HomeMy WebLinkAboutPermit Signage 2010-8-25
~
..~
.. ~~ Job Location
~
...;.s, Assessors Map
Ql
~
~
"~
i City "S eti'1 f'..6.8Ei-K.)
rJ:I:Ii ',\""4"';:r::': ;:r,;,,~;;-\...~-t~. ,-,,"+, t;:,'-;''i;~;' ': ,;;-'1~~5~~;;';'
"-- i !Contract[)rlbistalle,,~i.'*~$'
~ iJL':,:" ,:'j,;;:J;~~' {\.',:>';1j;~~:'_,.; ~j~";.$J;:S-;~}i;W~j7"'"
" ~:J: Contractor ()0K) 'C:ff.-..
~
I
Q
II
~
..~
~
~
~.
~
"~
rJ:I:Ii
~
.~J,
~
~
~
1
m
l'
" ~
, ..
t.~:CC~10 ..0002:1
~ CITY OF SPR1NGFIELD~ OREGON
225 FIITH STREET. SPRINGFIEW,OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
C;IyJobNumber~PL 'Z-C'O. 00 Nl
I;~l3? \~6.~ '5T
\ ~ C62lcA11>
Tax Lot rolsJ:ft-
Owner of Property
Address .~y ~
gm
Phon"
State
O€-
Z. 0'(4'/7
lp
Address
Phov'"
City
State
Zip
Construction Contractors License #
Expire.
Description ~N~0C
Date of Installation ~! 20 ( ~<:::J
Date of Removal
'9 t20/ I ()
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) arid/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.
~.
Dat"
8/Z~)O
/
Date of Application
Job # SPa.IO .0(;) 142..
Issued By
')P
Amount Collected
77(-
Shared Drive (T:)IBuilding Forms/Banner]ortable Sigo Permit CSD 7~08.doc
..
. "
www.ci.springfield.OLUS
CITY OF SPRINGFIELD
Building' ISign Permit
PERMIT No:sff-sPR2010-00142
,:.";( \ ..
IVR Number: 811186863290
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
5..~R., IN.GFI..EL~
IiIi~EGON
permitcenter@ci.springfield,or.us
PROJECT STATUS: Issued
ISSUED: 8/25/10
APPLIED: 8/25/10
EXPIRES: 2/20/2011
VA!-UE: $0.00
SITE ADDRESS: 533 Q
ASSESOR'S PARCEL NO:
Springfield
1703264200604
SCOPE: Banner
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Banner - install 082010 removal date 092010
OWNER:
ADDRESS:
JENKINS MARLIN W TE
PO BOX 920
SPRINGFIELD OR 97477
Phone Number:
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
Lic Type
lie No
Lic Exp
Phone
# of Units:
o
BUILDING INFORMATION I
,";'n:- !"t:.::rHl :'1'
.1 ~""J" 1..4, '~,., .1
# of Stories: ""
I Heig~~ ~fl~t~.l!~.t~~:i:
Type 9tHeat:
Water Type:
Range Type:
Hazmat:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy load:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specialty..Ct?~e ~d!tion:
Springfield Fire Code Ef:lition:
Mechan,ical Speci~,I.tY ~,ode Edition:
Municipal I Development Code:
Plumbing Specialty 'Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Site Information
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
""-.....
~.')(t', I :':~it,-..;:n
.. '<,>
'.'(Otll":~ .
)~. ~.f.i~}j :;~~'~l~~~~'
l7~~Hj~
Springfield Building Permit
. ;:1'
. '8/25/2010 '2:42:12PM'.'.'
I , 1. I' ~ '.
Page'1 oq
-." "(,;t,:';',\';'
i':i;1,l'~ ~."i: :z::: r,'{:"f'''''
'-
.'I:;r;1bin('
: d.C
it.
.
.'Ii" i> t"
www.ci.springfield.or.us
l,,;~ -; ~ :. It i>, fA:!"",
CITY"OF'SPRINGFIELD
'If
Building I Sign Permit
PERMIT NO: 811-SPR2010-00142
IVR Number: 811186863290
225 Fifth St
Springfield,OR 97477 '
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
SP,RIN.GFI.EL~
.
. '- <ti1
OREGON
pe rmitcenler@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED': 8/25/10
- "/'J "., ""',~ rj l
APpliED: 8/25/1'0
EXPIRES: 2/20/2011
VALUE: $0.00
SITE ADDRESS: 533 Q
ASSES OR'S PARCEL NO:
Springfield
1703264200604
.'t"~'r?'
\""
,-<ell
. . ,'::t1~;~ .
SCOPE: Banner
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Banner .-install 082010 removal date 092010
DEVELOPMENT INFORMATION ~
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Dis!: ,
# Street Trees Reqd:
Paved Drive Reqd: ;" ~ : ~
% of Lot Coverage:":': ::3.;:.
Highest p~i,n$,,~~_~~~uct~re, ~Ol '.: ~-' ,
north property!lfI\~~:. ,', '
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
l;}ownspoutJDrains:
, ,0'(1., .~_: ,'..
1 ,"-1t.~ - 'r':Ji:r-"n
,l:~i.EP: ~l!?~'.'!10
. ..---,' ,..
h/t~;.;. ~""~'~.-'~'::
,
.:.
,
Valuation Description ~
Descriotion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
~=~:~.i:d!3'::F;0';"-'L=:ef&:"
"'-. """~'~~'"+----'-,.~.-----. ."*~+'-.
,,,,"'U,'0++_,u' "'m'~::C::'",,,",',,+~,
Descriotion
Banner, Portable
Banner, Portable Deposit
Admin fee (10% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
~~l~~:tL~/~s:~,.:-:"~~~;~1t~S~P-A;ID7i';-," -:::':+:;.":~:Z<;~3E2;:-;!'.- ." >L '"
i'; ,~,\J.'.~/A.m(H:',nt ~~i~ . Date Paid
. .',,"11;.; $100,00 08/25/2010
$100,00 08/25/2010
$20.00 08/25/2010
$5.00 08/25/2010
$225.00
'~-'''-''.' ::.:rj:;?;~_}'
>.
",":'f~
.,--","
~
I
ReceiDt #
299316
299316
299316
299316
~~?'~?:~--;:-~~;:~~~077:c~m~i?Wjiiv::(i~:t~j7"-::::j;~'Y~:-~~""~2::J_~+~1C~=J:=~~,~~',~Z~::;l.j
DeDartment
Application Acceptance
Sign Review
Permit Issuance
Rece ived
08/2512010
08125/2010
0812512010
Due Date
08/2512010
08/2512010
08/2512010
ComDlete Result
08/2512010,'; ,Over,the Counter
,.... '1 '~.'; ,". .
081251~Rt~j,:, ~.t'J2!' ~~9uired
08125/~01.o" 155~ed;.,
.\->"!."f'~ ..',.. ..~'?,'.
Reviewer
David Bowlsby
David Bowlsby
David Bowlsby
Comments
:JJ.";
Springfield Building Permit
8/25/2010 2A2:12PM
Page 2 of 3
....
www.ci.springfield.or.us
PROJECT STATUS: Issued
CITY OF SPRINGFIELD
Building I Si9fl Permit
PERMIT NO: 81,1-SPR20t.O-00142
T ~; .L'; , ."i,ll..' .;;',
IVR Number: ,811186863290
. ,'.
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541.726-3676
permitcenter@ci.springfiefd,or,us
'l'
ISSUED: 8f25f10
APPLIED: 8f25/10
EXPIRES: 2120f2011
VALUE: $0.00
SITE ADDRESS: 533 Q
ASSESOR'S PARCEL NO:
PROJECT DESCRIPTION:
Inspections
6972 Banner Removal
SCOPE: Banner
'WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
, .Ul:,": ..v4 .~~,:., ...
Banner - install 082010 ~~~s>~al,,~~~,R~,~010
I
Springfield
1703264200604
INSPECTIONS ,REQUIRED
I
,'-
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 or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure with,?ut 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 pr9per time,1 that each ,address is readable from the street, that th~
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. ',~;',: ,~~. <;.;,:r:t:\ "t
~
Owner or Contractor Signature
Springfield Building Permit
it :';i~f.m}'i
.. ,.~
t~'i", . .
':'"'=51'2..5. fla
,. "
Date
-,)j . "-", - -.
I~'~~;~~J;~~- ':~
,,.,.....~"'-.......~ n ,""',~c""t'I.
, ~--\"
, ''I.
'i..
, '\, j ~
~ J -~. ,~,
;, ,,"I ~ .' 1
.\..^,~ Yr
,'-
"
;: t:~.;~'~\:
..1.
8/25/2010 2:42:12PM
Page 3 of 3
>-
';~~~:.
r..
533 Q ST
Springfield OR 97477-2351
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
TRANSACTION RECEIPT
www.ci.springfield.or.us
permitce nter@ci.springfield.or.us
RECORD No!'iiTi-sPIUOI'o-00142 DATE: 08/25/2010
/;/i:&i0i.i":../i, :r':2:.2.:.AccbuNT~CODE ..'j:' .:;".t.:.::AMo.U.NtDUE~JL_:"-,-,_, "'J
224-00000-425602 $100.00
.----.---.<--
224-00000-425602 $100.00
224-00000-426605 $20.00
100-00000-425605 $5.00
TOTAL DUE: $225.00
t"'F'A YMENT,r;y,t>eit'7r0.'pAYOR .' i0!::!\S8JE8:DBoWLsej14;It;;YcolVfrviglliES' ,,': i: ":7';:"'1/;;; '. \ArviQUNT~I?Ah5:;';
RECEIPT NO: 2010000133
lQI::SCR!PTI0N.-t',;~jj\F'l'~'i'~_.
Banner, Portable
.Banner, Portable Deposit
Admin fee (10% of applicable fees)
Technology f~e (5% of permit total)
. -~:l
Check
5200
ontap inc
refun'd to: onta'p inc po box 652
springfield: or 97477
$225.00
$225.00
-:;;::.!(
. " . .
"'---_.~_. -._...~-,-
'6;'~\Ji;.':;_~tj'1
.';,
'.:1'.ct6 ;\,
f~:il
,;,;:-: (
..'
(j;~}'
.~'
.l~{' t,~.