HomeMy WebLinkAboutPermit Signage 2010-10-8
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CITY OF SPRINGFIELD, OREGON
SPRINGFIELD
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225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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Description ~NN~ / t?c)t\...~~
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Date of Installation 10 -06-/0
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Date of Removal
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Expire.
/(-06 -/ 0
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 time line
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 inspe . n will begin the process to return the $100.00 deposit if the banner(s) and/or
portable si (s) h seen re ed.
For Office Use
Job# SlO -oC478
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Shared Drive (T;}'Building FonnslBanner]ortable Sign Permit CSD 7-OS.doc
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www.d.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00478
IVR Number: 811125362573
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: 10/8/2010
ISSUED:
APPLIED: 10/8/10
EXPIRES: 4/6/2011
VALUE: $0.00
SITE ADDRESS: 1300 MOHAWK BLVD, Springfield, OR 97477.3351
ASSESOR'S PARCEL NO: 1703253310200
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
lYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Banner/portable signs - install 1 0061 0 removal date 110610
OWNER:
ADDRESS:
BES LLC
PO BOX 165
SPRINGFIELD OR 97477
Phone Number:
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
Lie Type
Lie No
Lie Exp
Phone
BUILDING INFORMATION I
# of Units:
I
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 Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specially Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:'
Plumbing Specially Code Edilion:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
~oils Report R.Ailj'frQ
.",.,.
Springfield Building Permit
10/8/2010 1:45:39PM
Page 1 of 3
SP~liN. ~~E~
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www.cLspringfietd.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00478
IVR Number: 811125362573
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: 10/8/2010
ISSUED:
APPLIED: 10/8/10
EXPIRES: 4/6/2011
VALUE: $0.00
SITE ADDRESS: 1300 MOHAWK BLVD, Springfield, OR 97477-3351
ASSESOR'S PARCEL NO: 1703253310200
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial'
PROJECT DESCRIPTION:
Banner/portable signs. install 100610 removal date 110610
DEVELOPMENT INFORMATION ~
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Oist:
# 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
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
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Amount Paid
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Descriotion
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
$100.00
$100.00
$5.00
$10.00
$10.00
$225.00
Date Paid
10/08/2010
10/08/2010
10/08/2010
10/08/2010
10/08/2010
Receiot #
374547
374547
374547
374547
374547
Springfield Building Permit
10/8/2010 1:45:39PM
Page 2 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00478
IVR Number: 811125362573
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspeclion Phone: 541-726-3769
Fax: 541-726-3676
5PRIN......G..FIEL~ ..
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.+.~:OREGON
permitcenler@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: 1300 MOHAWK BLVD, Springfield, OR 97477-3351
ASSESOR'S PARCEL NO: 1703253310200
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Banner/portable signs - install 100610 removal dale 110610
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,", ,"Plan_Review':
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Deoartment
Application Acceptance
Comments:
Permit Issuance
Comments:
Sign Review
Comments:
Received
1010812010
Due Date ComDleted
1010812010 1010812010
Result
Over the Counter
Reviewer
David BOwlsby
10/0812010
1010812010 10108/2010
Issued
David Bowlsby
10108/2010
10108/2010 10108/2010
Approved
David Bowlsby
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 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 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 cated at the front of the property, and the approved set of plans will remain on the site at all times during
constructio ~
10 /{?~ d
Date
Springfield Building Permit
10/8/2010 1:45:39PM
Page3of3
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www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00478
1300 MOHAWK BLVD
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
permilcenter@ci.springfield.or.us
RECEIPT NO: 2010000523
RECORD NO: 81 I-SPR20 I 0-00478
DATE: 10/08/2010
IDESCRIPTION .
Banner, Portable Deposit
Banner, Portable
Technology fee (5% of permit total)
Permit Fee Adjustment - Administrative Fee
Admin fee (10% of applicable fees)
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'Ac:_C.O.UNif&oQEb .'. ,. ':AMCl.U_I'IU>.U.E
L PAVMENTTVPE .:
flAV6R.t~CASHIER DBOWLSBY<", G.OMIVI~t'1IS .
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$100,00
$10000
$5.00
$10.00
$10.00
$225.00
AMOUNT PAID
224-00000-425602
224-00000-425602
1 00-00000-425605
224-00000-426605
224-00000-426605
TOTAL DUE:
Check
3603
big sky hospitality inc
refund to: centennial steakhouse
1300 mohawk blvd, springfield or
97477
$225.00
$225.00