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Home My WebLink AboutPermit Signage 2010-10-1 225 FIfTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ SPIl..'Z.O(o-o~LfZ.'Z... 0) City Job Number ::~ Job Location /6 ~ S' . r" oS.J- > ..~ Q~ ~ ..~ Owner of Property ~ Address ~ City ~ ~ ..~ ~ Address e. e: City ~ U /\ .~.' ~.... , ..;,. II ~ ..~ I ~ ~ ~ ..~ ~ ~ 1 ~ ~ 1 ~ " CITY OF SPRINGFIELD, OREGON' ','. ~ .; ~ Assessors Map-17 0 ~ ~ S Co{ z.. c 9- goo Tax Lot \:.~,c....-\O~ \L~ "St)~ ~ ~~i\lf) ct "S~~~ PhoD" ~4l-~":'3':s~ Zip q::\,4Q:r Of.- State :'~:f!:::~i~~fl!t~'E3?~;:?~\:-~~:~~~.;f\~l~:~2-;~K~t~;~~;:;:~?~~,~::;i~~'5(\ \.I.o~ ~ ~ PhoDP ~l--==t~-S.:s~'f ~~U.y State C8-. Zip q::ll.r:rl-- Expire~ A Construction Contractors License # \:)~ Description ~1\t.Sl-'S <:;;''30'\ , \0-\-\0 ~D ~\-10 Date of Installation 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. Job # Receipt~D. f./ S Z2~ - ~I? Issued By Amount Collected Shared Drive CT:}lBuilding FormslBannc:r ]ortablc Sign Permit CSD 7-08.doc i. , SPR.ING.._fl,E~~.D- . ~..l". . '0:' {N, :f:,'. ~.;;iill ,~F;;'; . OREGON w~.ci.springfield,or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00422 IVR Number: 811114407221 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 10/1/10 APPLIED: 10/1/10 EXPIRES: 3/30/2011 VALUE: $0.00 SITE ADDRESS: 163 9TH S ASSESOR'S PARCEL NO: Springfield 1703354209800 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner - install 100110 removal date 103110 OWNER: ADDRESS: CAR LIT OR SPRING LLC 360 E JACKSON ST MEDFORD OR 97501 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lic Type Lie No Lic Exp Phone BUILDING INFORMA TION ~ # of Units: # of Bedrooms: Hazmat: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy load: o # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: 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: Energy Path: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 10/1/2010 12:10:00PM Page 1 of3 . www.ci.springfield.OLUS CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00422 IVR Number: 811114407221 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or,us PROJECT STATUS: Issued ISSUED: 10/1/10 APPLIED: 10/1/10 EXPIRES: 3/30/2011 VALUE: $0.00 SITE ADDRESS: 163 9TH S ASSESOR'S PARCEL NO: Springfield 1703354209800 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner - install 100110 removal date 103110 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: I Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvpe Unit Cost Value [il,,~';;;~(';;~:'~:''':,fr-~ ,~e'~':':'j1f-l~j~~fI~f:t,Siq~~~~1:"~"~'~F'EI=~S~PAiciiff~tf:~:l?!~~i0Y,71~~~~}~~~;~~~;~:F;:t:~I{~~ ,: '~. M :i~,};/~:r~~~ Description Ba~ner, Portable Deposit Banner, Portable Technology fee (5% of permit total) Permit Fee Adjustment - Administrative Fee Admin fee (10% of applicable fees) Total Amount Paid Amount Paid $100.00 $100.00 $5.00 $10.00 $10.00 $225.00 Date Paid 10/01/2010 '10/01/2010 10/01/2010 10/01/2010 10/01/2010 Receipt # 374464 ------~ 374464 374464 374464 374464 r; '":7'~::;c:~~!~:1~:;,<.';::.':~'k,"s:'t'::::k\~r? ~:-:ei:r~'Pii.ri~R~i'~~::hI~~;r5:i~~~t;';;~:::,: Lri ~,'~;;::':.~ ' .... " 1 ,'M,.". _ Department Permit Issuance Sign'Review Application Acceptance Received 10/01/2010 10/01/2010 10/01/2010 Due Date 10/01/2010 10/01/2010 10/01/2010 Complete 10/01/2010 10/01/2010 10/01/2010 Result Issued Approved Over the Counter Reviewer David Bowlsby David Bowlsby David Bowlsby Comments Springfield Building Permit 10/1/2010 12:10:00PM Page 2 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00422 IVR Number: 811114407221 225 FifthSt Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541.726.3676 permitcenter@cLspringfield , or. us PROJECT STATUS: Issued ISSUED: 10/1/10 APPLIED: 10/1/10 EXPIRES: 3/30/2011 VALUE: $0.00 SITE ADDRESS: 163 9TH S ASSESOR'SPARCEl NO: Springfield 1703354209800 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner - in5tall100110 removal date 103110 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 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 th.e 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. ~}z-J~~ Owner or Contractor Signature /0-/":/0 { Date Springfield Building Permit 10/1/2010 12:10:00PM Page 3 of 3 www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR20 10-00422 163 S 9TH ST CITY OF SPRINGFIELD 225 Fifth 5t Springfleld,OR 97477 541*726*3753 permi1center@ci,springfield.or.us RECEIPT NO: 2010000456 RECORD NO: 8] I-SPR2010-00422 DATE: 10/01/2010 [D~~_@!l;ttIQ!'r-~~;;~~l~,;;;,-~"~-->,,:\"~::F ,&:-',;:':.ii"~*~Tj.'W.:c;"rl;gGC:5@fiP9[)E;(:'~at""r; rAMO_UNT..QlJJ~__ . ~. .'1 Banner. Portable Deposit 224-0000~-425602 . $100.00 Banner. Portable 224-00000-425602 $100.00 Technology fee (5% of permit total) 100-00000-425605 $5.00 Permit Fee Adjustment - Administrative Fee 224-00000-426605 $10.00 Admin fee (10% of applicable fees) 224-00000-426605 $10.00 TOTAL DUE: $225.00 r '-'PAYMENT tYPEi' 'g :f>AY6R~cAsHlERDBo:V;itsBYi'~i1;"C9MMEN:t$''i.gtt:E;:-~L Clio:;,' .;::;,:' %AMOUNT;PAI();:',,;" (';~- j;;l Check 53307 lithia toyota of springfield refund to: lithia toyota of springfield 163 s. 9th street, springfield or 97477 $225.00 $225.00