HomeMy WebLinkAboutPermit Signage 2010-8-25
225 FIITH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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CITY OF Sl?IUNGFIELD, OREGON
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171(77
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Construction Contractors License #
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Date of Installation ~I 2-
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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
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Job# sshtro pOO 137 Receipt#ZOIOOOo 152
Amount Collected 'Z '2 I
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Date of Application
Issued By
Shared Drive (T:)lBuilding Forms/Banner]ortable Sign Permit CSD 7-08.doc
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.\!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:
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# of Stories:
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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:
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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
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Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
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Springfield Building Permit
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Page 1 of3
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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
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IVR Number: 811101926275
permitcenter@ci,springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/25/10
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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
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Overlay,Ojst: ... t.: ' .
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# Street.Trees Reqd: '1
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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:
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Sidewalk Type:
Downspout/Drains:
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Valuation Description. ~
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Tvee of Construction .,fic:i,. ';,,:;.' ":;'lUnit'Amount Unit Tvoe
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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
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ReceiDt #
299314
299314
299314
299314
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Springfield Building Permit
8/25/2010 1:41:46PM
Page 2 of 3
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S.PR... ING FIE.~. .
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~~ OREGON
CITY OF SPRINGFIELD
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225 FifthS!
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
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Building '}P9mn1!;l!ci~t Permit
www.cf.springfield.OLUS
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PERMIT NO:'8:1"1'~S~R201 0-00137
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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
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certify that only contractors and employees who are in compliarce,witti.ORS.701.005 witt be used on this project. I further agree
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to ensure that all quired inspections are requested attherp~oper,timeithat each address is readable from the street, that the
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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
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Springfield Building Permit
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'. 8~25/2010 1:41:,~~,PM'
Page 3 of 3
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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
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Banner, Portable
Banner, Portable Deposit
Admin fee (10% of applic~ble fees)
Technology fee (5% of permit total)
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3497
$225.00
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