HomeMy WebLinkAboutPermit Signage 2010-10-11
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SPRINGFIELD
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// 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
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Job Location
, Assessors Map~"7 D Z ::s ;; y. l
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Tax Lot
Owner , I J\ 117
Owner of Property ('~v ~ /~~
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Contractorllnstal/er /
Contractor r\M\&o~ III LtC /e>tJHB\-
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Address 5"l. '7 2.. "f
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Phone
State cXt-
17'<08'
City
Zip
Construction Contractors License #
Expire<
Description
\0
Date ofInstallation
Date of Removal
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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.
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Signatur
Date
mfil/;b
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Date of Application
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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
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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
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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
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...>. 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
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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
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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