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HomeMy WebLinkAboutPermit Signage 2010-7-16 . CITY OF SPRINGFIELD, OREGON 225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 gl: /110-7\7 <0) City Job Number LA U ..~~ ..~l Job Location ;,;; "~~ Assessors Map Q\ ~J ~ (;:.) ) ..~-4 ~ ~ ~ ~, ....~1 ~l -~ ,,;;;;,.' ~:1 ~I -~ ~ U IJ t. " "~l r~ -~ ~ fh I~ ......, ---,. ~~ ~:I))J .4~~ ~ ~) ~~ ..fI!:;}) ~, e -j ~ ~\, ~~ ~. I~ ~) !]'-t -j ~l roJ . !) Ml <.oq 7 rti a,y/rJCU f2d [3jpf' \ Vlq r, e.- I d II Owner Tax Lot 211'11.1 ~ lTed S-jO (l'I.~'tq f2[e.//-rh I T <::9.10, State 'L Owner of Property Address b-'Vl rA(M,vfl>w Rd- -, . City So?V' \ V\1 ~, e...l<L I COlltractor/lnsta/ler / Contractor S BI <r.. .I) bi t9 res Address / City Construction Contractors License # fi31-a QcK State Phonp SPRINGFIELD ~~ ,CJk 9?~? 7 r;~;n/ ~r V>'1.."'-C 'f 7 ,()I/./~ /:::;UJ12~dd' ~) -7'11-/9?() Zip 97'1-77 Zip Expireo Description -Z:-n re l" Y7l e)<:' 13a. VI n €.. V" Date of Installation 7-"-/0 Date of Removal Permit Fee: $J25.00 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 rerilOved 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 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 $100.00 deposit if the banner(s) and/or portable sign(s) has been removed. Signaturp J.. ~ Wo~ For Office U.~e Job# (JO c; )3 Date of Application (! I u ( I 0 IssuedBy ~ Date 7- /b -I'D Receipt # ) 2S-~V Amount Collected ~ Shared Drive (T:YBuilding FonnsIBanner]ortable Sign Permit CSD 7-08.doc '" , ."lNQIlI"" ft "",f'[;!l'"",,~-.~__.-f.,~i!., II Ii 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00953 ISSUED: 07/16/2010 APPLIED: 07/16/2010 EXPIRES: 08/14/2010 VALUE: Status Iss u ed it. .:' . . i \ '! ~ . ~;. l'i: . "'.'..,' SITE ADDRESS: 697 HARLOW RD ASSESSOR'S PARCEL NO.: 1703271202900 Springfield TYPE OF WORK: Sign TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner permit- ref COD2010-00600- Removal Date 8/14/2010- Refund to Bookkeepers Unlimited "." ' . "r'" ,:~, .' \ Owner: Address: FAIRCHILD DONALD PO BOX 788 SPRINGFIELD OR 97477 .:':~),!.';:, t.~ I",,>::"'". I CONTRACTOR INFORMA nON , Contractor Type Contractor License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMATION I ;1- : . '~. # of Stories,: '" .I"t'eight of Structure ,. 'Type of Heal: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq FI Basement: Sq FI Garage/Carporl Sq Ft Other: Occupanl Load: I DEVELOPMENT INFORMATION ~ ,;. ~ REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: t,",,;, ...... J", I '''Ov'erIW Dis/: '..' "#'StreetTrees Rqd: . "P~~ed 6;fveRqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: , Sidewalk Type: Downspouts/Drains: , , Notes: .. , .' ,:i~h',! . r; I Va;u'lition Description 1\ Description Type of Construction $ Per Sq FI or mulliplier Square Foolage or Bid Amounl' Value Date Calculated Paee I of2 u.~.e f"l .,~L .~.\ ;, .', .' : 'j"b1- ~~!'l)"!t~~I~q". , ., , , ' . ~~;8~\' ~.~t'f- - .-... . v"";! i:i, ...'\;-.... ,'\, .P:;, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00953 ISSUED: 07/1612010 APPLIED: 07/16/2010 EXPIRES: 08/1412010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total VafiJe'of Project ~', .!'. .., "f' Fees P~id-' Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Numher $20.00 $5.00 $100.00 $100,OjL_ '_',"."_' ,,;;,~~:';:~ 1.,ii~ ',~l';::J> 7/16/10 7/16/10 7/16/10 7/16/10 1201000000000000827 1201000000000000827 1201000000000000827 1201000000000000827 Total Amount Paid $225.00, /,,' I ~lan Reviews ~ 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. ' , ... lJeauired Ins'Dections ~ "'.'-' ,~,... ". '~',"~;) '\., " Banner Removal: To he requested the day following the expiration of the permit. If inspection is not requested, the applicant may forfiel 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 coutractors and employee-;\';;.h~;~reH.n;co';"pliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections 'are req~ested at the proper time, that each address is readable from the street, that the permit card is located at the front ot.~he property', and the approved set of plans will remain on Ihe site at all times during construction. 'fl. .. ,(0 t31(L~ '/ -/ (, -/7) Owner or Contractors Signature Date ,.; ., .i.,.. ...._... ". :::" 'i:~"!~! ; ...i ',~ 'i. ;;. ~~~~<.: ,,, Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .~~:a~;_ Mr City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000827 Date: 07/16/2010 2:17:09PM Job/Journal Number COM20 1 0-00953 COM20 I 0-00953 COM20 1 0-00953 COM20 1 0-00953 Payments: Type of Payment CreditCard cRcceintl '~', '", ",,1 .~~i.;;: ,t . : Amount Due 100.00 100.00 5.00 20.00 $225.00 Description Banner Special Permit Deposit _",.. ". .,', " " + 5% Technology Fee ,if) ***+ 10% Administrative Fee*** :f~:;~~: Paid By DOLORIS BLACK Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 01624z In Person Payment Total: $225.00 $225.00 Amount Paid .,~(. .:....; .~, "N~ ;l. '1""--' .~" ',\ '; ,.":.~' . ". ': '!. '. ': . ~:. " ;. Page I of I 7116/2010