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HomeMy WebLinkAboutPermit Signage 2010-8-2 , , . CITY'OF SPRINGFIELD, OREG0N 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ..g ..~ Job Location ..~ Q AssessorsMap ~ ~ ..~ e: ~ ~ ~ ~ ...~ ! ~ .~ II I, '. .'~4 ~ ~ ~-j{ = ~ .~~ ~ ~ ~4 ~ ! ~ ~ .~ I ~ M . O~80 CilyJobNumberCOW'\ 'Z.OfO 0 ? 'f( (" )e---t.j-. Q //03 'Z7/D <5t- .eFt /\ D 'J )" l,) to.:) Tax Lot Address Phon" City State Zip Construction Contractors License # Expire. . Description ? (') Y' \-r-, b \-<'.. 'B' - J- - / () q ~:;1.-'/6 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 banoer(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 banoer(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 calenillir 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 ofthe banoer(s) and/or portable sign(s). This inspection will begin the process to return the $100.00 deposit if the banoer(s) and/or portable sign(s) has be roved. Date of Application Issued By ~ '3 ,~"':'.i~'.~tt~~~~;~;j~:~ Receipt # (lO,.Oa-~.3 //~ ,.. Amount Collected Shared Drive (T:)lBuilding FormsIBanner]ortable Sign Permit CSD 7-08.doc -" ;'-;~.' " ),~ .". ~ '. '"-" 'I'd CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00880 ISSUED: 08/02/2010 APPLIED: 07/02/2010 EXPIRES: 09/02/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 28 W Q ST A ASSESSOR'S PARCEL NO.: 1703271003500 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Portable sign - install 070210 removal date 090210 Commercial Owner: MALCOLM BOSISTO REV TR Address: 1484 CHECK ST SPRINGFIELD OR 97477 . ~.'" - ': c....:: I CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type,.'''' . " , '. Energy P~t~t., , 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 I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %of LotCoverage: . ...._~- ""..........,.-... ,- ..... ..- Total: Handicapped: Compact: ...,......,., l',"_ I PUBUCIMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description ~ ,.1 .F Description Type of Construction $ Per Sq'Ft ' or multiplier "Square Footage or Bid Amount Value Date Calculated Pa2e I of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Total Amonnt Paid ~ . tl i ,i, ;:,~ ,~ . "i__... 't\Y'F~'JI, ,......; , Total Vaine of p'~oject Fees Paiil~' l.:.",,!,, , Amonnt Paid $20.00 $5.00 $100.00 $100.00 $10.00 $5.00 '"" b','""" $100.00'" ... . \~'.\,,'1''''~':~~' $340.00 Ii"'" I Plan Reviews , -'-" " Date Paid 7/2/10 7/2/10 7/2/10 7/2/10 8/2/10 8/2/1 0 ,8/2/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00880 ISSUED: 08/02/2010 APPLIED: 07/02/2010 EXPIRES: 09/02/2010 VALUE: Receipt Nnmber 2201000000000000785 2201000000000000785 2201000000000000785 2201000000000000785 1201000000000000853 1201000000000000853 1201000000000000853 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. . .,., -0" ,.;, .j:, I :;'.''" ,,<" , , ,"'.'. . 'I" r" Retftiired hisDe~tions ~ 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, 1 state and agree, that 1 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 La~~. oq~eiS.l~te,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. ,'.\"~'''M'''! .' .',t" ..v~"~ ~ I further agree to ensure that all required inspection~iare 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 S' ature ~ , . ..- Page 2 01'2 'f:)- -;L - I J Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone , , .. 8:P"ir.~~'.'.'.."'" ........: Ittl '.' . ';' --",,-.. '-, ......... , ..,.......C-..,..:.._o.'...., ,.<.,- ." City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000853 Date: 08/02/2010 10:49:IOAM Job/Journal Number COM20 I 0-00880 COM20 I 0-00880 COM20 1 0-00880 Payments: Type of Payment' Check cReceintl Description Banner Special Pennit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By ROBERT TIMMONS '.Check Number ,R~cei~ed By Batch Number djb .. ' .j_,", I':" ,;1'. i' ~.' (", ~. , "., ~", ""--' ~ Jin" , 'i'J. '..,.- ,.:.: Page 1 of 1 Item Total: Authorization Number How Received Amount Dut' 100.00 5.00 10.00 $115.00 Amount Paid 28546 $115.00 $115.00 In Person Payment Total: 8/2/20 I 0