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Home My WebLink AboutPermit Signage 2010-4-9 ~, ~, ej ...~~ ~l ..~ ..,.~~ J1:l1 ~J ~ ~) -.,. ....=l~ ~ ~ ~ ~, ~,' ."~f ~, ~. ~~ ~=j ~. -. ~ U I] I~~ '.~-l ,I -. ~ f" 11 ~. ~. ~!i)) ..~f ~ <n!)) r-::=l; .~ ~ -, ~ ~ --I ~! ~) S' .-1 -I ~! Io:.~ ~l Il}-: -'7 <~,!-;rGh~JOF"'\S1RRmfciFiEd:raRE'GON ~':;rr ,--' ',.,,! b... ~ _ . ~. t_r.,-. .._ i-<- 7. '';?f;{~y;;,j;~ilL.:... d ;~ _:.. , , 225 Firm STREET. SPRlNGFIEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 SPRINGFIELD ~~ City Job Numbe.(OWl totO -00 4L(g \ . +l T Job Location --1.1 ?_~ S ") 170:3 2b 3L( 02-700 Tax Lot Assessors Map Owner Owner of Property -----R",,:\ \ ""-, D?: 'Z.. Address \\ 7 r, t-0 S-\~\ ~ T Ciry~ ~ ~ 'S -s::::,,,,, a-r Cc..., Phone ') 1I1- I Lj 4 - 700 b State f))L Zip 0,1 Y 11 ContractorlInstal/er IJLUAJ ~ P --' Contractor Address Phone Ciry State Zip Construction Contractors License # Expire< Description /t7'I,vE",- I'__~(!:.L~ Date of Installation I.f /, J c> It..:.; .s I (,'1"\( S 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 within 30 days from the date listed above. Ifthe 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 ofthe 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 $]00.00 deposit if the banner(s) and/or portable sign(s) has been removed. / / Signatur.. 12-.cu,,'" Ch - c:: -l:::~:y, cJ+c.- Dat.. t..f '7& I I Date of Application li/f)O I I ""b.1' For Office Use Job# qc .06448 Receipt # Zz.O( -03LfZ Z2 ~-- Issued By Amount Collected Shared Drive (T:)/Building Forms/Banner]ortable Sign Permit CSO 7.08_doc . .'"1. CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM20IO-00448 ISSUED: 04/09/2010 APPLIED: 04/09/2010 EXPIRES: 05/01/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1128 5TH ST ASSESSOR'S PARCEL NO.: 1703263402700 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner/portable signs - install 0401]0 removal date 050]]0 Commercial Owner: Address: EVERYONES MARKET #1 LLC ]225 E GRANT ST LEBANON OR 97355 I CONTRACTOR ]NFORMATlON . 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: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ftlst Flnnr: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: I, ''r~ 1; . ,,,,,-.. I ":; Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated :" ; Il' :~: I Paee I of 2 Status Issued ,!~.:.,,;., ';" '":1. j~ '. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO; COM2010-00448 ISSUED: 04/09/2010 APPLIED: 04/09/2010 EXPIRES: 05/01/2010 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 _ Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $20.00 . $5.00 $100.00 $100.00 4/9/10 4/9/10 4/9/10 4/9/10 2201000000000000342 2201000000000000342 2201000000000000342 2201000000000000342 Total Amount Paid $225.00 Plan Reviews I .f.,,~;,~,'.' ,< . To Request an inspection call the 24 hour r~cording 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 Reouired Inspections. 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 carefuJly'examined tbe 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 tbe work described herein, and that NO OCCUPANCY will be made of any structore without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees wbo 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 readable from the street, that tbe 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. ~CtA .V\.c\----... -,,-i)~u~ ,[t.'I<t:~, . .~), ~.:: 1/.' ~ l{- - <=1 - ";Lc)) D Owner or Contractors Signature ,.,.." Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 54r-726-3759 Phone .~~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000342 Date: 04/0912010 10:53:22AM Job/Journal Number COM20 1 0-00448 COM20 1 0-00448 COM20 1 0-00448 COM20 I 0-00448 Description Banner Special Pennit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By MANJlT SINGH Item Total: Check Number Authorization Received By ,Batch Number Number How Received {.,,'....;. .. Amount Due 100.00 100.00 5.00 20.00 $225.00 Payments: Type of Payment CreditCard Amount Paid :'djb 21902b In Person Payment Total: $225.00 $225.00 ~.' ..,Jt- .. I' ' ~;.~::,;" \ ,;, ,. ",'_toO' ,.,...,. .__' ,.. ;.J;h. .. l' , I/~ .' . cReceintl Page I of 1 4/9/20 I 0