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HomeMy WebLinkAboutPermit Signage 2010-8-25 225 FIITH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ee~ e.~ Job Location ~ e.~ Q ~~ Owner :>- Address ~ ~ ~ ~. e. ~ Contractor i ~ o U II I, \. e.~ ~ ~ Q e.~ ~ ~ o ~ ~ I ~ CITY OF Sl?IUNGFIELD, OREGON City Job Number S. f<Lz-o (0 - 00 \ "'3 -, . /J1;7J ?h<J ~C- , Assessors Map--17 0 'S Z S '3 ~ BltlO / OOc L/ z~z:s c;.1>~':h DLy"""'fc.L ~T 01.... Phone Zip 97l/77 City ,;/ < 'T-""',;,"",;,t:i?.fi,.; ';;;';-'A "!.Vii:, i: Co;'t'l'a~iql'lI.iistQ11,!r. :;.L,'.,s"._" ;.V'~::;J "'''I,f&;,'/-;/:''':;;;;;':"'';;;;'', State Address 1:3~ W'-..... '-.A... k.-. Phon'" Sf((.~ '1'f-CFo r '-" City c; f Ph. Zip 171(77 ~ State Construction Contractors License # Expire. 3( klCa r Date of Installation ~I 2- V< CJru.l~1- :5 0/-1- "3f> r;r t3 4-n h'!?72- -;~ ?< Description 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 inspectio '11 begin the process to return the $100.00 deposit if the banner(s) and/or portable sign(s) has removed. , '/ Signatur ~ <g' /200 ,_ .__",j~_~ I OfJ Ice iF; ;:":;':;0.. t~ u .. ~,~~,'_.j;i:~~~*:i;~ivr Job# sshtro pOO 137 Receipt#ZOIOOOo 152 Amount Collected 'Z '2 I '~r~;~ Date of Application Issued By Shared Drive (T:)lBuilding Forms/Banner]ortable Sign Permit CSD 7-08.doc S~~INGF.IE~ D ~I~.- . 'I>> .\!OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit. PERMIT NO: 811-SPR2010-00137 IVR Number: 811101926275 225 Fifth St Springfield,OR 97477 Phone: 541.726-3753 Inspection Phone: 541-726-3769 Fax: 541.726.3676 permitcent~r@cL springfield .or. us PROJECT STATUS: Issued ISSUED: 8/25/10 APPLIED: 8/25/10 EXPIRES: 2/20/2011 VALUE: $0.00 SITE ADDRESS: 1300 MOHAWK Springfield ASSESOR'S PARCEL NO: 1703253310004 SCOPE: Banner WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner. install 090110 removal 093010 OWNER: ADDRESS: BES llC 2323 OLYMPIC ST SPRINGFIELD OR 97477 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lic Type Lie No lie Exp Phone BUILDING INFORMATION ~ # of Units: o .... ) I :'.. # of Stories: I H"!9~~~f:Str~C\~r..:,.... Typ~ .ofl~eat: Water Type: Range Type: Hazmat: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: # of Bedrooms: Sprinkled Building: Fire Alarms: Electrical Special:tY Code Edition: . lti-'r-, I,.', Springfield Fire Code Edi,tion: Mecha~IJ'.~ISp~qi~Jty Code Edition: Municipal.' Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Energy Path: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: .tt.' , , . ,!,,~ i. ,.'\ 11. ,jy1i! ,""'"j' ..,:,.1 Springfield Building Permit " q'~ q - '. ..' . ':.i31,2'?I?"91'or::1;4f4~P.M: I'. .q'iJII~K "'Ir<.'.~t'I\:'l:" ~,:~~,\. ~!]~,]:, ~~." ~.wif.'.i";: ~':!"ljmt'! 'f' .\',,~ej('I~ .,. .uin"j C Page 1 of3 .. , ;',',.. ~.'_',.',:, .', . :"il':l.1Nf: " , ii~Il",,1',1 I,; ~l;.:;'l=,! . :.jr; i CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00137 .'f IVR Number: 811101926275 permitcenter@ci,springfield.or.us PROJECT STATUS: Issued ISSUED: 8/25/10 , ~..... . APp~fED: 8/25/10 EXPIRES: 2/20/2011 VALUE: $0.00 SITE ADDRESS: 1300 MOHAWK Springfield ASSESOR'S PARCEL NO: 1703253310004 SCOPE: Banner WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Banner- install 090110 removal 093010. DEVELOPMENT INFORMATION I ,j' ;,;},~ .'~~:r:,' '\.' '~'.;~_ .ff \-pLJ,..., ,If. _(l( '/ ';"-.1 Overlay,Ojst: ... t.: ' . ':"1>:'7., ':"".' . # Street.Trees Reqd: '1 '",. ;.",,, . "~,/ Pave~ ~Wye 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: Speciallnstn..icton: Subdivision Accepted: Notes: ,1 Sidewalk Type: Downspout/Drains: .U: f'..',.: " .?;;L.lll': . "", Valuation Description. ~ -'~.~.1, ';D~; '-l~-'.."" ",,,. Tvee of Construction .,fic:i,. ';,,:;.' ":;'lUnit'Amount Unit Tvoe 1,;t~!'!J1,:,: (~;;ir: ' 'll""!I" r';'~:;"7",~;-;~;--"~:r;';7=~Z::~J'~~~J;~;~J17~::'::=;-;-;--?_~~0:~f~2j~:~~'-~];S':P',A#) _:',_: ,;:; .;; .. '~~,::/;:} ,i: - (.'r ~ .Jf:" :-.:r;~~ ';J;: DescriDtion Amount Paid Date Paid Banner, Portable $100.00 08/25/2010 Banner, Portable Deposit $100.00 08/25/2010 Admin fee (10% of applicable fees) $20.00 08/25/2010 Technology fee (5% of permit total) $5.00 08/25/2010 Total Amount Paid $225.00 " Descrietion Unit Cost Value ',;-,,.;,,,--;___:..,.:,~...~~-.U ReceiDt # 299314 299314 299314 299314 ,.; ,;,~ i . .}: j. 1 ;. ,(:?}L'fr:( Springfield Building Permit 8/25/2010 1:41:46PM Page 2 of 3 , ~j;: iJ " S.PR... ING FIE.~. . - 'c. ~ ~~ OREGON CITY OF SPRINGFIELD .'~ " ,. 225 FifthS! Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 "'....:t . l' .., . Building '}P9mn1!;l!ci~t Permit www.cf.springfield.OLUS ''- !';'S'.. . PERMIT NO:'8:1"1'~S~R201 0-00137 :'~(";'! I . IVR Numlier: 811101926275 permi1center@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/25/10 APPLIED: 8/25/10 EXPIRES: 2/20/2011 VALUE: $0.00 SITE ADDRESS: 1300 MOHAWK Springfield ASSESOR'S PARCEL NO: 1703253310004 SCOPE: Banner WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner- install 09011 0 rem~v~1 093010 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 1 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 without permission of thE! Community Services Division, Building Safety. I further " _" ,rl " certify that only contractors and employees who are in compliarce,witti.ORS.701.005 witt be used on this project. I further agree " ~.; " ',..""., to ensure that all quired inspections are requested attherp~oper,timeithat each address is readable from the street, that the "..;>, '.. . permit card IS I c ted at the front of the property, and the ~pp'roved set of plans will re ain on the site at all times during construction ~ () Date . ~.,J{0;i~ ;f}!.llt~;;C;.~!L :1'.;,1" . 'h '1' +~j'}~.\~.','r;' ';~,~::, Springfield Building Permit I, '. 8~25/2010 1:41:,~~,PM' Page 3 of 3 :," ,.17:, . J ' ""'>""':.','.. .....';~:. ,~~~;." . . ~. .~: ~~;I~S8:.'~" ~ ", . ',,': "I 5..:RIN.GF.I..E.L~. a!EGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us permilcenter@ci.springfield.or.us RECEIPT NO: 2010000132 RECORD NO: 811-SPR2010-00137 DATE: 08/25/2010 ,. "cfT;li.~~S,,f""'''.:'(C~O:UNT~C.QDE .... \;i;.;.":~iqc;TI~!YiQtjJf(DjjE.::1':.' ; ..~ 224-00000-425602 $100.00 .....-. -''''.' -.'- 224~00000-425602 $100.00 _'~.~ ~.~_ . .. _~_.. . 224-00000-426605 $20.00 100-00000-425605 $5.00 --- TOTAL DUE: $225.00 !;0CPAYMEN1>TYPE: . .'- PAYOR "SC~SHIER'DBOWiisBY&,2;:j:;.bIlliIlliENT.S'\;;i!::f' ....J,. :~l.,. . '. '~nIIPJI.NLI:1~n:r !\'t.. \. "~' ll;] Check big sky hospilalily inc $225.00 r[jE:SCRIPTf6N.j;~i~_...: -.. Banner, Portable Banner, Portable Deposit Admin fee (10% of applic~ble fees) Technology fee (5% of permit total) ,r. 3497 $225.00 ! .:~ ~. ,';. :,'). ~,l,.'- ".1- j,;.. 1 :'~ ,~; p' ,,:,;..;'1