo'So~ Issued By ~<< Shared Drive (T:)lBuilding FormslBanner]ortable Sign Permit CSD 7..QB.doc ,..,,' ..'; '~~l~~' ~ ~. CITY OF SPRINGFIELD Building/Combination Permit PERMIT.NO: COM201O-00433 ISSUED: 04/06/2010 APPLIED: 04/06/2010 EXPIRES: 06/05/2010 VALUE: ..,",t;;:";,. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 28 W Q ST D ASSESSOR'S PARCEL NO.: 1703271003500 Springlield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Portable sign - install 0405Hi removal date 060510 Commercial Owner: Address: BARBARA BOSISTO REV TR 1484 CHEEK ST SPRINGFIELD OR 97477 Contractor Type Sign Contractor OWNER I CONTRACTOR INFORMATION I License J,U. 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 Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side I 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 PUBLICIMPROVEMENTS. Street Improvements: Storm Sewer Available: Special Instruction: .~'; Sidewalk Type: DownspoutslOrains: Notes: I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of 2 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line :H:~' >'r,!!,'! ".',~M,' ~"'1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00433 ISS UED: 04/06/20 I 0 APPLIED: 04/06/2010 EXPIRES: 06/0512010 VALUE: Status Issued Total Value of Project Fees Paid ~ Fee Description ***+ 100/0 Administrative Fee*** + 5% Techuology Fee Bauuer Special Permit Deposit Amount Paid . D'ite Paid $30.00 $10.00 $200:00 $100.00 4/6/10 4/6/10 4/6/10 4/6/10 Receipt Numher 1201000000000000303 1201000000000000303 1201000000000000303 1201000000000000303 Total Amount Paid $340.00 I Plan Reviews I :;i~t ~,'," . .~ti>\ ,"'" f" , To Request an inspection call the 24 hour recordingat 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. 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 ou 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, and the approved set of plans will remain on the site at all times during const,. ction. ,:1:el' ,I';,. :1.1~:: ';~~.::. .1, ' , .' .':" ",,:;1;/0 :",', I Paee 2 of 2 22? Fifth. Street Springfield, Oregon 97477 541-726-3759 Phone iiiAi City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000303 Date: 04/06/2010 2:59:43PM Job/Journal Number COM20 I 0-00433 COM2010-00433 COM20 I 0-00433 COM20 I 0-00433 Description Banner Special Pennit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Payments: Type of Payment Check Paid By ROBERT TIMMONS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 200.00 100.00 10.00 30.00 $340.00 Amount Paid djb 28239 In Person Payment Total: $340.00 $340.00 ~ ..,,.....~. . ...i, '..",..~... _ ir~IlH ,d" l'\ ' , ' "......,...... . ,_..1. '~~'" . . ; \ ~ {!! ,1\ j'~ -m.t--:./ cReceint 1 Page I of I 4/6/20 I 0