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Home My WebLink AboutPermit Signage 2010-4-19 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 lGll FIREWORKS SALES LOT/CHRISTMAS TREE LOT Banner/Portable Sign Pennit e) CityJobNumber COVIA Z.OIc) -00 4; Cf .... ,....=I~ r:ol .,;; -.:0. 14 Ql ~J D / R LLc ~ Owner of Property () e./,,/f(c:v<-, 0) .....~I~ t; Address ~ ~ ~, .... 'r--I~ g:~ ~j ~1 ~~.~ .~j -j <~~ -j -j ~ Q IJ l~ .,~! r-j <-~ ~ (f" 14 ~j o;..t, ~:IJ)J .... .,..-14 ~ l!Il)) . -I~ ,~~ ~~ -~ ~ ~l l' 14 ~) ~l ~j ,- , .9 ~l .11 I SPRINGFIELD ~~ ,-' " < CITY OF SPRINGFIELD, OREGON Job Location ., S-J)" /VI",,',, 51- 'it/in? fivIJ1 oR , '11'(76 Assessors Map---J 70 Z- '> Z l{ 2... Tax Lot D c60 C) Owner 500-S0 ,TcA-s:lJe,r M City 'J//~h dcfl Phon" ~r ~ j,J0 -d88~ (J~ Zip Q7'r'7/'5 State Contractor/Installer Contractor Here Slree+/Grl7.>J>hYe.- Address 7tfJ... ;;l&H1 sf- Phonp 9(r<~"-3&(7$ City 5f(ftlj'he/d. State oR Zip 17'1 7 7 Construction Contractors License # Expire< Description h\'eworlc:. (3"rm<<> Date of Installation (;/~O/;2010 Date of Removal 71/(')/').0/0 Permit Fee: $115.00 Permit is valid for 30 days from date ofInstallation By signatnre, 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. Signaturp ~-i!- Oat" if -IS -/ t3 Date of Application I..( -( 1- (0 For Office Use Job# C/o -061...{7; Receipt # /201 - 03b 0 ~ II':S. - Issued By ~~ Amount Collected Shared Drive (T:)IBuilding FormsIFireworksfChristmas Tree Banner-Portable Sign Permit 1~20]O.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00479 ISSUED: 04/19/2010 APPLIED: 04/19/2010 EXPIRES: 07/10/2010 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4535 MAIN ST ASSESSOR'S PARCEL NO.: 1702324200600 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner/portable signs - Firework sales. install 062010 removal date 071010 Commercial Owner: BERAKAH LLC Address: PO BOX 221 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Sign Contractor OWNER License Expiration Date Phone BlhLillNG'Il\;FORMATlON ~ # 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 Ft 1st Floor: 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: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: :,'\):'f ":~ -i"r Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description i Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated ",,,',,." " Paee I of 2 Status Iss u ed .~;;~""",. t. '~'. '" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00479 ISSUED: 04/19/2010 APPLIED: 04/19/2010 EXPIRES: 07/10/2010 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 Amount Paid Date Paid Receipt Number $IO.,O~.,. $5.00 $100.00 4/19/10 4/19/10 4/19/10 1201000000000000360 1201000000000000360 1201000000000000360 Total Amount Paid $115.00 I Plan Reviews ~ """,',l' 1'4'-, 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. LReauired Insoections ~ Banner Removal: To he requested the day following the expiration of the permit. If inspection is not requested, the applicant may forfiet the deposit. By signature, 1 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 descrihed herein, and that NO OCCUPANCY will he 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 he 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, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature .,'.-.,.; Date . .~:., ".; , 'i' .;....... ;,," Paee 2 of 2 225 Fifth Street SpringfieI'd,'O"regon 97477 541-726-3759 Phone 7:;~ ~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000360 Date: 04/19/2010 2:52:18PM Job/Journal Number COM2010-00479 COM2010-00479 COM2010-00479 Paid By CROSSFIRE WORLD Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 5.00 10.00 100.00 $115.00 Description + 5% Technology Fee ***+ 10% Administrative Fee*** Banner Special Permit Payments: Type of Payment Check Amount Paid DJB 3152 In Person Payment Total: $115.00 $115.00 \'!:,' :. ;" .'" " ~/..' ~., \ ", :.i );,." " ~-', ,'" . ;~.' : : : l ,)t." cReceiotl ._':> r 'Page 1 ofl 4/19/2010