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Home My WebLink AboutPermit Signage 2010-9-8 225 FIITH STREET . SPRINGFIEW, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689 ..~ ..~ Job Location ~ ..~. ".Q ~ f,I,~ Owner ..~ ;>:: Address '~ ~ City ~ ~ .. ~ Contractor g I 'reS '~ ., Ii I. '. "~ S ~ ~ ~t j~ ~ ~ .~ .....--.4 ~ ~ ~ ~ ~~ ~ ~ -s::.: ~ I, i ~ ~ " CITY OF SPRINGFIELD, OREGON . City Job Number Sf>l.ZC/O -Dc:> 7'5 \ gff ~ ~ 1703Z7f l:::.:> UNIt 'E. 63 s-cr ~ Tax Lot 1Jt<l.1f- eN;:. eK -0'iZR II J ~ 1=1 e1.l) 1T Phone !Jtf 71'7. ?~?g' Zip Cf7/f 77 State (9R, J....'Sl (j f'A,f- :5 I?~jp,~ Construction Contractors License # rO Phon" 5'f (- !. ~ .s ~I \ ) ~ ~ '?fI-{ 77 Address ()K City State Zip Expireo Description Date of Removal ~ Date of Installation Permit Fee: $225.00 including,$lOO:66'1>eposit and applicab e 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 f'ur19l:lr agree an~'understand that the above described banner(s) and/or portable sign(s) is not larger than 60 square feet, and 'j'ill'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 th request an inspection to verify the removal of the banner(s) and/or portable sign(s). .. pection wi begin the process to return the $100.00 deposit if the banner(s) and/or portable 'gn(s) has b en oved. . , Dat" Date of Application Receipt # 2'0(0. c::.? S2... z- z. 5" -- Issued By b!? Amount Collected Shared Drive (T:}lBuilding Forms/Banner ]oitable Sign Permit CSD 7-OB.doc .. www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00251 IVR Number: 811134953833 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/8/10 APPLIED: 9/8/10 EXPIRES: 3/6/2011 VALUE: $0,00 SITE ADDRESS: 28 Q W ASSES OR'S PARCEL NO: Springfield 1703271003500 '" SCOPE: Banner WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Portable sign - 090810 removal date 100810 OWNER: ADDRESS: MALCOLM BOSISTO REV TR 1484 CHECK ST SPRINGFIELD OR 97477 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION I .... Lie Type Lie No Lie Exp Phone BUILDING INFORMA'nON I # of Units: o l.fc[~n(: ') ~ # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Sprinkled Building: .'<. Lot Size: Sq Ft 1st Floor: Sq Fl2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Fl Carport: Sq Ft Other: Occupancy Load: # of Bedrooms: Fire Alarms: Electrical Specialty, Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information" I Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: ,.,1..: ,~ . .;:~;~}-~~',!~~~;. }, . :::~,~ I ' .. .: .....,.."..;, ~ C~:: r:': ":rI' Springfield BUilding Permit 'lfic;ll ~ I:.,;;;;:j-'/, '_ ,,9/,8/2010 '2.01:25PM :If!';ir: Page 1 of3 <.:H.f! www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Sign Per.!TIit PERMIT NO: 811-SPR2~,1 q-00251 \,,/.,.... IVR Number: 811'134953833 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 permitcenter@cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 9/8/10 APPLIED: 9/8/10 EXPIRES: 3/6/2011 VALUE: $0.00 SITE ADDRESS: 28 Q W ASSESOR'S PARCEL NO: Springfield 1703271003500 SCOPE: Banner WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Portable sign. 090810 removal date 100810 DEVELOPMENT fNFORMA TION I ';;''::'0,:';)'': ;:', ~:,li!Wi:, ~, Overlay-fOist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I . Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: ') . ~~,./'I ~>,'l I',) Sidewalk Type: , (....\~.'? ,I., 1 '(~" ;~H)'~.:' Downspout/Drains: . ~ -'1 ... ,.:'''v~ . ,'." :~ I ::"=Valli'ation":Dfisc'rijJtion ... - --. ,-,'-' ....,--.. Descriotion Tvoe of Construction ,,,,,,,,Z;,,,, ,_~'ic..~!::;; .i/'fY'.' :t'.:i.:;rF'.~" 'tlnit Amount Unit Tvoe Unit Cost Value I~~]j~:;:?:. ?f.;<:::F-'it21?!;\+1;;;;~ .*'t. ~-+~~~- ,"" -;:;,:;J;'~:r:"' _ , DescriDtion Banner, Portable Banner, Portable Deposit Admin fee (10% of applicable fees) Technol09Y fee (5% of permit total) Total Amount Paid ~~-~t~i~iPATI;>;^-;i:::~f;,>:,,-+,fz::~'{;.:) . ' ; -. ~ :~~~~~~::"-\":~>~ ---.",,'r"p".-,--- -;"<',; ,<. ',; I Amount Paid $100.00 $100.00 $20.00 $5.00 $225:60 ' Date Paid 09/08/2010 09/08/2010 09/08/2010 09/08/2010 Receipt # 299449 299449 299449 299449 ~:.t, ' ,,' ~ , Cd ':,,:' {:':~' -"'",,~' .. _.~ "-,,,,;(;;'-;0"'-. -". ~~i~~:;";1 ~ ~-~~ ~~;$:~'. . ,,--' jF~r~~'4*2:~:-;;~~~~~j~~;Revie~'--?:c~~"'" :, ;:->#J~!f!'*-A:S?l;,~::!:j ~- ~. , . ;:-;w-:!":''' ~ . ,~, ., ~.: l ." 'of '''^--~~_ " .w_':' "~ ,;",,,,,.~,;,, ',.; DeDartment Sign Review Application Acceptance Permit Issuance Rece ived 09/0812010 0910812010 0910812010 Due Date 09/0812010 09/0812010 0910812010 Co'mDlete 09/0812010 0910812010 0910812010 Result Not Required Over the Counter Issued Reviewer David Bowtsby David Bowlsby David Bowlsby Comments Removal dale 100810 Springfield Building Permit 9/8/2010 2:01:25PM Page 2 of3 !~~'~-;>.-_::. ...:..."......,. -., c~;~gI. IlIT~!{.;;W;&~:l,'.::~ '~:,ll:, '. S~~~N G,: IE,.L~" ~~"'~" 7-if' ,. " .",' . 'Li0>'ORfGON .".C,iL. . ~.~. .;._~.,.~". 225 Fifth St Springfield,OR 97477 Phone: 541.726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us CITY OF,;;SRRINGF.'IEL.:D BUiJdi~~~'I'Si~hPermit PERMIT NO: 811-SPR2010-00251 IVR Number: 811134953833 permitcenter@cl.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/8/10 APPLIED: 9/8/10 EXPIRES: 3/6/2011 VALUE: $0.00 SITE ADDRESS: 28 Q W ASSESOR'S PARCEL NO: Springfield 1703271003500 ! ,i,. r Ilell SCOPE: Banner ':'.' WORK INVOLVED: New .. of';' . ;ryPE.OF STRUCTURE: Commercial PROJECT DESCRIPTION: . ~. ': Portable sign - 09081'o'fei1i?val date 100810 " 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 thatany and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the St'~tei,o(6regonl'perta.ining to the work described herein, and that NO OCCUPANCY will be made of any structure without pernii~si~a J~thett)b~mu~nity'S~rvices Division, Building Safety. 1 further certify that only contractors and employees who are in compliance,wi~h ORS 701,005 will be used on this project. I further agree to ensure that all required inspections are requested at th;epfope~.tlrh~,tthat 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 duri~g construction, &(--<3' - (J Date ,,' ,;" 1,J,1,' "li':::::':)'-;' , _:'11.1,01> ;..,.1 0.' li.l:" ,~\~~}(f,. .;:q;':;~~;c-rI (. t ." \'~:::~~" f'~'~",J:t,~.'" '., ,-J-, \S'SjO'G "!,lnu:,U{I'\ ,-!:~: \ ~,I:I!J1i31. ,f; ~'i~t~,'l rjl~~f:o,' ",:,~ i _'~1 t -,"," ,':. Springfield Building Permit :. ;\9113/2010 ; '2~0f:2~'PM Page 3 of 3 ~'l . '.. 'I~ ~...~.~. '" .., . ~ ,;r~rr : ::'h:~t!~\~.: ;( 1 : S~~~N~~E~~ ~ ~OREGON c' CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726~3753 www.ci.springfield.or.us . TRANSACTION RECEIPT 811-SPR2010-00251 28 W Q ST B permitcenler@ci.springfield.or.us RECEIPT NO: 2010000252 RECORD NO: 81 I-SPR2010-00251 DATE: 09/08/2010 ~SCRIPTIONT'''~~~~~;\i'C';::''"~'':'''+~;'-~;-, JJ1~'~;;.'-;;~C~C:Ql!J':tf.iC~QpE .", -jrt~7~'AMQlJ.~J1Q.(jE:;j~jj:;,:::;y::221 Banner, Portable . .224-00000-425802 $100.00 Banner, Portable Deposit 2.24-00000-425802 $100.00 Admin fee (10% of applicable fees) 224-00000-426605 $20.00 Technology_fee (5% of permit total) 100-00000-425605 $5.00 TOTAL DUE: $225.00 f';',PA'fMENJ; tY..P~;;;i6R:.'...~CASHIER"OBOWLSBY' i.:lC,()MMENIS7;i."r '''',7,;;,:.._';' .';~MQJlNtF?Ai.R.' ",~;'~ - 1 Check 28682 robert timmons refund to: robert timmons dba out west printing 28 w Q st. Unit D, springfield or 97477 $225.00 '_:';.:,.;!t-; "t!' ,',' '., ;:. \5ill:~'. $225.00 ,\,,,, .-~~lf:/: -? <\i< ,,'