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Home My WebLink AboutPermit Signage 2010-6-16 o o -- 00 --, :> -.- Q r:/!J-. <l.) u -- :> ;...... <l.) w' e . 'f'""'!"I o S S' o u I -+-> -g' (1)- ~ o Of) .- r:/) <l.) ........ ,..D- ro -+-> ;...., o ~ ~ <l.) s::: s::: ro CO .>~ '; ".. 225 FIFTIl STREIT. SPRlNGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689 CC>u--\ 2' 0 ( c.) -0 a '15 Z '1 :0::::::" ,%l S~ OOAJst Assessors Map ~ 70:> Z 7 ( () Tax Lot ~d o c) Owner City Phone SL/ 1- 6 3c; -Cf ro 'D~ zipcr7L(D ~ State Contl'llctor/lnstlll/er A ft 0 Contractor S A---Y'r\ E:.-.s 0 u-e . Address Phone City State Zip Construction Contractors License # Expire' Description <t'.A J~ Vrn \<.ode/") 0G-h V\-Q/\ 'Date ofInstallation b ~d)--,IO Date of Removal ~ 7- 5 - I CJ Permit Fee: $225.00 including $100.00 Deposit and applicable fees. By signature, I state and agree that r have carefully completed this application and hereby certify that all information herein is true and correct. r 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. [fthe banner(s) and/or portable sign is not removed within the timeline specified, I will forfeit the $100.00 deposit. r 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 inspe 'on to verify the removal of the banner(s) and/or portable sign(s), This insR,;ctifn Wii) begin the pro~ss return the $100.00 deposit if the banner(s) and/or portabl/~gn(S'/)as;.r~n I' 0; ct, 0;' / / / / / SignatGr II t;:: Date / /.bLL (J ,I \ ./ r Office U~e Job# (to -0 o'ilZ; Receipt#2ZO(-OD7'-{8' 2ZS- --- .\ Date of Application b -2S"-{ 0 Dr! Issued By Amount Collected Shared Drive (T:)fBuildirtg FormslBannc:r_Portable Sign Pennit CSD 7-0$.doc I .j.':'t .~' ,":' ~: CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00829 ISSUED: 06/25/2010 APPLIED: 06/25/2010 EXPIRES: 07/05/2010 VALUE: Status Iss u ed d",.; , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . !.}_,_.I 'i.,,:';' '-,,:,"1, 'lI SITE ADDRESS: 361 SHELLEY ST ASSESSOR'S PARCEL NO.: 1703271009300 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner - install 062]]0 removal date 070510 Commercial Owner: NATHWICH ASSOCIATES Address: CROCKER PLAZA ONE POST Sr - TAX DEPT SAN FRANCISCO CA 94104 Contractor Type Sign Contractor OWNER I CONTRACTOR INFORM A TION ~ License ,Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDlNGINFORMA TION ~ . !'i\;-i x:..rl,j:" ,,#'of Stories: ""Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMA nON ~ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist:" ,# Street Trees Rqd: " Paved Drive Rqd: '0/0 ~f Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: , Sidewalk Type: Downspouts/Drains: ..,.,',;) < .{~~:r' iJ\. ,I " Notes: '~"Tr ,- , ',I. tr. ~~~, <! r i , I V alu~tion Description ~ Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated ",'. Paee I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00829 ISSUED: 06/25/2010 APPLIED: 06/25/2010 EXPIRES: 07/05/2010 VALUE: 225 Fifth Street, Springtield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line ","~,l .-.\, , .;" .".. f ~ T'otal Value of Project , I Fees Paid ~ Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $20.00 6/25/]0 220]000000000000748 $5.00 6/25/] 0 220]000000000000748 $100.00 6/25/]0 220]000000000000748 $]00.00 6/25/]0 220]000000000000748 Total Amount Paid $225.00 ~Ian 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. :e'; .e,,, L Remiired InsDections ~ Banner Removal: To be requested the day foilowing the expiration of the permit. If inspection is not requested, the applicant may fortiet 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 Springtield 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 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, thatthe.permit card is located at the front/of the property, and the approved set of plans will remain on the site at all times ~~o'~ t~uctil~' r\ l' ;) s ~ ! iJ // t/ _J- ,V // ________ - Owner or ContractOr," Date ,'".J'; ,,",- .' I" -,. ' ,;~~M~.~~ . .J."'\.;': I, "';.,. Page 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ,. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000748. Date: 06/25/2010 1:57:18PM Job/Journal Number COM20 1 0-00829 COM20 1 0-00829 COM20 I 0-00829 COM20 I 0-00829 Payments: Type of Payment Check cReceil1tl Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By OREGON HORSE CENTER Receiyed By djb .':'i! 'y~~~'~~;~i~:': .' ,f;f'-:o;:;f''''!::' {,L.., ; ; ',' , f~, .(' , ',' , "~~i~ '"?t~':'~~i'(}:t" . .,,~Ji.tr~;~, I I!..... Page 1 of 1 Check Numher Batch Number .d. ; ~ -j ~' \; \ Item Total: Authorization Number Amount Due 100.00 100.00 5.00 20.00 $225.00 How Received Amount Paid 5438 $225.00 $225.00 In Person Payment Total: 6/25/20 I 0