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Home My WebLink AboutPermit Signage 2011-1-19 225 FIITIl STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 = ei City Job Number "~ ~ ..~ Job Location '. ~~ Assessors Map Q ~ ~ ~ "~ i: ~ rt/flJ ~ ..~ g Address men, .~ Ii ~ ..@ ~ ~( = ~ "~ rt/flJ ~ ~ ~ ~ ~ I M ..) .. r ~-. -:' .' , - "'~'/QI;ryJbF. SP!tUNHFIELn- OREGON, ";:~ ::,' . ,:. . .' , ~. ;,jVf} e, ~.. ,jI: > _t. " ~, .; . ., ~~., ~,,,,^~ " . 5 fil-cCI{- 00 C ?o Z~ I.)PA} f\D'?12..\\ D <;;.1;- .t::f: () ~ oSC::dJ Tax Lot Phon" State.Do.- Zip Cf14\-r- .;z ~ W f' .A.t ~? r~ "-~/ .Rll Construction Contractors License # Phonp S''-( \~G1>~ -lit I q fer? I nQ bf2 State Zip Expire. . Description fL+~ \:, \-e ~ (3-1rl 1-\<1-~\ -:5-1 f- ,( Date of Removal Date of Installation 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 banner(s) and/or portable sign(s) is not 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 not removed within the timeline 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~nved. , ._ Signa!'.!r../"(~..:A:~ Dat" I - I C'(- / l ~~~;j}~t"(:/,,~:1} _ ;,:1t~~, '.,~ltlffjjJJl v, -. Date of Application I-i , - ( 1 Job # .511-000 'T 0 ~~ Receipt # cOil - (Z 1 Issued By 3Cf () - Amount Collected Shared Drive (T:)IBuilding FormslBanner]ortable Sign Permit CSD 7-08.doc . ., S.PRI. 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OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00090 IVR Number: 811112838373 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541~726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/19/2011 01/19/2011 01/19/2011 ISSUED: APPLIED: EXPIRES: VALUE: 03/19/2011 $0.00 SITE ADDRESS: 28 W Q ST D, Springfield, OR 97477.7102 ASSESOR'S PARCEL NO: 1703271003500 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Portable sign - install 011911 removal date 031911 PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: MALCOLM BOSISTO REV TR 1484 CHECK ST SPRINGFIELD OR 97477 Contractor Type Sign Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lic 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 L~c Exp 08/1212025 Phone 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 1/19/2011 2:03:33PM Page 1 of 3 . ' ~ , 5P~'~ ..G..~ FI~~ ti~~~~ ~ h',~",,' ~Jl m"'"J^'SJ:):;m OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00090 IVR Number: 811112838373 225 Fifth St 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 01/19/2011 ISSUED: APPLIED: 01/19/2011 01/19/2011 EXPIRES: VALUE: 03/19/2011 $0.00. SITE ADDRESS: 28 W Q ST D. Springfield, OR 97477-7102 ASSESOR'S PARCEL NO: 1703271003500 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 - install 011911 removal date 031911 DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Tolal: Handicapped: Compact: PUBLIC IMPROVEMENTS' ~ Street Improvements: Storm Sewer: Storm Sewer Available: Special Instructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: I Valuation Description ~ DescrIption Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID , DescriDtion Amount Paid Date Paid Reciot # Banner, Portable $200.00 0.1/19/20.11 20.110.0.0.127 Technology fee (5%_of permit total) "'_"~__'________'_' $10.,00 0.1/19/20.11 _2~11aaa1~7_ ~.:.~_al'P!:~fees) _____ $20,00 a1/1g/2a11 20.110.0.0.127 ~-"'2."~.!:'ortable Deposit _ .,.______.,._____ ______ $10.tJ:~,,_______._.CJ.1/1g/2a1 :.....________ 20.1 ~~aa127 ~~.!'.!::'~e ~djus_tment. Administrative Fee $10,00 ,.,.___ __,,_,_,~2!2.~~CJ.1~_ ___,. __ ~01_1,~~~127_ T olal Amount Paid $340.00 Springfield Building Permit 1/19/2011 2:03:33PM Page 2 of 3 .. ' . '. www.ci.springfield.or.us CITY OF SPRINGFIELD Building / Sign Permit PERMIT NO: 811-SPR2011-00090 IVR Number: 811112838373 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/19/2011 ISSUED: APPLIED: 01/19/2011 01/19/2011 EXPIRES: VALUE: 03/19/2011 $0.00 SITE ADDRESS: 28 W Q ST D, Springfield, OR 97477-7102 ASSESOR'S PARCEL NO: 1703271003500 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Portable sign - install 011911 removal date 031911 Plan Review I Deoartment Sign Review . Received Due Date Completed 01/19/2011 01/19/2011 01/19/2011 Result Approved Reviewer David Bowlsby Issued Permit Issuance 01/19/2011 01/19/2011 01/19/2011 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 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, a.nd 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. /-/'7-(( Date Springfield Building Permit 1/19/2011 2:03:33PM Page 30f3 .. ' . . TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.ci.springfield.or.us 811-5PR2011-00090 28 W Q 5T 0 . pe rmilce nter@ci.springfield.or.us RECEIPT NO: 2011000127 RECORD NO: 811-SPR2011-00090 DATE: 01/19/2011 fb'ESCRieTlciN:f:'::~'~;~2:2~~:,~;~~~,:~=:fi.:~E~~~~~~'~~::L-ACCO,liNT"!C"6DE~~~1~;; ','~";:; ;~:":::AM-6uNT~D(jEt~:':,;>+.,- )J Admin fee (10% of applicable f~~) ___ 224-00g00-426605 ____-.-3~0~__ Banner, Portable 224-00000-425602 20000 _..._...__'m_ ..~___~____._.__'_,______ ___.,_._.'________._____._.___.---.._ ..-. Banner, Portable Deposit _____~.1.:~0000-215500 ,._".____..._ _..2~~____ Permit Fee Adjustment. Administrative Fee 22~9.9.9qO-426605 10.00 Technology fee (5% of permit total) 100-00000-425605 10.00 TOTAL DUE: 340.00 ~WPA YM!:JlftT-Y:@i.,.i+,;["~~ Y,0Bi'4:~r~.';~CASH1ERi.DB6wtsBYi;,"';;_\.CQ!VIM'E'NTS-r~;-;.>.-'J-':' :,4,~..:;'-:-'$\'~AMQ.l:LI'lIJ~~'-~,".,~~,._:.;1 Check robert timmons $340,00 29004 TOTAL PAID: $340,00