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Home My WebLink AboutPermit Signage 2011-2-1 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 02/01/2011 CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00161 IVR Number: 811120885463 ISSUED: APPLIED: 02/01/2011 02/01/2011 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: . -..3(2-/11 $0.00 SITE ADDRESS: 1537 MOHAWK BLVD, sprin9field, OR 97477-3355 ASsEsOR's PARCEL NO: 1703253404300 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner REMOVAL DATE 3/2/11 Phone Number: OWNER: ADDRESS: VELAZCO ABRAHAM 898 32ND PL SPRINGFIELD OR 97478 Contractor Type Contractor Name CONTRACTOR INFORMATION I Lie Type lic No lic 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: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: 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 Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Information 2/112011 2:33:48PM I Page 1 of 3 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00161 IVR Number: 811120885463 Issued 02/01/2011 ISSUED: APPLIED: 02/01/2011 02/01/2011 225 Fifth 5t 5pringfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm ilcenler@ci.springfield.or.us EXPIRES: VALUE: 07/31/2011 $0.00 SITE ADDRESS: 1537 MOHAWK BLVD, Springfield, OR 97477-3355 ASSESOR'S PARCEL NO: 1703253404300 PROJECT DESCRIPTION: Fronlyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner REMOVAL DATE 3/2/11 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: Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Description PUBLIC IMPROVEMENTS ~ Sidewalk Type: FEES PAID Amount Paid $20.00 $5.00 $100.00 $100.00 $225.00 Date Paid 02/01/2011 02/01/2011 --_'___'0'- 02/01/2011 02/01/2011 Downspout/Drains: ~ Unit Cost Value Valuation Description Tvpe of Construction Unit Amount Unit Tvpe DescriDtion Admin fee (10% of applicable fees) T.:..ch~logy fee (5% of l'."-~mit total) Banner, Portable Bann':!:" Por~~ble Deposit Springfield Building Permit Total Amount Paid 2/1/2011 2:33:48PM ~ Reciot # 2011000205 2011000205 2011000205 2011000205 Page 2 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811 ~SPR2011-00161 IVR Number: 811120885463 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe.rmitcenler@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 02/01/2011 ISSUED: APPLIED: 02/01/2011 02/01/2011 EXPIRES: VALUE: 07/31/2011 $0.00 SITE ADDRESS: 1537 MOHAWK BLVD, Springfield, OR 97477-3355 ASSESOR'S PARCEL NO: 1703253404300 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner REMOVAL DATE 3/2/11 Plan Review 1 Deoartment Sign Review Received Due Date Comoleted 02/01/2011 02/01/2011 02/01/2011 Result Approved Reviewer David Bowlsby Application Acceptance 02/01/2011 02/01/2011 02/01/2011 Over the Counter David Bowlsby - - , INSPECTIONS REQUIRED I' Inspections 6972 Banner Removal Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may forfiet the deposit. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractor Signature Date Springfield Building Permit 2/1/2011 2:33:48PM Page 3 of 3 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ".~ City Job Number ~ ".~ Job Location ".~~ Assessors Map Ql ~ ~ Owner of 'E Add",,, ~: ~" f'/\G \\ Il.", l'- ~ City '3 ~:s: \ \f\Lf\ e\ ~ State ~ _~.:77F':.~Tr,;:;,_y.j"::Z':$'4v:'/ }';,-:~-r1!;;:f; ~5Cf.~,lJl~~fil!JlJds.!~~"y;< "0 ~~~ Contractor 8 I .~ II I, '. ..@ ~ ~\ ~j ~ .<a~ ~ ~ ~ ~ ~ ~ 1 ~ ~ -",. .',.> :~C_IirY;pt:$p;~~:rTEJ;;g Q~qqN;:,t,' .~~-~, ' ,<;1/- /6/ / 5~ 1- N\o V\C1'JJ ~ . ~~\"'{\%~\e~d. ~, i 7n3 7 '-) '"{ Lf 01-f 3 ([Z) Tax Lot PhonGLJ I ) 5/3 b9lS3 ~ Zip q14r7- Address Phon~ City State Zip Construction Contractors License # Expire. Description ~ f\:f\e'C' Date of Installation 2- \ ~ \ \ \ Permit Fee: Date of Removal '2.1 2- \ $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 of the banner(s) and/or portable sign(s). This inspection will begin the process 0 return the $100.00 deposit if the banner(s) and/or portable sign(s) has be rem d. Job # .<:; I I-I hi . , Dat.J.J I / LI .. }{:~~;~J5j:~ :;~1~2-~~,~ Receipt# 2)(1 ()CJ02D) ., - 00 r::l-~-.- Amount Collected Shared Drive (T:)lBuilding FonnsIBanncr]ortable Sign Permit CSD 7-0B.doc . . TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 811-SPR2011-00161 1537 MOHAWK BLVD pennilcenter@ci.springfield,or.us RECEIPT NO: I 2011000205 RECORD NO: 811-SPR2011-00161 iDESCRIPctl()Nt},f':;:;;~;;':, ;'<;;,;ic": ,'~;c"',", Jjr~'; };:c':i,;;,' 'i ;,,~tCOlJ NLCOOE" "" ',;, Ad;;'in fe~ (10o/:~f;ppli~;ble I~-;;s)- " " , " 224,00000A26605 Banner, p,ortable 224,00000,425602 Banner, p,ortable Deposit 821,00000,215500 Technology fee (5% 01 permit total) 100-00000A25605 -- I TOTAL DUE: DATE: 02/01/2011 ,'<' ""A' 'M" o,u' 'N'T- D' 'U'E' , , ..J '0,,'.-. ...< . ,.. _.";.'2 .' ." ~, .__ _1.~r_ 20,00 100,00 100,00 5,00 225,00 hi~AXMI;NI:,IT?(RI;::::i~re~YOR~:'~'cA~,ili~t:OB6wLs~.?1~:~f:i~~:~:~_QMI~tg~T~. 1'\' . ~.:;.~~jf-'"~~Lr~&;~'f\MOUNT PALD...:-~ " t Check J VELAZCO ABRAHAM Refund to VELAZCO ABRAHAM 225,00 01,0123, 898 S 32nd Spfld 97478 ----- -_._--_..__.,_.._.~~---~---~---~--". ._-~.,,-,_.~-~. TOTAL PAID: 225,00