The URL can be used to link to this page

Home My WebLink AboutOccupancy Signage 2010-10-26 225 FIITH STREET. SPRINGFIElD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ _. ~ City Job Number -.~ Job Location ~ .",,~ Q ~ ..~ 1; ~ ~ .. ~ Contractor !1 I .~ .-"'7">'~'';''. 1\ ~ Ii ~ ...~ e ~ ~~. ~ -.~ ~ ~ 1 .~ ~ I M ~ c. CITY OF S~RiNGF~.~D, OREGON' : i. : Sf>(LU{O ~ 0 c> SBb I b 3> S 'lIt.. Assessors MapJ 7 C ,] 3 S l{ L Tax Lot 6 ~ tf c> (:) ;;:~:;;:;::~'''rY-Fr;1ii5'T;/1;litSt/;n>}fJ;irr;]7k' Address th Phone State Zip CJ7477 OWN&. Address 91J~yYI-L Phon" City State Zip Construction Contractors License.# Expire. fV7 1/1 ~ ~ ~rt:zUJl 0 -&fJ~ Date of Installation II J J J I () Date of Removal /I J?f)) J 0 I I I I Permit Fee: $225.00 including $100.00 Deposit and applicable fees. By signature, I state and agree that I have carefully completed iliis application and hereby certify that all information herein is true and correct. I further agree and understand that the above. described banoer(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 banoer(s) and/or portable sign is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that iliis 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 banoer(s) and/or portable sign(s). This inspection will begin the process to return the $100.00 deposit if the banoer(s) and/or portable:t!ign been removed. . . Signatur 1/ ; ,I clo ~ Date / oj 21af(J . .',.',...,',.,..,'...,lD':...'..':,.'....'.'..ai:.'.te...".,.',.."...'.'.....'.'.o.":.."f':.'..:'...A.".'.'.,','.'.'.p.",':.'..',',.p.:':':'.."li."......'.""c:':'::';-':a'..':""""ti'"':"""':""."'o'"' :".."l"...'n:'.""",:,....:"..'.':....',...../..-:~.....'.:....~.'.','."O:f.'...."',...:...,.,...,'...:.'....',.:....':_'.,..".."'....Z6.'..:.......,.:.:,i..'.;'.....,'..."'.'..,..'..',......,...._../ . ... "n .... ,.. \.5;. "'..,..',.: .' T,;.. ,'.'" 7\":',~~i:,:f:~jili~t~'i~~~~;it!' Job # 5/0 -oc ~ 8 b Receipt # b{f Description - ~b Issued By zz..S' - Amount Collected Shared Drive {T:)lBuilding FormsIBanncr]ortablc Sign Permit CSD 7-OB.doc www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00586 IVR Number: 811178509074 Issued 10/26/2010 ISSUED: APPLIED: 10/26/2010 1 0/26/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: 04/24/2011 $0.00 SITE ADDRESS: 163 S 9TH ST, Springfield, OR 97477-4736 ASSESOR'S PARCEL NO: 1703354209800 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner and portable signs. install 110110 removal date 113010 Phone Number: OWNER: ADDRESS: CAR LIT OR SPRING LLC 360 E JACKSON ST MEDFORD OR 97501 Contractor Type Sign Contractor # of Units: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Contractor Name OWNER CONTRACTOR INFORMA TION ~ Lic Type OWNER BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: \ Water Type: Range Type: Hazmat: Lic No 0000000 Lic Exp 08/12/2025 Phone o 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: lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy load: o Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Information 10/26/201 1:25:53PM ~ Page 1 of 3 . 5PBltj. G Fl.. E.L.~.. . ~~ .:r ~ <',~. OREGON: www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00586 IVR Number: 811178509074 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfreld.or.U5 PROJECT STATUS: STATUS DATE: Issued 10/26/2010 ISSUED: APPLIED: 10/26/2010 10/26/2010 EXPIRES: VALUE: 04/24/2011 $0.00 SITE ADDRESS: 163 S 9TH ST, Springfield, OR 97477-4736 ASSESOR'S PARCEL NO: 1703354209800 PROJECT DESCRIPTION: SCOPE: Banner, Portable S;gn WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner and portable signs. Instal1110110 removal date 113010 Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: Oft, 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: Downspout/Drains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion Banner, Portable Deposit !'anner, Portable Technology fee (5% 0: permit total) Permit Fee Adjustment - Administrative Fee Admin fee (10% of applicable fees) Total Amount Paid Amount Paid $100.00 $100.00 $5.00 $10.00 $10.00 $225.00 Date Paid 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 Receipt # 374703 374703 374703 374703 374703 Springfield Building Perm;1 10/26/201 1:25:53PM Page 2 of 3 i.~~ . m'''''" OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00586 IVR Number: 811178509074 www.ci.springfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 Issued permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 10/26/2010 10/26/2010 10/26/2010 SITE ADDRESS: 163 S 9TH ST, Springfield, OR 974774736 ASSESOR'S PARCEL NO: 1703354209800 EXPIRES: VALUE: 04/24/2011 $0.00 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner and portable signs. install 110110 removal date 113010 Plan Review I DeDartment Application Acceptance Received Due Date 10/26/2010 10/26/2010 Completed 10/26/2010 Result Over the Counter Sign Review 10/26/2010 10/26/2010 10/26/2010 Approved Reviewer David Bowlsby David Bowlsby 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 may farfiet 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 located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ~~g~ /Or..2b~ 10 Date Springfield Building Permit 10/26f201 1:25:53PM \ Page 3 of 3 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00586 163 S 9TH ST CIrY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2010000667 RECORD NO: 811-SPR2010-00586 DATE: 10/26/2010 &~ '<:~'~i :-'2 ~c;,.-~."" ~..-',A.C_(oJjNticj:lOE:"';'';>~ r,i,8"MQJI~IiQJ!!';,.!'" '~".' 'I 'OESC' R-"'P-'TIO N>'.,ff~:7*-...> . f__. ."" ~~ ,~~ 0~_.~ _ "" Banner, Porta_~~ Deposit ~anner, Portable Technology fee ~5% of permit total) Permit Fee Adjustment - Administrative Fee Admin fee (10% of applicable fees) 821-00000-215500 224-00000-425602 100-00000-425605 224-00000-426605 224-00000-426605 $10000 $10000 $5.00 $10.00 $10.00 $225.00 'AMOUNT:.PAI[) ., ..j !"-'eA YMENT'TYRE!L:t' ~,~A YOif ., TOTAL DUE: : 'Qi;~J:lIE.Ro'DBoWi:SBY!:~=:_C~O_IVIMgf.l~;;'" -. "''''2'''. -.3.:..' Check 53400 Iithia auto stores refund to: lithia auto stores 163 south 9th street, springfield or 97477 $225.00 $225.00