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Home My WebLink AboutPermit Signage 2011-3-14 225F1ITHSTREET.. SrRlNGFlELD,OR97477. rH:(54J)72G-3753 . FAX: (541)72G-3G89 ~~ ./ '-I/LJ ~ City Job Number S (- -, ..~$ ~j ..~i Job Location > .."""",, Assessors Map Q ~ ~ Owner of Property ~ ..~!j ~ Address ~ City Springfield rt.PJ1 .Cohtr;JctorlInstaller . . ,.., . ~. I~~ ...,~< ~ ~' e e~ r'- ~ _..~ 8 I! I~ .,~ ~ ~ ~,. ~~ ~ .~J $~~ rt.PJ1 ~ r~=..J~ ~~,-~ . > "",p ,. , ~ ~\Ii ~- ~~ ~ ~: ~j ~l SPRINGFiELD . ",', ::p;:.,iiI@~)OFSPR1~@RIELD Ollli6'@N~~".~'" . "''f''''''''''; ,,;t'1t 'k,:;:" , "-; '","~ '::, I' , .j,-:::-w1;~4."'~.'::: t> S~uslaw Bank, 707 Main Street, Springfield I?~ 08\cO . Tax Lot Owner : k' '.' _'- ~__ _ Siuslaw Bank 707 Main Street 541-746-7900 Phonp State OR 97477 Zip Contractor ~^l ~f't-Jl- Address Phonp City State Zip Construction Contractors License # Expire< Description Rannner 96 X 36 to he hun~ on the Main Street. side of the building Date oflnstallation 3/21/11 Date of Removal .it ft.j ) I ( ~, ( ~ 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 $] 00.00 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 $]00.00 deposit if the banner(s) and/or portable sign(s) has been removed. / Ii, I. Xi ~L t.- Signaturp "~ C-fi14{; Datp 3-N- / / . ... ~ . . ILl /; Date of App]ication -$1 : ~ For OfficeUse Job# 511 - 4/t.( Receipt#):Df/ oooLf'77 --'1!;C:> Amount Collected "'9-25:._ Issued By SharedDrivc {T:llBuilding FonnsfBmmer]ortllble Sign Pennil CSD 7-08,doc CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR~011-00414 IVR Number: 811146827919 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/14/2011 ISSUED: APPLIED: 03/14/2011 . 03/14/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 09/10/2011 $0.00 SITE ADDRESS: 707 MAIN ST, Springfield, OR 97477-5474 ASSESOR'S PARCEL NO: 1703354208100 SCOPE: Banner, Portable Sign WORK INVOLVED: .New TYPE OF STRUCTURE: Commercial Banner pmt- REMOVAL DATE 4/21/2011 Refund to Siuslaw Bank at owner Address PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: SIUSLAW VALLEY BANK PO BOX 280 FLORENCE OR 97439 Contractor Type. Contractor Name OWNER CONTRACTOR INFORMATION ~ 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' Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 0000000 Lic Exp 08/12/2025 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 311412011 2:56:58PM Page 1 of 3 www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00414 IVR Number: 811146827919 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 03/14/2011 03/14/2011 EXPIRES: VALUE: 09/10/2011 $0.00 03/14/2011 SITE ADDRESS: 707 MAIN ST, Springfield, OR 97477-5474 ASSESOR.S PARCEL NO: 1703354208100 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner pmt- REMOVAL DATE 4/21/2011 Refund to Siuslaw Bank at owner Address Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION I 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I Descriotion Admin fee (10% o.~::pplicable fees) Technology fee (5% of permit total) Banner, Portable Banner, Portable Deposit Total Amount Paid Amount Paid $20.00 $5.00 $100.00 $100.00 $225,00 Date Paid 03/14/2011 03/14/2011 03/14/2011 03/14/2011 Reciot # 2011000477 2011000477 2011000477 2011000477 Springfield Building Permit 3/14/2011 2:56:58PM Page 2 of 3 S~~~~;-.FIE~ ~~ i'Ak OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00414 IVR Number: 811146827919 225 Fifth SI 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 03/14/2011 ISSUED: APPLIED: 03/14/2011 03/14/2011 EXPIRES: VALUE: 09/10/20,11 $0,00 SITE ADDRESS: 707 MAIN ST, Springfield, OR 97477-5474 ASSESOR'S PARCEL NO: 1703354208100 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner pmt- REMOVAL DATE 4/21/2011 Refund to Siuslaw Bank at owner Address Plan Review ~ Deoartment Permit Issuance Received Due Date 03/14/2011 03/14/2011 ComDleted 03/14/2011 Result Issued Reviewer Chris Carpenter Application Acceptance 03/14/2011 03/14/2011 03/14/2011 Over the Counter Chris Carpenter INSPECTIONS REQUIRED , Inspections 6972 Banner Removal Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may forfiet the deposit. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and " further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ;/1Jv~ , ~<<'L 3-T)i~( ( Owner or Contractor Signature Date Springfield Building Permit 3/14/2011 2:56:58PM Page 3of3 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00414 707 MAIN ST permilcenter@ci,springfield.or.u$ RECEIPT NO: 2011000477 RECORD NO: 611-SPR2011.00414 DATE: 03/14/2011 [OES.CRI!>.fION-, ii'i!iC-,',.: -';"~I;~;:,:~,,;,"f''!'''::;:;:J'~::4lti',;'>>:;gCCblJl.jf(COOE~~rT;~:;,c"~N1()UNT,Dl.lE7j':':'" - -:) Admin fee (10% 01 applicable fees) 224-00000-426605 ____._ 20.00 Banner, Portable 224-00000-425602 100.00 Banner,. Portable Deposit 621-00000-215500 100.00 Technology fee (5% of permit total) 100-00000-425605 5.00 TOTAL DUE: 225.00 r~RA YM~N~ti~i!g~.~1;;~RAYQ8ft#tfcAsHIErt'ccAR~ENTl{R~;i~G.:Q~j\rt~I~~~:~r:~t::3;::~,'~*'~'~'''~~,OUNTteAID1~~1::~/:Ft~ i,:tl,;' .: 1 Check SIUSLAW VALLEY BANK 225.00 394183 TOTAL PAID: 225.00