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Home My WebLink AboutPermit Signage 2010-10-8 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ o City Job Number ..~~ ..~ Job Location ~ r ~ Assessors Map ~ ..~ \ufU ~ Address' 1 ~ City sr (L\ r"~ F I t'L 0 rt;p)J ~ .. ~ Contractor 81 ~ ,~ I! ~ '.~ I ~~ ~ ...~. ~ ~ ~ ~ ~ I M " CITY OF" SPRINGFIELD, d~GON, :." "'::. . St'ee.oco- OD4 gz. ~15 2J- U Q 1703 "27/0 o 3 SO () Tax Lot Owner of Property jjjfJ li 0 jfV' C~tQK- (1 OS !)Jl) $T', Ie.!::.\} " T'<<- Phon" State of-- '11'(1) Zip o \,J {\ E '/'L Address PhoD" City State Zip Construction Contractors License # Expire. Description PDVl\i)-B ( (:- Date OfInstallatiOn~ ) 0 s \4(\ Date ofRemOVal~ 1) 1= , 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). 1bis inspection will begin the process to return the $100.00 deposit if the banner(s) and/or portable Sign~S) has beenrel):l '~. , 'J . ((f\A(\A~t"- "\" ) l Signatur" '~\-I~f Dat" I c>, f' 1<> Job # 90 -00l.{02- Issued By ~~ 2.-Z S' - Amount Collected Shared Drive (T:)lBuilding Forms/B3IlI1el' _Portable Sign Permit CSD 7-08.doc www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00482 IVR Number: 811177233006 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541.726-3676 SP~ING.....F.I.E~. D . 1IIi7 .....~ , >f>' OREGON permitcenter@ci.springfield.or.u5 PROJECT STATUS: Issued STATUS DATE: 10/8/2010 ISSUED: APPLIED: 10/8/10 EXPIRES: 4/6/2011 VALUE: $0.00 SITE ADDRESS: 28 W Q ST B, Springfield, OR 97477-7102 ASSESOR'S PARCEL NO: 1703271003500 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner/portable sign - install 100910 removal date 110910 OWNER: ADDRESS: MALCOLM BOSISTO REV TR 1484 CHECK ST SPRINGFIELD OR 97477 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lic Type Lic No Lic Exp Phone BUILDING INFORMA TION ~ # of Units: o # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq FI Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: # of Bed rooms: 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 10/8/2010 3:04:19PM Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00482 IVR Number: 811177233006 225 Fifth .St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/8/2010 ISSUED: APPLIED: 10/8/10 EXPIRES: 4/6/2011 VALUE: $0.00 SITE ADDRESS: 28 W Q ST B, Springfield, OR 97477.7102 ASSESOR'S PARCEL NO: 1703271003500 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner/portable sign - install 100910 removal date 110910 DEVELOPMENT INFORMATION I Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: 0/0 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: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutJDrains: Valuation Description I Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value l~~?;;~,,0:'t~;'f;~~~+:~~~~~;f~~~;:;;;;~':~4Cr[gl:~~~n;~~i~F~~~je:~IO~;;~~~~;h'9'f'. ~\"':,":~f.jX;~;ir'fi;Jz;1:f1j!"Y::'.~,; Descriotion Amount Paid Date Paid Ban"er, P~rtable $100.00 10/08/2010 Technology fee (5% of permit total) $5.00 10/08/2010 Permit Fee Adjustment - Administrative Fee $10.00 10/08/2010 -_.._--.<.~-~ Ad",in fee (10% of applicable fees) $10.00 10/08/2010 Banner, Portable Deposit $100.00 10108/2010 Total Amount Paid $225.00 ~,::'::,"~"-I Receiot # 374551 374551 374551 374551 374551 Springfield Building Permit 10f8/2010 3:04:19PM Page 2 of3 . www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00482 IVR Number: 811177233006 225 FifthSt 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: 10/8/2010 ISSUED: APPLIED: 10/8/10 EXPIRES: 4/6/2011 VALUE: $0.00 SITE ADDRESS: 28W Q ST B, Springfield, OR 97477-7102 ASSESOR'S PARCEL NO: 1703271003500 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner/portable sign - install 100910 removal date 110910 ~;,2~-:~:'::~~ ,_,'~' -.~;?-~'~ _{";:~::::'_~~,'o ~~;:~~:r~'.~!!e)~]1f{~yYl~r~22d:~ii':~~-:_~-:~~:~*:)"::~ l~~.T~?i~"~2jW~-~ ~\,_'~~:":il:7~ Deoartment Received Due Date Comoleted Result Reviewer Sign Review 10/08/2010 10/08/2010 10/08/2010 Approved David Bowlsby Comments: Application Acceptance 10/08/2010 10108/2010 10106/2010 Over the Counter David Bowlsby Comments: Permit Issuance 10/08/2010 10/08/2010 10108/2010 Issued David Bowlsby Comments: INSPECTIONS REQUIRED I Inspections 6972 Banner Removal Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant m~y fortiet the deposit. By signature, 1 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 ot'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 constru~. C io t-Ir ij , I Owner or Contractor Signature Date Springfield Building Permit 10/8/2010 3:04:19PM Page3of3 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00482 28 W Q ST B CITY OF SPRINGFIELD 225 Fifth Sl Springfield,OR 97477 541-726-3753 permitcenler@ci.springfield.or.us RECEIPT NO: 20] 0000527 RECORD NO: 8 I] -SI'R20 I 0-00482 DATE: 10/08/2010 ~DESCRipfl'QNt~~:r;i)fj;t:..~;'!~r;:~'f'~~~:<i}~./';; ',;~'"'~:'l7,:J~t:i:j:L,-~:i:~~pJ;QiJ'ffri.C90Eti,~, ':" ;1*';:= ~-"~AMQ_~_tit.Q_l.n; ~::,~, : 224-00000-425602 $100.00 100-00000-425605 $5.00 224-00000-426605 $1000 -,--- 224-00000-426605 $1000 224-00000-425602 $100.00 TOTAL DUE: $225.00 t'j>AYni1ENT-;rYP,E:;o:;''':PAYOR:"~tCASHIER,,,89WtSS:Y%''V:COMMENTS .;:,~;:;"',", ::2';-4';;;:; -",~- AMOUNt PAID:;; ~ - ...:" , .. 4 Banne:!:., Portable Technology fee (5% of permit total) Permit Fee Adjustment. Administrati~e Fee Admin fee (10% of applicable fees) Banner, Portable Deposit Check 28751 . robert timmons refund to: robert timmons 28 w q st, springfield oregon 97477 $225.00 $225.00 ,