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HomeMy WebLinkAboutPermit Signage 2010-10-8 ?J::f,' Ct'.D 10 -Or , CITY OF SPRINGFIELD, OREGON SPRINGFIELD ~~ 225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~l o. ~~ City Job Number o.~ll Job Location ~ o..;..Ii Assessors Map ~l ~J .....,.... ~ Owner of Property I""> 0 0- ~) ...~t ~ Address ~ City ~ ~, I~ ...~, ~l ;g! I~l ;::! -l ~ U IJ I~ o.~~! ~l ~I ~ f'. t~ ~i ~. ~:(j)) ...~~ ~ .~G ~i .JQ) !.-, . ) =<> '~l ~ ~.-. ~~ ---- i~l ~i ~i _i roJ . ~ ~l -:;?12..Z010 ~OD47 Y (3c>0 MoH'Atwlc.... /703 ZSJ:3 (!;c...vi~ Tax Lot Owlter 1:> 0 '30)('" S:-r> F'b 75t=:s. ,-'-5 Phon" LLL oe... State Co/ztrac/or/Iltstaller Ot../N~t Contractor /OZO 0 Zip C,7Cf7r Address PhonE' City State Construction Contractors License # ; Description ~NN~ / t?c)t\...~~ ( Date of Installation 10 -06-/0 SI{;.K(:Sj , Date of Removal Zip 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 O . A' I' . /0/5'/0 ate 0 pp lcallon , I Issued By D1S' Amount Collected DatE' I () / q;o 1 . Receipt # 2'O( 0 ~ 2ZS-- SZ3 Shared Drive (T;}'Building FonnslBanner]ortable Sign Permit CSD 7-OS.doc .. 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~ ~~ ~~EGON 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 I" 'co: ,,,' " <oJ:~. '. ~<". ~> ..;~:~--.< ~'-';':;\~ :: ~\.. -- ;ili.5);~-p,~IPL\ --~:';}, ~T"":,': Amount Paid 7.;:''' "'i'~ ,<~~. _--r --- -~ ~J 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~ .. .;~. '~r( i!IJ .+.~: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 I- , - H .-,...... --, ,", ,"Plan_Review': '''!::. - .c.;, . 'U> - ~'''' ". .-,-,< 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 ... ^ SP~~~::;L?iJ .~:;,~ :,,, OREGON 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) .'.;.4". "c:. <; -h~ ,- , . -. -"'... Pin 'Ac:_C.O.UNif&oQEb .'. ,. ':AMCl.U_I'IU>.U.E L PAVMENTTVPE .: flAV6R.t~CASHIER DBOWLSBY<", G.OMIVI~t'1IS . ". $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