HomeMy WebLinkAboutPermit Signage 2010-11-10
225 FIITH STREET. SFRINGFIEW, OR 97477 . FH:(541)726-3753 . FAX: (541)726-3689
~
..g City Job Number
..~ Job Location
..~
Q Assessors Map
~
..~
~
~
~
~
~
..~
=:
II
..~~
I
~
~
..~
~
~
1
o
~
i
~
M
'c\ \~
. . I . . ,
, '.. CITY OF SPRlNGFIEbD~ OREGON . .'
. ~ l,;.!... '
SPt2..20lo-Oa b ']!'
1/1/11 ~<,tQ I
j7C>3 2220
ltJ~, '/
TaxLot 02602
Owner of Property
Address I {} In 8.si 0.1
city-.S.PJ-.I~5~: <2-1 d I
'.'~::~:!:;!j~f!lrJ}~fj~r~\~:~~:/7:{:/::H~~6t~;;~:~:;~!7?;~;~:l;;;;~~:~~gti~0i~~~l{t~~;:;~i;:\ r
Address .5&\ ......... ~ C\ <, 0 I-J '" ~,;- PhODE>
fA )0. ....../
/
StateC)
Phon"
R.
<; iff -, d 0'" '7 1'"3, ~
ZiP'( I ~ 70
City
State
Zip
Construction Contractors License #
Description 3 n. "" V\ e r----
Date of Installation ! I - 10 - 10
Expire<
b 0 't,A-'{ .s
Date of Removal ! -1(1).- II
Permit Fee: $225.00 including $100.00 Deposit and applicable fe s. + II S-
By signature, I state and agree that I have carefully completed this application and here y 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. lfthe banner(s) and/or portable sign is not removed within the timeline
specified, I will forfeit the $] 00.00 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 . inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
portab has been removed.
Signatur
Dat" I ( - I C0 -I (1i)
Date
Receipt # ZO(O - 800;-
S CfD-
Issued By
J::::, a
Amount Collected
Shared Drive (T:)lBuilding FormsIBanncr]ortable Sign Permit CSD 7.08.doc
io ,.'
SPRINGFIE~
.~
}'dh~f,,~
,;L,,,,~, OREGON
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00698
IVR Number: 811136928819
www.ci.springfield.or.us
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:
STATUS DATE:
Issued
11/10/2010
ISSUED:
APPLIED:
11/10/2010
11/10/2010
EXPIRES:
VALUE:
01/10/2011
$0.00
SITE ADDRESS: 1010 POSTAL WAY, Springfield. OR 97477-1123
ASSESOR'S PARCEL NO: 1703222002602
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
Banner I portable signs- install 111010 removal date 011011
PROJECT DESCRIPTION:
Phone Number:
OWNER:
ADDRESS:
DOUBLE S FOODS
302 SHELLEY ST STE 2
SPRINGFIELD OR 97477
Contractor Type
Sign Contractor
Contractor Name
OWNER
CONTRACTOR INFORMATION ~
Lie Type
OWNER
BUILDING INFORMA TION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Units:
o
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
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:
Lic No
0000000
Lie Exp
08/1212025
Phone
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
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
11/10/201 10:42:25AM
Page 1 of3
.
.' .
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00698
IVR Number: 811136928819
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
11/10/2010
ISSUED:
APPLIED:
11/10/2010
11/10/2010
EXPIRES:
VALUE:
01/10/2011
$0.00
SITE ADDRESS: 1010 POSTAL WAY, Springfield, OR 97477-1123
ASSESOR'S PARCEL NO: 1703222002602
PROJECT DESCRIPTION:
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
Banner I portable signs- install 111010 removal date 011011
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION ~
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
~
Descriotion
Tvoe of Construction
Unit Amount Unit TVDe
Unit Cost
Value
FEES PAID
~
Description
Banner, Portable Deposit
Banner, Portable
Technology fee (5% of permit total)
Permit Fee Adjustment. Administrative Fee
~dmin fee (10% of applicable fees)
Total Amount Paid
Amount Paid
$100.00
$200.00
$10.00
$10.00
$20.00
$340.00
Date Paid
11/10/2010
11/10/2010
11/10/2010
11/10/2010
11/10/2010
Receiot #
374854
374854
374854
374854
374854
Springfield Building Pennit
11/10/201 10:42:25AM
Page 2 of 3
. '
www.ci.springfield.OLUS
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00698
IVR Number: 811136928819
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:
STATUS DATE:
Issued
11/10/2010
ISSUED:
APPLIED:
11/10/2010
11/10/2010
EXPIRES:
VALUE:
01/10/2011
$0.00
SITE ADDRESS: 1010 POSTAL WAY, Springfield, OR 97477-1123
ASSESOR'S PARCEL NO: 1703222002602
PROJECT DESCRIPTION:
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
Banner / portable 5ign5- install 111010 removal date 011011
Plan Review
~
Department
Application Acceptance
Received Due Date Completed Result
11/10/2010 . 11/10/2010 11/10/2010 Over the Counter
Reviewer
David Bowlsby
David Bowlsby
Sign Review
Comments; 60 days
11/10/2010 11/10/2010 11/10/2010
Approved
INSPECTIONS REQUIRED I
Inspections
6972 Banner Removal
Banner Removal: To be requested the day following the expiration of the permit. If
inspection is not requested, the applicant may forfiet the deposit.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the
permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during
construction.
,
/1- IV -/()
Date
Springfield Building Permit
11/10/201 10:42:25AM
Page 3 of 3
. .
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00698
1010 POSTAL WAY
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
permitcenter@ci.springfield,or.us
RECEIPT NO: 2010000805 RECORD NO: 811-SPR2010-00698 DATE: 11/10/2010
LDE$C:RIPTION~ 0'1' ':;< e"i;'''~~';'o :';:'__~"'w'f;~:}-:r;,,_:;};' c"'Ac.G:b.@:r"G.QQE;-'-;r;-:'", ~--,AM9oUJ!T DUl':;';:,'Y- . ~
Banner, Portable Deposit
Banner, Portable
Technology fe~ (5% of permit tolal)
Permit Fee Adjustment - Administrative Fee
Admin fee (10% of applicable fees)
821-00000-215500 $10000
224-00000-425602 $200.00
100-00000-425605 $10.00
224-00000-426605 $10.00
224-00000-426605 $2000
TOTAL DUE: $340.00
'NC:QMMEriLl$;;--;_-:;-_i;_:,,:-~;;-:_;: :-AM_QiJNJ;P,6,ID':~- Co ..-;.
....1
"j",:
L.:PA YMENT:ri'"PE' ~:f_'PA 'WR::;:. CASHIER ;D~QIivLSBY.'
Credit Card
05309c
dan begin
refund to: Double S Foods 302
SHELLEY ST STE 2 ATTN
SIZZLER SPRINGFIELD,OR
97477
$340.00
$340.00
\