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Home My WebLink AboutPermit Signage 2011-3-9 225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 = . 0367 g City Job Number 2}>ll.ZOII - 0 ::~ Job Location Z , 7 ~ Z ~..L s + ..~ s. ?(t.\~~-/-.edcL 17()z..~ZJ Z. Q ~ ~ ..~ > ~ ~ ~ ~ 1, h "~ ! e .r3 II I, '- ..~ ~ ~ ~ ~. ~ .",~ ~ ~ ~ ~ ~ ~ i ~ ~ Co M:! to.A^P"~ "'- A. ~,.,~ _ 1-;..;", ",., .-- ,~" . _ ' ., .t"""",,-"~ -.' :'. :: ",', CITy;-oF'SPRINGFlELD OREGON;-- ..r::::.:J; 8,,-,'" =. - ,'" -.." ~;> " "i '.' ~ ~. 'f'.-p~ .~ " ~ 0 S-O~ Owner Address "':p>O /311;6 F f Phon" City S YPh D(L Zip' 7 '/Cf7-' State ;3;rc~h7j.fs~t8!;.Ji;a;;:li~~;~~;rf~~[fi}g~i~!&f3~17lft~~~~~~1r$t;~~~~~ ;~~::c>'..A:~~:i.::Y/~'i'"->~;f .o'K~i~';;E4:;-1;if,;:'&'~.Eb,1j]a::';"ii2:t,11t;.:ii[t!]i~,i4f.iP:;#it0-Lt:"'i;~:;;13.i"};!f Contractor at., MM Address Phon" City State Zip Construction Contractors License # Expire< Description -~ ~,- 3/"7/tt / / Date of Removal Date of Installation neluding $100.00 Deposit and applicable fees. 1/ J- - By signature, I state and a ee 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 baDner(sfand/or portable sign is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that this special perniit 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, Signatur"G(o-fwYtV 19 ~ rL ~~;~~:i}r;~~iF7 v:~~,q(fJf:"/Use Job # 5/1- 0 0 Receipt # Zo r(- /If- / Issued By Amount Collected Shared Drive (T:)lBuilding FormslBanner]ortable Sign Permit CSD 7-08.doc SP.~ljN. :;~~ ~ ~OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00367 IVR Number: 811165722999 www.ci.springfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Finaled 03109/2011 ISSUED: APPLIED: 03/09/2011 EXPIRES: VALUE: 09/05/2011 $0_00 SITE ADDRESS: 217 42ND ST, Springfield, OR 97478-5937 ASSESOR'S PARCEL NO: 1702323200500 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Portable sign. code compliance Phone Number: OWNER: ADDRESS: R & C 42ND STREET LLC PO BOX FF SPRINGFIELD OR 97477 I I Contractor Type Sign Contractor Contractor Name OWN ER CONTRACTOR INFORMATION Lie Type OWNER BUILDING INFORMATION I # 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: Mechan.;cal 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 15t 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 3/9/2011 10:13:10AM Page 1 of 3 ~ www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00367 IVR Number: 811165722999 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.of.us PROJECT STATUS: STATUS DATE: Finaled 03/09/2011 ISSUED: APPLIED: 03/09/2011 EXPIRES: VALUE: 09/05/2011 $0.00 SITE ADDRESS: 217 42ND ST, Springfield, OR 97478-5937 ASSESOR'S PARCEL NO: 1702323200500 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 - code compli~nce 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: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutfDrains: Valuation Description ~ Description Type of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Descriotion Amount Paid Date Paid Technol09Y fee (5% of permit total) ___~. $5.00 ~_~. 03/09/2011 Banner, Portable $100.00 03/09/2011 Admin fe~ (10~~pPiiZabl~-'._..._----- _.~.----.$1MO~== -----=::03/09/2011 Total Amount Paid $115.00 Reciot # 2011000430 -~._~ 2011000430 2011000430 Springfield Building Permit 3/9f2011 10:13:10AM Page 2 of 3 . CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00367 IVR Number: 811165722999 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Finaled 03/09/2011 ISSUED: APPLIED: 03/09/2011 '- 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: 09/05/2011 $0.00 SITE ADDRESS: 217 42ND ST, Springfield, OR 97478-5937 ASSES OR'S PARCEL NO: 1702323200500 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Portable sign - code compliance Plan Review ~ Deoartment Application Acceptance Received Due Date 03/09/2011 03/09/2011 Comoleted 03/09/2011 Result Over the Counter Reviewer David Bowlsby Inspection 03/09/2011 03/09/2011 03/09/2011 Sign Review 03/09/2011 03/09/2011 03/09/2011 Not Required David Bowlsby 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 ORB 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 r~main on the site at all times during construction. t1(~~~ .e: ;; /'7/ eM/I / Date Owner or Contractor Signature Springfield Building Permit 3/9/2011 10:13:10AM. Page 3 of 3 o . .' TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00367 . 217 42ND ST pennitcenter@ci.springfield.or.U5 RECEIPT NO: 2011000430 RECORD NO: 811-SPR2011-00367 DATE: 03/09/2011 'd. "ESC"R.'II'T.'O'N ..' !>, T,' ;;~:;,'>}:\, 'i::JJ'Jej".,,,J.I,,^,,*,..,t,,'}\:',";'AC'C'O'.' 'U"'N'T' ...~C'O..O.E;:..,i "'\::~;;-~";'.AMO' U'N' 'r..OU'E ," ole ': -'j' l .'.' _ , .' - - - ~'" ~.- .... .._~'-= .a::-.,,~ ~.0. -;y'- .' .' . .....-,.- V_dt;.~~SL;;..'c4~,",.' .'.' .' .' .. "" _ "'~~~~. . .' .' '" !t"",_ ._'-....._ Admin fee (10% of applicable fees) 224-00000,426605 10.00 Banner, Portable 224-00000-425602 100.00 Technology fee (5% of permit total) 100-00000-425605 5.00 TOTAL DUE: 115.00 [p A VM'ENT'rYiiE'14":-> Check 10217 PA YOR':1.ti~cASHiER;.'DBoWLSBy!i~~~~"\ficOMMENtS;i~~~}t,:~t12, .:;....;c()::.d. ii:J;d;~~M_QU~'T.;;I)AIP,~;: ::.~.; . robert v. baugh sr 115.00 . "'j ."": -;x, ~ .' ,~ TOTAL PAID: 115.00