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Home My WebLink AboutPermit Signage 2010-11-3 225 FlITH STREET. SPRlNGFlELD, OR 97477 . PI-l:(541)726-3753 . FAX: (541)726-3689 ~, FlREWORKS SALES WT/CHRlSTMAS TREE WT~nner/portable Sign Permit e~ City Job Number .5.PIt. 'ZO/O - CJ' ~ (,. ~ .~ ....=11 tiOl o.~ Job Location o. ._1, Assessors Map Q, r:oJ ~ 0) .~.~I~ ~ ~ ~ ~ ....' .__l~ ~, ~, ~l ~;:: 1 :=1 ,~, -, ~ U IJ .l~ o'~J ,,--' .-. ~ ~" ~~ Ell ~:(j)) .... 'r-I~ ~ ~) . -I~ .~~ ~~ -. ~ ~~ " I; ~) i-=:. -. ,~. -' \:.~,} .!l Ml , . ~~ CITY OF SPRINGFIELD, OREGON [~ J-/ q 7 0 /\I())O i c ~tre~+ I t (7()5 ZSl{"L DrZ"a2. Tax Lot Owner Owner of Property 5 U. ~ j e 'EhJ {'('\ Address ~ ) q 1 () kll'Y,\() i c Sf-r ~ -e-t I I city-3-~nn~ f;'~ Id. Phone (SL{() 74& - ~9fo 5 Zip q 7'-177 State -.12..R. ContractorlInstaller Contractor (\-6~ 5 -C:' r.e - Address C,Lf d- City 5pQ / Au-dJ~Y ~ ectJ- ::t-1:. Jet c; J-- . PhoD'l5~/)G'?3& -5'73'3 of?-- Zip Cf7L1-77 State Construction Contractors License # Expire< Description-c'hr i~~ma. <:, i;..Q.e ~:~ VI Date of Installation 1I1~3Jlo . Date of Removal I;). / a. 3lt 0 Permit Fee: $115.00 Permit is valid for 30 days from date ofInstallation 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. Signatur Receipt # lOl~~ 7Tl Date ilJ3J/6 , , Date of Application For Office Use Job # $PflZo/O .~~ ts' Issued By II) -- . Amount Collected Shared Drive (T:)lBuilding FonnsIFireworkslChristmas Tree Banner-Portable Sign Pennit 1-2010.doc - :. sp,~~~ IirJOREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00636 IVR Number: 811174858997 www.ci.springfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield,or.us PROJECT STATUS: STATUS DATE: 11/03/2010 11/03/2010 Issued 11/03/2010 ISSUED: APPLIED: EXPIRES: VALUE: 05/02/2011 $0.00 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner I portable sign for Christmas tree lot. install 112310 removal date 122310 SITE ADDRESS: 2197 OLYMPIC ST, Springfield, OR 97477-3463 ASSESOR'S PARCEL NO: 1703254201202 PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: POLEN DEVELOPMENT LLC 2197 OLYMPIC SPRINGFIELD OR 97477 Contractor Type Sign Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lic Type OWNER BUILDING INFORMATION ~ # 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 J De'velopment Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: ' Structural Specialty Code Edition: Lic No 0000000 Lic Exp 08/12/2025 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 Infonnation ~ Engi~eered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 11/3/2010 1:33:13PM Page 1 of 3 r. '" wWN.cLspringfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00636 IVR Number: 811174858997 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perrnilce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 11/03/2010 ISSUED: APPLIED: 11/03/2010 11/03/2010 EXPIRES: VALUE: 05/02/2011 $0.00 PROJECT DESCRIPTION: SCOPE: Banner. Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner ( portable sign for Christmas tree lot install 112310 removal date 122310 SITE ADDRESS: 2197 OLYMPIC ST, Springfield, OR 97477-3463 ASSESOR'S PARCEL NO: 1703254201202 Frontyard Setback: Interior Setback; Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ Overlay Dis!: # Street Trees ~eqd: 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: OownspoutJDrains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion Banner, Portable ~,?Iogy fee (5% of permit total) Admin fee (10% of applicable f:.~s) Total Amount Paid , Amount Paid $100.00 $5.00 $10.00 $115.00 Date Paid 11/03/2010 11/03/2010 11/03/2010 Receiot # 374781 374781 374781 Springfield Building Permit 11/3/2010 1:33:13PM Page 2 of3 S!-i::2EL~ L~~ . ~OREGON www.ci.springfield.or.U5 CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00636 IVR Number: 811174858997 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 11/03/2010 ISSUED: APPLIED: 11103/2010 11/03/2010 EXPIRES: VALUE: 05/02/2011 $0.00 SITE ADDRESS: 2197 OLYMPIC ST, Sprin9field, OR 97477-3463 ASSESOR'S PARCEL NO: 1703254201202 PROJECT DESCRIPTION: SCOPE: Banner, Portable Si9n WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner' portable sign for Christmas tree lot Install 112310 removal date 122310 PI'an Review ~ DeDartment Permit Issuance Received Due Date ComDleted Result 11103/2010 11/03/2010 11/03/2010 Issued Reviewer David Bowlsby Application Acceptance 11/03/2010 11/03/2010 11/03/2010 Over the Counter 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 located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ///?-J//O ~ , Date Springfield Building Permit 11/3f2010 1:33:13PM Page 3 of 3 S~~~~..~~~.~ ~~ ~OREGON TRANSACTION RECEIPT 811-SPR2010-00636 2197 OLYMPIC ST www.ci.springfield.or.us CITY OF SPRINGFIELD 225 Fifth $t Springfield,OR 97477 541-726-3753 " pe rmitcenter@ci.springfield.or.us RECEIPT NO: 2010000737 RECORD NO: 81 I-SPR2010-00636 !DESQBJPTI(:~_tL::;"12:'. ;~;'::':;"i;;;~_, .;:;;:;j!0t:..':~.Jlr0i.'::_~~_(:;J~1JNt~.Q[)E' . _ .~ ,; Banner, Portable 224-00000-425602 Technolo~y fee (5% of permit total) 100-00000-425605 Admin fee (10% of applicable fees) 224-00000-426605 TOTAL DUE: ! - PA YMENT,.T,'(P.E ~.; PAY.OR;:;;::;CASHIER:DBOWlS'SY; '-;;4c..oMM~tJLS:~L' L, ,. '."" - ~_.. '~~j_ ;-,,~ 7"'y< Check 8197 crossfire world outreach ministries DATE: 11/03/2010 AI\I10_0~n~ug:- . $100.00 $5.00 $10.00 $115.00 , AMQ\'J.l1T.J~e.ID $115.00 $115.00 I ---,.\ ~. ,