HomeMy WebLinkAboutPermit Signage 2010-10-7
225 FIFI1l STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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CITY OF SPRlNGFIELD, OREGON
SPRINGFIELD
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Zip
Construction Contractors License #
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Description p. , I
Date ofInstallation /00;:;0 Date of Removal
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/1/00
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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 sig~as been removed.
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For Office Use
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Issued By
Amount Collected
Shared Drive (T:YBuilding FormslBanner _Portable Sign Permit eso 7-o8.doc
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00464
IVR Number: 811147001924
www.ci.springfield.or.us
PROJECT STATUS: Issued
STATUS DATE: 10/7/2010
ISSUED:
APPLIED: 10/7/10
225 Fifth st
springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541~726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.us
EXPIRES: 4/5/2011
VALUE: $0.00
SITE ADDRESS: 1510 MOHAWK BLVD, Springfield,. OR 97477-3354
AssEsOR's PARCEL NO: 1703253102300
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
PROJECT DESCRIPTION:
Banner- portable sign - install 100610 removal date 110610
TYPE OF STRUCTURE: Commercial
OWNER:
ADDRESS:
HARLOW GEORGE R & ARTIE M
2433 MARCOLA RD
SPRINGFIELD OR 97477
Phone Number:
Contractor Type
Contractor Name
CONTRACTOR INFORMATION I
Lie Type
Lie No
Lie Exp
Phone
BUILDING INFORMATION I
# of Units:
o
# of Stories:
I Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Bedrooms:
Sprinkled Building:
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:
Energy Path:
Site Information
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
10f712010 11:17:59AM
Lot Size:
sq F11 st Floor:
sq F12nd Floor:
sq FI Basement:
sq Ft Garage:
sq Ft Carport:
sq Ft Other:
Occupancy load:
I
Page 1 of3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00464
IVR Number: 811147001924
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
STATUS DATE: 10/7/2010
ISSUED:
APPLIED: 10/7/10
EXPIRES: 4/5/2011
VALUE: $0.00
SITE ADDRESS: 1510 MOHAWK BLVD, Springfield, OR 97477-3354
ASSESOR'S PARCEL NO: 1703253102300
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Banner- portable sign - install 100610 removal date 110610
DEVELOPMENT INFORMATION ~
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:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Tvpe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
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Descriotion Amount Paid Date Paid Receiot #
Permit Fee Adjustment -_Administra!ive Fee $10.00 10/07/2010 374530
Banner, Portable $100.00 10/07/2010 374530
Banner, Portable Deposit $100.00 10/07/2010 374530
Admin fee (10% of applicable fees) $10.00 10/07/2010 374530
Technology fee (5% of permit total) $5.00 10/07/2010 374530
Total Amount Paid $225.00
Springfield Building Permit
10nt2010 11:17:59AM
Page 2 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00464
IVR Number: 811147001924
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
SPRINGfIE..~D--
.'
.+ 1?1f;
.. Il:ili.
. . ,Y;", OREGON
permitce nter@ci,springfield.or,us
PROJECT STATUS: Issued
STATUS DATE: 10/7/2010
ISSUED:
APPLIED: 10/7/10
EXPIRES: 4/5/2011
VALUE: $0;00
SITE ADDRESS: 1510 MOHAWK BLVD, Springfield, OR 97477-3354
ASSESOR'S PARCEL NO: 1703253102300
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Banner- portable sign - install 100610 removal date 110610
E;7~"\\T;::7~~;.2;~~'~~.::'4::,:~~~~f::"t~;,!"'i:~;:r::'~,,-_'{PJa~fi~~i~w~:f;,~~~~-~~:~.~;t~~~:~:j'~'t;':,}:;~.~~~-~::~~'~:t:':f~:~ . f ,,~~ J::,~ .71
Deoartment Received Due Date Comoleted Result Reviewer
Application Acceptance 10/07/2010 10/07/2010 10/07/2010 Over the Counter David Bowlsby
Comments:
Permit Issuance 10/07/2010 10/07/2010 10/07/2010 I~sued David Bowlsby
Comments:
Sign Review 10/07/2010 10/07/2010 10/07/2010 Approved David Bowlsby
Comments:
INSPECTIONS REQUIRED ~
Inspections
6972 Banner Removal
Banner Removal: To be requested the day following the expiration of the permit. If
inspection is not requested, the applicant may fortiet the deposit.
By signature, I state and agree, that 1 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 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 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
zr~ ~ /o!?!:c{}
Owner or Contractor Signature ~e /
Springfield Building Permit
1017/2010 11:17:59AM
Page3of3
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~OREGON
CITY OF SPRINGFIELD
225 Fifth St
'Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00464
1510 MOHAWK BLVD
permilcenter@cLspringfield.or.us
RECEIPT NO, 2010000507
RECORD NO, 81 ]-SI'1<2010-00464
DATE,10/07/2010
[PESCRII'.TI0N' .. '!4f~~;d;;C:.;i+tj':d;,.":j~L
Permit Fee Adjustment - Administrative Fee
Banner, Portable
Banner, Portable Deposit
Admin fee (10% of a~plicable fees)
Technology fee (5% of permit total)
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224-00000-426605 $10.00
224-00000-425602 $100.00
224-00000-425602 $100.00
224-00000-426605 $10.00
.-.--'--'---.
100-00000-425605 $5.00
TOTAL DUE: $225.00
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Credit Card
317001
Practical computers
$225,00
$225,00