HomeMy WebLinkAboutPermit Signage 2010-11-29
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689
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Contractor C> t. ~ M. .
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State
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Address
PhOD"
City
State
Zip
Construction Contractors License #
Expire"
. Descripti~n ~Ne'i)/f.:tlt.. r-'+<<u.. S 1(,,\1' Wt.
Date of Installation /VZ 'po . _ Date ofRe~oval
Permit Fee: $225.00 inc]udi~OO;O!ffieposit and applicable fee. II,)
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 Dot 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 Dot removed within thetirneline
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 ofthe 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
portable sign(s) has e re ~
Date 11-;) LJ-/O
Date of Application
1l--2-q~/D
Rereipt # ZOI (/ pOO , z 3
/1 ')
Issued By
~~
Amount Collected
Shared Drive (T:)IBuilding FormsIBanner]ortable Sign Permit CSD 7-08.doc
.r..;.:.
225 Fifth SI
Sprin9field,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00790
IVR Number: 811102033360
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
11/29/2010
11/29/2010
EXPIRES:
VALUE:
OS/28/2011
$0.00
11/29/2010
SITE ADDRESS: 4343 MAIN ST, STE# A, Springfield, OR 97478-7647
ASSESOR'S PARCEL NO: 1702323104001
. SCOPE: Banner, Portable. Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Banner I portable sign for c~ristmas tree lot
OWNER:
ADDRESS:
CORLISS CRAIG E
2120 LAW LN
EUGENE OR 97401
Phone Number:
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
Lic Type
Lic No
Lic Exp
Phone
BUILDING INFORMATION ~
# of Units:
o
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
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
# 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:
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
11f29f201 11:26:37AM
Page 1 of 3
www_ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00790
IVR Number: 811102033360
,
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
11/29/2010
ISSUED:
APPLIED:
11/29/2010
11/29/2010
EXPIRES:
VALUE:
OS/28/2011
$0.00
SITE ADDRESS: 4343 MAIN ST, STE# A, Springfield, OR 97478-7647
ASSESOR'S PARCEL NO: 1702323104001
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
Fronlyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Banner I portable sign for christmas tree lot
DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
PROJECT DESCRIPTION:
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
. Valuation Description
I
Description
Tvpe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
FEES PAID
~
DescriDtion
Banner, Portable
Admin fee (10% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$100.00
$10.00
$5.00
$115.00
Date Paid
11/29/2010
11/29/2010
11/29/2010
Receiot #
374988
374988
374988
,-
Springfield Building Permit
11/29/201 11:26:37AM
Page 2 of 3
SPR 1',NGf, IE,~
-
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.. . ,~ OREGON
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00790
IVR Number: 811102033360
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilce nter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
155 ued
ISSUED:
APPLIED:
11/29/2010
11/29/2010
EXPIRES:
VALUE:
OS/28/2011
$0.00
11/29/2010
SITE ADDRESS: 4343 MAIN ST, STE# A, Springfield, OR 97478-7647
ASSESOR'S PARCEL NO: 1702323104001
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Banner I portable sign for christmas tree lot
Plan Review
I
Department
Sign Review
Received Due Date Completed
1112912010 1112912010 1112912010
Result
Approved
Reviewer
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 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.
~~~~\D
tractor Signature
Date
Springfield Building Permit
11129/201 11:26:37AM
Page 3 of 3
SP4~~:~EL~
~~
~OREGON
www.cLspringfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00790
4343 MAl N ST STE A
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
permitcenter@cLspringfield.or.us
RECEIPT NO: 20[0000923
RECORD NO: 81 I-SPR2010-00790
DATE: 11/29/2010
rn.g~cR.uiTioN: :i'?;iii;:.~~~0t;.:~:1::::-.:~~,.0!~'a~x;;wi' :1~}.;,:,:;~t
Banner, Portable
~;imin fee (10% of applicable fees)
Technology fee (5% of permit total)
~-:if~G:cOUf'.lJlcQDE., ,',,'"~~Mo_ON;rj:l_U_E: "";'..
224-00000-425602 $100.00
224-00000-426605 $10.00
100-00000-425605 $5.00
TOTAL DUE: $115.00
,I?AYOR'.. .:.CASHIER'DBOWLSB,Y .:' '.C.o.l\tMEI\(tS'. .~,::J' l' ": ': . .,;,J>:1\II0UNT'i>.AII:J":icC0';W; '. -j
UAYMENT TYI?E
Check
141
michael thornton
$115,00
$115.00