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HomeMy WebLinkAboutPermit Signage 2010-10-11 ~l co) -.. ~"=J4 r:f:Jl ..~ -. ._J~ ~l ~ ~ ..~ ie: ~ ~ ~J -", Tr--1i Ell ;gi~l ,~( j ~; -; -; ; ~ U IJ l~ ..~~! ,! -; ~ ~; ~; ~, ~:lD) -. ....-14 ~ ,~~ 'j :-'j ~ ~; bi; ~) ~l ;::;;oj ~si . ~ ~l ./ .".-- . l. '" l SPRINGFIELD ~~ 'I' , // CITY OF SPRINGFIELD, OREGON 225 FIFTIi STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689 City Job Number S?t.ZO(O _00 S/J!3 C; 8' 2 z. /AlIA- (tV Job Location , Assessors Map~"7 D Z ::s ;; y. l o z~ao Tax Lot Owner , I J\ 117 Owner of Property ('~v ~ /~~ A_,sgJ.-2- MOJJ\ st. Ph,", . 'b Ci~VUlt(J~&\ State~Zi~ Contractorllnstal/er / Contractor r\M\&o~ III LtC /e>tJHB\- ~Cl(,6tI,.-fs C ~"j / Address 5"l. '7 2.. "f L~c.-l? G-- Phone State cXt- 17'<08' City Zip Construction Contractors License # Expire< Description \0 Date ofInstallation Date of Removal . J Permit Fee:$I~~01ncluding $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 ofthe 30th day to request an inspection to verify the removal of the banner(s) and/or portable sign(s). This inspection will be in the process to return the $100.00 deposit if the banner(s) and/or portable sig ) has bAn re d. ~ . Signatur Date mfil/;b I / Date of Application lo;f(e> I 'l",~ For Office Use Job # SlO -00 SI B Receipt#ZOI\:) - 57 t 'ZZ.S- Issued By Amount Collected SoarW Drive (T:)t'Building ForrnslBanner_Partable Sign Permit CSD 7-tJ8.doc . www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00518 IVR Number: 811156290686 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 STATUS DATE: 1011412010 ISSUED: APPLIED: 10114/10 EXPIRES: 411212011 VALUE: $0.00 SITE ADDRESS: 5822 MAIN ST, Springfield, OR 97478-6965 ASSESOR'S PARCEL NO: 1702334102300 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner ( portable signs - install 100610 removal date 110610 OWNER: ADDRESS: AMIGOS III LLC 32929 ROBERTS CRT CO BURG OR 97408 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lie No Lie Exp Phone BUILDING INFORMATION ~ # of Units: I # 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 10/14/201 2:01:43PM Page 1 of 3 Sfd~:IH...~~~ liz,~ . .,' . .,,,- OIHGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00518 IVR Number: 811156290686 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: 10/14/2010 ISSUED: APPLIED: 10/14/10 EXPIRES: 4/12/2011 VALUE: $0.00 SITE ADDRESS: 5822 MAIN ST, Springfield, OR 97478-6965 ASSESOR'S PARCEL NO: 1702334102300 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner f portable signs - install 100610 removal date 110610 DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvee of Construction Unit Amount Unit Tvoe Unit Cost Value [r: '~~:~~-"';~:'13y:,'K::::~~yt.;~~)t :;~S:i':'f:Z';;" Ff;f$I~~I6 ~ ~"":;~lEff;;"E:"~,,~;1ft;\~-, ~i; .7~:v~T::~:*/ Amount Paid Date Paid $100.00 10114/2010 $100.00 10/14/2010 $5.00 10/14/2010 $10.00 10/14/2010 $10.00 10/14/2010 $225.00 p.'.~ ~ '" -"'0 ..<~.; ,. ..'1 Description Banner, Portable Deposit Banner, Portable Technology fee (5% of permit total) Permit Fee Adjustment. Administrative Fee " Admin fee (10% of applicable fees) . Total Amount Paid Receipt # 374605 374605 374605 374605 374605 Springfield Building Permit 10/14/201 2:01 :43PM . Page 2 of3 . . Sr.RINGF IEL~..D _1?- . .&'~ ...>. OREGON www.ci.springfield.or.U5 CITY.OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00518 IVR Number: 811156290686 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmilce nter@ci.springfield.or.us PROJECT STATUS: Issued STA TUS DATE: 10/14/2010 ISSUED: APPLIED: 10/14/10 EXPIRES: 4/12/2011 VALUE: $0.00 SITE ADDRESS: 5822 MAIN ST, Springfield, OR 97478.6965 ASSESOR'S PARCEL NO: 1702334102300 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner / portable signs. install 100610 removal date 110610 [' .. L:. .:' 0 " * :(~<cil .Z-:~.~~\,~-:;'~t7~b ~"'i~~o"~:-. ~~;f"~<-:;~~P-I~'~-_R~~e~\', -~+-:r:- '7,7:-'7-,' ;, :,~( '. ~:~~~~/.f'~i ~.!:~~~"" :~ - " . ,,'~ .f' ] Deoartment Received Due Date Comoleted Result Reviewer Sign Review 10/14/2010 10/14/2010 10/14/2010 Approved David Bowlsby Comments: Application Acceptance 10/14/2010 10/14/2010 10/14/2010 Over the Counter David Bowlsby Comments: Permit Issuance 10/14/2010 10/14/2010 10/14/2010 Issued David B~wlsby Comments: INSPECTIONS REQUIRED ~ Inspections By signature, ] state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and' 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 's a t the front of the property, and the approved set of plans will remain on the site at all times during con ru o. (0 ( (t/ (0 Date I I Springfield Building Permit 10/14/201 2:01:43PM Page3of3 sr~:~~.IE~ b~~ ~.OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00518 5822 MAl N ST CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 perm itcenter@ci.springfietd,or,us RECEIPT NO: 2010000578 RECORD NO: 81 I-SPR2010-00518 DATE: 10/14/2010 lQ.E_SClYe.I!Pll' - p:!;.;__~3l,.'_,:" "~:-:'--' -:';' :-AC,C_O,UN'(CODE\., -;';';:;AMP,lJllLQQE:...:Li Banner, Portable Deeosi! 224-00000-425602 $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 l'rP)l.YMENT.T;~FiE'-"'~ ::pAY:b~'- -_,jtASfiiE~::D~OWLSBYS - :~CbNIlIliENTS;-_;:- '~, ".,j'- j."::'~I_:::;AMOUNTPAfD,'::':::i;;:,-;- .1 Check 1758 divinity salon and tanning refund deposit to: divinity salon and tanning 5822 main street, springfield or 97478 $225.00 $225.00