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Home My WebLink AboutPermit Signage 2010-11-5 225 FIrm STREET 0 SPRINGfiELD, OR 97477 0 PH:(541)726-3753 0 FAX: (541)726-3689 ~l e) City Job Number ....r...:1l4 ~l o.~ Job Location ~' Assessors Map ~ '/owner c:J.'J.lJ ~ Owner of Property ~) ..~ Address /'1q? /..A.{.(/?/J S7 ~ City S/::>/~/lJGCI(--,-,,) ~ ,,"--'. :. Contractor/Insta/ler ~,.. '. ~:=~ Contractor 0 W .N c=r.... g:, ~, ,,;;;;;,.' ~:=l ~, -, ~ U IJ l~ "!~: ~, r' -, ~ ~ ~i ~Qb/O~ oetb~ CITY OF SPRINGFIELD, OREGON sPa...UtO.,.. Oc:::> b 7) _, ~:5; lA-...\.a...J 17037710 ST 028~ Tax Lot ~.fI.;(.JOIl/ A. (gEE )1f /f,;{J / I/l-L.. 7RI1S/ State r'7/r Phone 51/-7! 7-0.:73 ;? Zip ,9 7f' 7;7 Address Phone City Zip State Construction Contractors License # Expire< Description ",,...A.. ..l.61 c:- ~.... Date of! nstallation 10' ~ , ~ = Date of Removal I 7 . / 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 ~J banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days e.J.!)1 from the date listed above. !!'the banner(s) and/or portable sign is not removed within the time line .4~~- ~ 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 inspection will begin the process to return the $100.00 deposit if the banner(s) and/or .~ p~rtable Sign(S)~haS~ n remove.~ ~ ~\ 'liSlgnaturp .~ tZ....~........----- Date //---5-/1/ ~ !\ // ' ~~ - - ., / For Office Use i!~ Date of Application /~/ ~/'D Job # )/0.00 67;- :=1 ~ ~J Issued By Amount Collected ~l Receipt # 20/0. 771 zozr Shared Drive {T:)lBuilding FormsJBanner]ortible Sign Pennit CSD 7-OS.doc . Sr~lt~,:EL ~'.~ il~~ \i'2\. de,> OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811.5PR2010-00675 IVR Number: 811192354258 www.ci.springfield.OLUS ' PROJECT STA TUS: STATUS DATE: Iss ued 11/08/2010 ISSUED: APPLIED: 11/08/2010 11/08/2010 225 Fifth SI Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or,us EXPIRES: VALUE: --U//'1lD $0,00 SITE ADDRESS: 1939 lAURA ST, Springfield, OR 97477-2183 ASSESOR'S PARCEL NO: 1703271002800 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: OWNER: ADDRESS: Portable sign - ref:CCD10-00163 Install 101910 removal date 111910 GEE FAMILY TRUST 1937 lAURA SPRINGFIELD OR 97477 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lic Type Lie No Lie Exp Phone # of Units: BUilDING INFORMA nON ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 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: 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 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 11/8/2010 8:51:33AM Page 1 of 3 SPRI.NGf IEL~ . 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OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00675 IVR Number: 811192354258 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/08/2010 ISSUED: APPLIED: 11/08/2010 11/08/2010 EXPIRES: VALUE: SITE ADDRESS: 1939 LAURA ST, Springfield, OR 97477-2183 ASSESOR'S PARCEL NO: 1703271002800 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Portable sign. ref:CCD10-00163 Install 101910 removal date 111910 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 ~ Stre,et Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Type of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Description Banner, Portable Deposit Banner, Portable Technolog~.fee (5% of permit total) Permit Fee Adjustme"nt M Admi~istrative 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 Pa id 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 Receipt # 374825 374825 -~_..._.- 374825 374825 374825 Springfield Building Permit 11f8f2010 8:51:33AM Page 2 of 3 CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00675 IVR Number: 811192354258 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/08/2010 ISSUED: APPLIED: 11/08/2010 11108/2010 225 Fifth 5t 5pringfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us EXPIRES: VALUE: II SITE ADDRESS: 1939 lAURA ST, Springfield, OR 97477-2183 ASSESOR'S PARCEL NO: 1703271002800 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT OESCRIPTION: Portable sign - ref:CCD10-00163 Install 101910 removal date 111910 Plan Review ~ Deoartment Application Acceptance Result Over the Counter Received Due Date 11/08/2010 11/08/2010 Comoleted 11/08/2010 Sign Review 11/08/2010 11/08/2010 11/08/2010 Approved Reviewer David Bowlsby 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 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. ~ Date SprIngfield Building Permit 11/8/2010 8:51:33AM Page3of3 . Sr~~~G.':~.~ .~~~ .'"'^,"~,. OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00675 1939 LAURA ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permilcenter@ci,springfield.Of.US RECEIPT NO: 2010000779 RECORD NO: 81 I-SPR20 I 0-00675 DATE: 11/08/2010 . ~, - -'-"'~l::_C_QUNt..C.QOE";;;;J .AIII!.6J!~JDlJi;' '.,,-~2..J 821-00000-215500 $100.00 224-00000-425602 $100.00 100-00000-425605 $5.00 224-00000-426605 $10.00 224-00000-426605 $10.00 TOTAL DUE: $225.00 !;:~ee.xM~f.jJt;Y.E.E .d'P!y'OR,.:.st~3: .DB6i2!:01.I"':.:;.C.QI',LM~!'fis;:~, .. ._~:.. ~~:'::AI'!16JJ.Nt~AiD~:;::..; lDESCRIPTioN"""'*C-. v.- ,,"_~...;;Jt;-'::-"'i---'-- Banner, Portable Deposit Banner, Portable Technology fee (5% of permit total) Permit Fee Adjustment - Administrative Fee Admin fee (10% of applicable lees) I Check 3052 northwest beds Refund to: Tim Buster 86203 Franklin Blvd, Eugene OR 97405 $225,00 $225.00