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Home My WebLink AboutPermit Signage 2010-11-18 . ~1hY1 /~ ~&'.h. F ~:t- d R cJf).d~- ~4AwI~~ ~--U -~-~-aL-C!.-~~_ -~~AM-~_. - f.D).~-@-[f,-u-m-[~ .~. ~ ~ -tm-NoVTnrr11l-'~ . - . '-'A- Dee _.Owl),erl' oomer ..- By~' \ ' . , . .~ I.[t~J-W . . , CITY OF SPRlNGFiELD~ OREGON,' "':: ...'. . '.' I . . .' . '. . 225 FIITH STREET. SPRINGFlEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ~ City Job Number ".~ .. ~ Job Location ..~ Q ~J ~ ..~ ~ ~ ~ ~ ~ ". *"" ~ I .~ II I, ),. ". *"" I ~ ~ ~ .'"'~ ~ t ~ ~ ~ i ~ <;'(() ~ 7 Cf 2- 2.51' W.f>..'So+ /70:3 2710 Tax Lot D 3 SO ~ ~ So+- Owner Address (4 F'y Ci+c-c/L- S--f r-:L. \) JI Phone State 1'Nt-- City Zip ,c :.c;~d!~adt~~d;Si~4~f~~/;~a~i::<J;~~l~-;~?;~11~~,:,:~:;;;'~~J;:~'J~:~i~:L,;:~~Ii!,~~.'~~~.'i~f, :~;t}~l;~',;;X;~j;i:l~~;;:~ilC~":'E~; ~D},. "'T': """ CL 'f?- c...). ~ ~(.>-r-,~( /; . ~ Contractor V"'\. c9 V\ ~ If- s:.. +- ~ Phon" State 0 y\ Zip Address S'T I-fa <7f"? -II U 771.( 77 City Construction Contractors License # Expire-< DescripJ~n -- . - ?(\!-f o...(~ (~-4~Fj - ",' I I . \- Date of Installation y r ( (f It / (L / ~ Da:te'ofRemoval ' iff ~ I --;2.0 ( ( I !. '! . ~ .,1'/1 I ( t . I' , ! Permit Fee: $225.00 includllig $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 banner(s) and/or portable sign(s) is not larger than 60 ~quare fe~t, and will be removed within 30 days I from the date listed above. lithe banner(s) and/or portable sign is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand1that 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 yerify the removal of the banner(s) and/or portable sign(s). This inspection . egin the process to~etun\. the $1100.00 deposit if the banner(s) and/or h'" I portable sign(s) has be ved :..... -~. -f , , Date Date Job # Issued By ~(""' Amount 'Collected '5 S Oo~ : , \ \ , .. f._. Shared Drive {T:)fBuilding FormslBannc:r Portable Sign Permit CSD 7-08.doc i - I .__------'" ,::; C'Y'/ " r" ;.,....'~.. -) . \'," '.. '.J \_...\ , . (....'.~ I ...:- .--. ._~ ~ t!::l ," ......1. .:,", /~.. ,........ . , ...., . l2 I.;..... :X:__) ,J, " r,,' J ",>" Jr.. -..:'. ~,_, ...\ .;::.. )'\ ~. ''r-)' c: :.' (~.:- ~..... c...' \ \ :\ 5' . 0;.-- '-.. 0 l l~ " "f V J.~'-1 ."'~, i\ ." --.' \ ' '-.- .-' ! c:-. "'\1 '--T' . '" .r -~. ( .'-' _,,.,. ..-J i ~', 1'''''1 -/" ./. t, <l -!J ('.21 c-; J -i" , .i' --:.. . ...J".~ -" \ , .. ' ','~-l"""""". \ \ ~-~... . .")... ( C":: . \' '\ ,) C ' . ,,1' \.- o _.'.) '\' ' ) ..' <:", C: ...~) r.... 0\'.: 7 ,r.! , ~ - - ~ '-l . ". - ~,.. ---.' --, ~--.... r-_~:_. _.~ -, ~\. ~.......... "- \ \,. )' ~. ..' , . ( '" ..":r.'. \'-' \ '\.- ,', ";... ................., .. " , , , ',,- www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00742 IVR Number: 811166837601 Issued 11/18/2010 ISSUED: APPLIED: 11/18/2010 11/18/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us EXPIRES: VALUE: 05/17/2011 $0.00 SITE ADDRESS: 28 W Q ST F, Springfield, OR 97477-7102 ASSESOR'S PARCEL NO: 1703271003500 . PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVDLVED: New TYPE OF STRUCTURE: Commercial Portable temp sign for suite d, using suite f. REMOVAL DATE 1/18/2011 Phone Number: . OWNER: ADDRESS: BOSISTO MALCOM J TE 1484 CHECK ST SPRINGFIELD OR 97477 Contractor Type Contractor Name CONTRACTOR INFORMATION I Lic Type Lic No Lie Exp Phone # of Units: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: o BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: lot Size: Sq Fl1st Floor: Sq Fl2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy load: 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: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Information 11/18/201 10:42:23AM I Page 1 of 3 \ 5P~I.NG. FJE.L~ ..... ~< . .. tJt; . t.:. OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00742 IVR Number: 811166837601 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541.726-3769 Fax: 541-726-3676 pe rmitcenter@ci.springfield , or. us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 11/18/2010 11/18/2010 EXPIRES: VALUE: 05/17/2011 $0.00 11/18/2010 SITE ADDRESS: 28 W Q ST F, Springfield, OR 97477-7102 ASSESOR'S PARCEL NO: 1703271003500 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Portable temp sign for suite d, using suite f - REMOVAL DATE 1/18/2011 Fr~ntyard 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 ~ Description Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ DescriDtion Banner, Porta~~:_~eposit Banner, Portable Adm_in fee (10% of applicable fees) Tech."-"Io~y fee (5% of~il Iota I) Total Amount Paid Amount Paid $100.00 $200.00 $20.00 $10.00 $330.00 Date Paid . 11/18/2010 11/18/2010 11/18/2010 11/18/2010 ReceiDt # 374925 374925 374925 ."- 374925 Springfield Building Permit 11/18/201 10:42:23AM Page 2 of3 www.ci.sPringfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00742 IVR Number: 811166837601 225 Fifth 51 5pringfield,OR97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 11/18/2010 ISSUED: APPLIED: 11/18/2010 11/18/2010 EXPIRES: VALUE: 05/17/2011 $0.00 SITE ADDRESS: 28 W Q ST F, Springfield, OR 97477-7102 ASSESOR'S PARCEL NO: 1703271003500 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Portable temp sign for suite d, using suite f. REMOVAL DATE 1/18/2011 Plan Review ~ Deoartment Sign Review Received 11/18/2010 Due Date 11/18/2010 Completed 11/18/2010 Result Approved Reviewer Chris Carpenter 11/18/2010 Over the Counter Application Acceptance 11/18/2010 11/18/2010 Chris Carpenter 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 OCC~PANCY 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. f(-fcr-(() Date Springfield Building Permit 11/18/201 10:42:23AM Page 3 of 3 www.cLspringlield.or.us TRANSACTION RECEIPT 811-SPR2010-00742 28 W Q ST F CITY OF SPRINGFIELD 225 Fifth SI , Springfield,OR 97477 541-726~3753 permilcenter@ci,springfield.or.us RECEIPT NO: 2010000865 RECORD NO: 811-SPR2010-00742 DATE: 11/18/2010 ,,;\iI~;::;T"~ .:;t\~,C_0Lf'itcOQE_{'" ..'" :.L~MO.UI'lIii:tU","'. J '~ 821-00000-215500 $100.00 224-00000-425602 $200.00 224-00000-426605 $20.00 100-00000-425605 $10.00 TOTAL DUE: $330.00 ". PAY. .MENT'T-Y.P~E"-''C':'P'AY''-O:'R'4'f:.CASHIER CCARPENYER'F'C"O...'M' ".M'.E"N'TS'\"'.-,;-.:.,." . . .,,: ..>;.;.'..IfA'M OU' N""PA'ID.i:'.~--:;,.''::'.J--'j ,". ., ,""i,.~"".,,"." ~,,".X;'" ..."......,.,.,...,..'..._H.....','..._._..~.~...~~~" '.,,-.' '1'., -""_""~"""''''''''_ IDES<:RIPTION;:t:.;:.:::.~..::~::':~ '--.,-o'-'.A: ;:;-" Banner, Portable Deposit Banner, Portable Admin fee (10% of applicable fees) Technol09} fee (5% of permit total) Check 28873 Robert Timmons $330.00 $330.00