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Home My WebLink AboutPermit Signage 2010-9-22 225 FlITH STREET. SPRlNGFIEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ".~ ".~ Job Location > ..~~ Q ~J ""~ Owner of Property ....... ' Address ~ ~ City ~ ~ ..: .; i I, City ,~ '. , .- II ~ ""@ ~ ~~ ~ ~ ".~ rt.#); t ~ ~ I ~ ~ CITY OF SPRINGFIELD, OREGON' ,;'..,.' , '. ' ~ - CilyJobNumber2ILeOtb .oc::.3"s ~ Iqq Q :sr Assessors Map.--J 7 O.:s Z 6.! I OZ-tOC Q St L-L-V JOloq e.ula.r 0rLLd JAA 'JJmt/ Phone QHstI OR State Zip Address PhoD" State Zip Construction Contractors License # Expire. Description --ro,....4-"", h/~ ' ~;~..... ...... . Date of Installation 9-/)'-/0 /6 -/)' ~eOfO Date of Removal 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. ''V ~ ~ Signatur" 111 iff:. n Date Job#SfO -oelS'S Receipt # ZOlO- 0 )?y ZZ S -- Issued By ~1: Amount Collected Shared Drive (T:)'.Building FormslBanncr ]ortable Sign Permit CSD 7-OS.doc . www.ci.springfieJd.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00355 IVR Number: 811141906382 EXPIRES: ~ VALUE: $0.00 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 .sP~. I.N.G FI E.L~ r..'~/ ,;;'~ :s?"'~ OREGON permitcenter@cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 9/22/10 APPLIED: 9/22/10 \0. \to''LO\D ~ SITE ADDRESS: 199 Q ASSESOR'S PARCEL NO: Springfield 1703263102100 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial ~ ~ PROJECT DESCRIPTION: Banner/portable sign. REF:CCD10-00105.lnstall 091510 removal date 101510 OWNER: ADDRESS: Q STREET PROPERTIES LLC 2069 CEDAR CRT NORTH BEND OR 97459 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lie No Lie Exp Phone BUILDING INFORMATION ~ # of Units: o # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: lot Size: Sq Ft 1st Floor: Sq Fl 2nd Floor: Sq Ft Base.ment: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: # of Bedrooms: Sprinkled Building: Fire Alarms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: ~nergy Path: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield. Building Permit 9/22/2010 11:53:25AM Page 1 of 3 www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00355 IVR Number: 811141906382 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 ~.PRING...FIE.L.~ D.... ~.d,) .,A:tb~ ~,~ ~"OREGON permitcen~er@ci.springfield,or.us PROJECT STATUS: Issued ISSUED: 9/22/10 APPLIED: 9/22/10 EXPIRES: 3/21/2011 VALUE: $0.00 SITE ADDRESS: 199 Q ASSESOR'S PARCEL NO: Springfield 1703263102100 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner/portable sign. REF:CCD10-00l05.lnstall 091510 removal date 101510 DEVELOPMENT INFORMATION ~ REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Total: Handicapped: Compact: . PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value Description Banner, Portable Banner, Portable Deposit ~dmin fee (10% of applicable fees) Technology fee (5% of permit total) ,Permit Fee Adjustment - Administrative Fee Total Amount Paid Amount Paid $100.00 $100.00 $10.00 $5.00 $10.00 $225.00 Date Paid 09/22/2010 09/22/2010 09/22/2010 09/22/2010 09/22/2010 Receipt # 374370 374370 374370 374370 . --~~~~~~-- 374370 l,T'7]5;~lT~,:'::2:;~=eff~~?~~~EI{~i];~~:~J~J}tiReVTh~:i:i~.;;;,;<,,~:~~'::?;!H::Xlfb'+j:5,:<t,~~~'~:C:~1t>J~'7q'1:7S~~7:l~r=!:q Deoartment Application Acceptance Sign Review Permit Issuance Received 09/22/2010 09/22/2010 09/2212010 Due Date 09/22/2010 09/22/2010 09/2212010 Complete 09/22/2010 09/22/2010 09/22/2010 Result Over the Counter Approved Issued Reviewer David Bowlsby David Bowlsby David Bowlsby Comments Springfie1d Building Permit 9f22f2010 11:53:25AM Page 2 of 3 www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00355 IVR Number: 811141906382 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 9/22/10 APPLIED: 9/22/10 EXPIRES: 3/21/2011 VALUE: $0.00 SITE ADDRESS: 199 Q ASSESOR'S PARCEL NO: Springfield 1703263102100 SCOPE: Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner/portable sign. REF:CCD10-00105.lnstall 091510 removal date 101510 INSPECTIONS REQUIRED ,~ Inspections. 6972 Banner Removal 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 L.:aws of the State or 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, 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. '1ral ~Ctr I!o a. (J;r/ID Owner or Contractor Signature Date Springfield BUilding Permit 9f22f2010 11:53:25AM Page 30f3 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00355 199 Q ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenler@cLspringfield.or.us RECEIPT NO: 20]0000374 RECORD NO: 8] ]-SPR20]O-00355 DATE: 09/22/2010 tDES€ldPtI9J!tffi:i't:l;;;,':tl~J;f~~JL:~~q;;~:S:if':'~i ,-~<:;.:;i;+t~'1~'>:'- ~',.'n;:~. gG:C~b.ur-i;ttG:0J.i~'~: ~.,:,:;;:~+': '~":8MQJ)}IT_:J1JJ~i.'~ , -,:~0;:;~8 Banner, Portable 224-00000-425602 $100.00 Banner, Portable Deposit 224-00000-425602 $100.00 Admin fee (10% of applicable fees) 224-00000-426605 $10.00 Techn.9lo9Y fee (5% of permit total) 100-00000-425605 $5.00 Perm~_Fee ~~justment - Administrative Fee 224-00000-426605 $10.00 TOTAL DUE: $225.00 ~;PAYMENr'cf,YRE:0~l!AYOR;).'~;.c:.Aff1iER..5B6WLS~y'$'-:;(.iC0JilM'!;.!'!I.S:",,~.:~~-z", '.,"':. 0 .;G;,.z'$;AMOUNT.pAID._%C2:F''E;'~''l Credit Card 02077g val kami5hita ko refund to: 5t vincent depaul po box 24608, eugene or 97402 $225.00 $225.00