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Home My WebLink AboutPermit Signage 2010-12-10 22511ITH STREET. SPRlNGI1ELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 f:'J: I1REWORKS SALES LOT/CHRlSIMAS TREE LOT Banner/Portable Sign Pernrit O~ City Job Number -5fL~1 0- OC 8'7'f e,.. ._~]'J ' CA' 'I J- _ .:j Job Location '1'1 <fa .(V)"'-,~s J~:~: Assessors Map---17 <' Z. '3 Z O-~ ro~ , '; r.n) V: 01 -~": b;. Ci), rc-r\ '.:.J!.d'~i ~.. ~. .,~.! ~i ~; @:. ~" ~~' ,.---'-1 e,' U' 1" ~) -~j C!,?j ~, ~; ~Jhl -..,. ~_I~ ,,-~\ \7J!,;~, ~.. . ~_::l~ ._~J ~, . ; ~.\ ~j ~) f',"\\ . ~1 ----. LI, C:!~ ~-' .~.- ~ ..---& ,--J ~. ....~, ~.~ SPRINGFIELD . ~i ,., '.. ,. '~ITY'9F ~RI~.t~GIUpL1b, OREGON . ~', .' . . ~~.. ' Ii ' ~:t~-_. . ,_....,.i:'-,. '. _-r{'><i.'~'_i-: ~,"'f:;-.),{q,,-~;, ':._"c..;;<.;,...._~. ~"_.,;~t,""\!"' "_'(-J'i"t~1.y".,;:.I'.~ -' \!' ;>:';{'!i"i' "'~\..,ii:;;;, fj -', '~*~~~~:i~~ " v "_".-",-~-.~":.... - Tax Lot occ.roo Owner Owner of Property ~_"-"""_ he.-</\L ,<""e~\ 5//"'T?'"t'~ v- PhoD" 5'Cf/-5/e;-07"ir8 Zip ~ 7'7'17 .7 Addresst.fl(ft:? i""? .,,,,~J- City :5p"''"'jhe d State or Contractor/Installer C>lAIk6f\.. Contractor Address PhoDP City State Zip Construction Contractors License # Expire. Description --!-r-r::e- 511/15 Date ofInstallation 1<2- 10- ICl Date of Removal l:z -2..'-1- 10 Permit Fee: $115.00 Permit is valid for 30 days from date oflnstallation 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 Signaturp ~\."..,-Q~~--- Dat" 1--:2-10-10 Date of Application / L _10 -/ 0 For Office Use Job# S/~ .ocB7t/ Receipt # 2010~OIO~3 II) Issued By ')>~ Amount Collected Shared Drive (T:)lBuilding FormslFireworks/Christmas Tree Banner-Portable Sign Permit I-20ID.doc S~.:......I.(l.N.~...f.IE~ 0 ~;~. ..,..,. ftj;. ,..,.,'~.' OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR201 0-00874 IVR Number: 811178036760 www.cLspringfield.or.us 225 Fifth SI Springfleld,OR 97477 Phone. 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us . PROJECT STATUS: STATUS DATE: Issued 12/10/2010 ISSUED: APPLIED: , 12/10/2010 12/10/2010 EXPIRES: VALUE: 12/24/2010 $0,00 SITE ADDRESS: 4490 MAIN ST, Springfield, OR 97478-6052 ASSESOR'S PARCEL NO: 1702320000400 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Temporary sign permit for christmas tree lot Phone Number: OWNER: ADDRESS: PEACEHEALTH 770 E 11TH AVE EUGENE OR 97401 Contractor Type Sign Contractor Contractor Name OWNER CONTRACTOR INFORMATION I Lie Type OWNER BUILDING INFORMATION' # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # 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 Phone Lic Exp 08/12/2025 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 12/10f201 2:46:1BPM Page 1 of 3 SP.~.;...~EL. ~ ~,ib. ,.~ .z:~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00874 IVR Number: 811178036760 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/10/2010 ISSUED: APPLIED: 12/10/2010 12/10/2010 EXPIRES: VALUE: 12/24/2010 $0.00 SITE ADDRESS: 4490 MAIN ST, Springfield, OR 97478-6052 ASSESOR'S PARCEL NO: 1702320000400 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Fronlyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Temporary sign permit for christmas tree lot 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: .PUBLlC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion Banner, Portable -. - Technology fee (5% of permit total) ~min fe!.EO% of 8.'pplicable fees) Total Amount Paid Amount Paid $100.00 $5.00 $10.00 $115.00 Date Paid 12/10/2010 12/10/2010 12/10/2010 ReceiDt # 375108 375108 375108 Springfield Building Permit 12/10f201 2:46:18PM Page 2 of3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR201 0-00874 IVR Number: 811178036760 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: 155 ued 12/10/2010 ISSUED: APPLIED: 12/10/2010 1211012010 EXPIRES: VALUE: 12/24/2010 $0.00 SITE ADDRESS: 4490 MAIN ST, Springfield, OR 97478-6052 ASSESOR'S PARCEL NO: 1702320000400 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Temporary sign permit for christmas tree lot Plan Review I Deoartment Sign Review Received Due Date Comoleted 12/10/2010 12/10/2010 12/10/201D' Result Approved Reviewer David Bowlsby Permit Issuance Issued David Sowlsby 12/10/2010 12/10/2010 12/10/2010 INSPECTIONS REQUIRED ~ Inspections 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. ~~L~~ Owner or Contractor Signature 1'2-\0- \0 Date Springfield Build'lng Permit 12/10(201 2:46:18PM Page 3 of 3 SP::~~ ~,~ ~.OREGON . www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00874 4490 MAIN ST CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 permitcenter@cLspringfield.or.us RECEIPT NO: 2010001023 RECORD NO: 811-SPR20 I 0-00874 DATE: 12/10/2010 fbESCRIPTjbN"~:",;<ilc-;?<'f":,:,<,". "~, ;~;k'.p~~..?~S-?',--:<"e;C~Cp_D~J"C~Oi:lE';~';' '.. ~:i~MQI!(liT~!iDg;,' .1 !l.anner, Portable 224-00000-425602 $100.00 :rechnolo~J fee (5% of permit total) 100-00000-425605 $5.00 Admin fee (10% of applicable f~..______"_ 224-00000-426605 $10.00 TOTAL DUE: $115.00 L;j>!'.YMI:NTTyjiE--'.'; '~AY.bR,L;<cASHiERffB6vVLSBY,__ ,,'''Cj:>I\IIM~NJ:S':': .>> __ '"' .'.] -- ci:;-~JV!oI.J.NJ;Pt\ID~; __ .1 Credil Card 310196 brian richardson $115.00 $115.00 . 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH: (541)726-3753 . FAX: (541)726-3689 ;:> <e:.. _CUy,gJ=<:-.sP~QFIELp; 9~,9PN::''"~~';/" .<:,', APPLICATION: FIREWORKS SALES LOT LICENSE/CHRISTMAS TREE LOT FEE: $31.50 (includes 5% technology fee) Non-refundable fee DATE: i;.. 7 - 2.~o TYPE OF LICENSE: BUSINESS OR PERSON CONDUCTING SALE: 0<,~ (l,<.\n. ""~ PHONE: (>-'1/) $14- ~\S'~ EMAlL ADDRESS: WILL A TENT BE USED: iN!, DATE OF BIRTH: 12-~-73 (If a tent is used, please indicate size & location on plot plan) MAlLING ADDRESS: ~"l'" C. Hw-Jrv.~ CITY: V'eit...k. STATE: ~ ZIP: ,t'<Yl "PROPERTY OWNER: Pc..ch \k~ 'M.cchc......\. 'PROPERTY OWNER'S PHONE: (>'-1/) c''i'{o"'7I '\"~ PROPERTY ADDRESS WHERE SALE IS TO BE CONDUCTED: 4'-{fjo ~~ "'-\- 'DATES FOR USE OF PROPERTY: U..' 7- .,2.010 to I Q.....,1.-4... lDw .WRITTEN PERMISSION TO USE PROPERTY IS REQUIRED FROM THE PROPERTY OWNER. By signature of this form. I have autborized applicant use of property on dates indicated above. :~ PRINTED PROPERTY OWNER'S NAME ;".1,.. ." '.", 17/1J1AfZ/fMi tkr SIGNATURE OF PROPERTY OWNER DATE SIGNED: 'Ii/to/,o "NOTE: TWO WEEKS PROCESSING TIME IS NECESSARY FOR COMPLETED APPLICATIONS. Incomplete information will prolong the review process. Please submit an application with all the necessary permits for each address location of business. Thank you. FOR OFFICE USE ONLY 'FIREWORKS APPLICATION FROM FLS: '(Fireworks Application only) . PLOT PLAN SUBMITTED: LICENSE NUMBER: RECEIPT NUMBER: .'DATE RECEIVED: AMOUNT RECEIVED: SIGN PERMIT#: ELECTRICAL PERMIT #: Shared Drive (T:)lBusiness Licensing FiJ:eworksJCbristmas Tree Lot 1.2010.doc