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Home My WebLink AboutPermit Signage 2010-4-21 225 FIrm STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ~OC) L{ r=, s- ..e.i City Job NumberCOa-1 ZO f 0 i ~ C Pl~ (e;fVWI vkf65 it- fu ..~ Job Location Lf2..0 S ~Vl ST _ ~U!0 Mvt,iV\ SI. ~ l trce-\.'Vlo ~,:~e.f::> 0 ""="'I~ Assessors Map /70 L "3 2- 3, L Tax Lot 0 r 90 0 r~ f o~~~;~-:3:; :~~~~ .,tS~:-::Y: '.E' .~J~~ '. _'}',i~,-:':::F::;::'ry-,~. \'F '.":;:?r~~ .:, ;'-;?I;;~;' '7 :~: ';:T?~:":.::' ,~~::. ;;;:;:y--?~{i1W-'V';:-d'';;;'i:1'--''<'-~---_.~' . >- Address_l55W [0 .sT- Phone ~ city'5fdW1'H e1& ~ -V ~ ;,ic~~~~~it?rlf~;;g[~l~~fli~~f~rJ'!iI'~;:~y1~~:.~' _t~::'?~FJ~1~~!::;~~~:~:,'if~:Jt~~'_';.Ej~~0:~,''~~:,,'~'l~t~ .. : ~ ~; Contractor /'Jyv'V) C-r ~ ~ .rB II I. '.. ..~ ~ ~~ ~ ~) "~ ~ .~ ~) ~. -e ~ ~ ~ i ~ Ml .. , CITY OF SPRINGFIELD, OREGON , State oifL q7"-{ 77 Zip Address PhoD" City State Zip Construction Contractors License # Expire. Description t{1 i 2-( fu VlV\~ l-f-2-2 -(D Date of Removal ~-2Z-( 0 Date of Installation 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. If the 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 of the 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 $100.00 deposit if the banner(s) and/or portable sign(s) has been removed. Signatur"lv\~ ~~ Oat" 1/ fJ( ( 86/0 .,:'" ,,' .'7,;-'::r:i~jf;~~:,:;}:!r~'r':f~;;'r. ~,:;~!~;'1/fJ[::~lJ~Fi~f7'1:~:,;'Iffi;T";'f;': ' ~at:of APPlic~t::Vil"j,o"-- n'~-;~b #'CfO ~o'o'y- 9S=-~ ;:;:i~t-#'201:00 ~ 76 22 r ,--- Issued By ~~ Amount Collected Shared Drive (T:YBuilding FtJI1I15/Banncr ]ortablc Sign Permit CSD 7..Q8.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00495 ISSUED: 04/21/2010 APPLIED: 04/21/2010 EXPIRES: OS/22/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4205 MAIN ST ASSESSOR'S PARCEL NO.: 1702323201900 Springlield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner - install 042210 removal date 052210 Commercial Owner: PFEIFER VIRGINIA E TE Address: 1810 15TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INFORMATION ~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Coustruction 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 INFORNIATlON ~ REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: " Overlay'Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: \ ' Sidewalk Type: DownspoutslDrains: ,; j. Notes: I Valuation Description ~ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated :An 'L'\!:. ""~\~ 'i~l, :n:..;"'- Poee I of 2 ".f',": -f ,"rYil, dL. If'; " ." ~, Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00495 ISSUED: 04/21/2010 APPLIED: 04/21/2010 EXPIRES: OS/22/2010 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paidj Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid $20.00 $5.00 '''' . . , $100.00 $1 OO.OO~:. . ., . t:,'fi 4/21/10 4/21/10 4/21/10 4/21/10 Receipt Number 1201000000000000376 1201000000000000376 1201000000000000376 1201000000000000376 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. . . . LReouired Insoections ~ 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~c'ertify'that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the La;':, of the'State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wiII be made of any structure )Vithout permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who arc in compliance with ORS 701.005 wiII 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, and the approved set of plans wiII remain on the site at all times during construction. VV\~~ ~ 'd/ / UJ10 I Owner or Contractors Signature Date Paee 2 01'2 225 Fifth Street Springfield;crregon 97477 541-726-3759 Phone aj:QF;~; *.. Cit)' of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000376 Date: 04/21/2010 2:43:38PM Job/Journal Number COM20 I 0-00495 COM20 I 0-00495 COM20 I 0-00495 COM20 I 0-00495 Description Banner Special Penn it Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By MUCHAS GRACI AS Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person Payment Total: Amount Due 100.00 100,00 5,00 20,00 $225.00 Payments: Type of Payment Cash Amount Paid $225.00 $225.00 " f ~I { , ~', . ",,' ..,;,.>:" . <>('...... r_ . , cReccinll Page I of I 4/21/2010