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Home My WebLink AboutPermit Signage 2011-2-17 Ell ~ ..~~ Ci[iJl ..~ ..~~ Ql Ci[iJJ ~ ..~ ~ ~ ~ ~. -..,,_1. ~4 ,g4 ~' ~J -4 4 ~4 -4 e; U Ij I~" "te~l .-j ,-4 -4 ~ ~_14 ~4 ~) -. .-,..-~~ ~ ~ .' F'l; ~; ~ ~ ~ --:-... j l' 14 ~J ~ ~4 ~J ......J Ml SPRINGFIELD C::'~~:Ji a:;j~J,: -,:- .'.. ~ .- i I b~',: '<,,~: ZZ5 FIlTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726.3689 Cily Job Number "'::>t>Il-ZOr ( _0-0 e..s-, 207'3a 0 c..y___ .p:L Assessors MapJ 703. 2S"'{'L Job Location 5>\ . 0((0 0 Tax Lot ;OH"ner _ . ,.. ':c)'::;~#~:_:;..:..~ __~_ _ . _ Owner of Property Lo.~ ('.ou.n~ . Address d-,07 3 O(~-i (' / Strep",J- PhoD~ 541-0'6~ - 3'5'50 City ~ IVl~ (1.L~cl State ([) rL zi~7 477 :'~:~~~~~;~o;0~+i;~~~~,'i fu~;~~~r5n~~~"1+' ... Address 'PO B 0 f 2205 P.vry YLe ~ Phone City State aye... Q74o/J- q /'7 J II ) , t Zip Construction Contractors License # i;;<02J5 Expire< Description 3(Q" X 43" vi VI'j\ tXl/1n.er- Date ofInstallation "3/22/ II Date of Removal . I '5/;).0/11 , 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 of the banner(s) and/or portable sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or portable sign(s) has been removed. Dat~ 2. /ITI/ / , Signatur /~ :D'::f!:i:;:~f~!"'d,::~:~~~ 6e~7 / Issued By D t$ Amount Collected , _ll . 261(.Oc.,.O..... ReceIpt # ~ ..> ~C(u Shared Drive (T:)IBuilding Fonns/Banner]ortable Sign Pmnit CSD 7-Q8.doc www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00257 IVR Number: 811176588729 Issued 02117/2011 ISSUED: APPLIED: 02/17/2011 02/17/2011 225 Fifth 5t Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield,or.us EXPIRES: VALUE: OS/20/2011 $0.00 SITE ADDRESS: 2073 OLYMPIC ST, Springfield, OR 97477-3413 ASSESOR'S PARCEL NO: 1703254201100 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner - install 032211 removal date 052011 Phone Number: OWNER: ADDRESS: LANE COUNTY 125 E 8TH AVE EUGENE OR 97401 Contractor Type Sign Contractor # of Units: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Contractor Name OWN ER CONTRACTOR INFORMATION I lie Type OWNER BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lic No 0000000 lie Exp 08/12/2025 Phone o Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: MuniciparJ Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: 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 Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Information 2/17/2011 11:D2:29AM I Page 1 of 3 S.~cRING..F.IELi ~!l.'~~..' ci'~ . . .::~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00257 IVR Number: 811176588729 225 Fifth SI 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 ISSUED: APPLIED: 02/17/2011 02/17/2011 EXPIRES: VALUE: OS/20/2011 $0.00 02/17/2011 SITE ADDRESS: 2073 OLYMPIC ST, Springfield, OR 97477-3413 ASSES OR'S PARCEL NO: 1703254201100 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Banner - install 032211 removal date 052011 DEVELOPMENT INFORMA TION ~ 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 ~ Descriotion Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ DescriDtion Admin fee (10% of applicable_fees) ~echno~QY fee {5% ofJ?~^~-!~~Q_^_0 Banner, Portable Banner, Portable Deposit Amount Paid $30.00 $10.00 $200.00 $100.00 $340.00 Date Paid 02/17/2011 02/17/2011 02/17/2011 02/17/2011 ReciDt # 2011000305 2011000305 ~ "'~"""..""-"- ~.--- 2011000305 2011000305 Total Amount Paid Springfield Building Permit 2f17/2011 11 :02:29AM Page 2 of 3 SP~.~N~::~ . ~~. ~OREGON CITY OF SPRINGFIELD Building' Sign Permit PERMIT NO: 811-SPR2011-00257 IVR Number: 811176588729 www.ci.springfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennilcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 0211712011 0211712011 Issued 0211712011 EXPIRES: VALUE: OS/20/2011 $0.00 SITE ADDRESS: 2073 OLYMPIC ST, Springfield, OR 97477-3413 ASSESOR'S PARCEL NO: 1703254201100 SCOPE: Banner, Portable Sign WORK INVOLVED: New . TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner. install 032211 removal date 052011 Plan Review ~ DeDartment Application Acceptance Received Due Date Comoleted Result 02/1712011 0211712011 02/17/2011 Over the Counter Permit Issuance 02/1712011 02/17/2011 0211712011 Issued Reviewer David Bawlsby INSPECTIONS REQUIRED ~ David Bowlsby 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 fomet the depo~it. 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. :2-//1 / /J I I Date Springfield Building Permit 2/17/2011 11:02:29AM Page 3 of 3 SP~I.NG.. FIEl~ ia'.,,-.. ~ii. f/!1J . "'''~ OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield, OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00257 2073 OLYMPIC ST permilcenter@ci.springfield,or.us RECEIPT NO: 2011000305 RECORD NO: 811-SPR2011-00257 DATE: 02/17/2011 [bESCRjejI6N-;:;:;7"~\~~ ~T;'2~,:'~,,::~,;-V:~::;jr~~-i?"-~ '''~;~'.:""..:::.~ ~';;i>:" :,..) --=.:rAC.CQU NT:::CQDE ~j-~4:;#::::L::~l;':'S~f~l\Nf6,U Nj~DliE" --~" Admin fee (10% of applicable fees) 224-00000-426605 30.00 Banner, Portable 224-00000-425602 200.00 Banner, Portable Deposit 821-00000-215500 100.00 Technologxl~e (5,% of permit total) 100-00000-425605 10.00 TOTAL DUE: 340.00 . U~;'XMEN:f~ijgE'':;;:;;:.' '[i>.'X9~.;. CASHIER:.6BOWL~BY,~'. .~;., .;-i:9MM~NIS';:;;f,(; - .\: ." ", ,. ..; .. -";AM,OUNI:.f'A1D1.I':,:,;..', ' . Credit Card jeanne campos lane county refund to: community health 340.00 084868 centers of lane county riverstone .J . .1 _,-1 TOTAL PAID: 340.00