HomeMy WebLinkAboutPermit Signage 2011-3-9
225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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City
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Zip
Construction Contractors License #
Expire<
Description
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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,
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Job # 5/1- 0 0
Receipt # Zo r(-
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Issued By
Amount Collected
Shared Drive (T:)lBuilding FormslBanner]ortable Sign Permit CSD 7-08.doc
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~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:
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/
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
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TOTAL PAID:
115.00