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Home My WebLink AboutPermit Signage 2011-4-7 o o . ....... (/J . ....... >- . ....... o (/J (l.) u . ....... >- ;......c (l.) r:./) >-. ........ . ....... o ~ S S o u I ........ . ....... R ....... ;......c (l.) 0-1 o bI) .- r:./) (l.) ......... ..D cIj ........ ;......c o 0-1 ----- ;......c (l.) ~ o cIj CO -. CITY. OF SPRINGFIELD, qREGON'. . :. . SPRINGFIELD. " b jlL <.-..,. /. ;, ( .: ~~ --<4--"""'_._" . . :~~. ._.',~ II' ,,~.~ .~,~( ~~ ..........r..... t..._.;_-~t_:4L._~_~~~~ ~...tf/ "1 225 FIfTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FAX: (541)726.3689 City Job Number 51/-00 Sbr <] 00 Cf fvl a i \'\ St. po33btfz. S~(,i l"Ij L f' lel, nR. q7417 Dl(300 Job Location Assessors Map Tax Lot OWl1er Owner of Property ~ ?l r- t. z a { t J ()', n t () X bow Tru~t Address 0 ~ 2. ,~ City E (ASP r, 0 Way State---DR-- Zir-9 7401 Phonp COII/FaClor/J I1sraller Contractor owN"BL Address Phone City State Zip Construction Contractors License # Expire< Description Date of Installation Date of Removal Permit Fec: 5225.1111 including S I()O.OO Deposit and applicahle 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 rIOt removed within the time line 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. Signaturpr?~c~ ~~~ ------' Datp ~~'p- // Date of Application 4/?/1I , . p:(? Amount Collected For qflice Use SlI-6o s60' Receipt # 20(( -b 70 1/ )' Job # Issued By Shared Drive (T:)lBuildirIH FormslBanner]onable Sign Permit CSD 7.0g,doc 225 mTII STREET . SPRINGfiELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 .~. S"~O() SbO , ~l CIty Job Number 7 77 C Job Location 2009 MAIN St - SP.RINGFIELD, OREGON 9 4 ~ Assessors Map I 7tJ:J J b l( Z Tax Lot 0 "f "10 C::l ~j I. >, Owner of Property " ~) Address ','l!'!ll City >~j ...---c i Contractor/Installer ~ !C;. Address ~~ c' !) ~ City ~ ~a" "'A Description .-l ~ l Date of Installation ~ ~ ~l ..~ ~l ............ ~J l;..b g:l I ~ ~ Date of Application ~; Ij Issued By .-l .-l ....-1, 'l""""'il ~l '.; , CITY OF SPRINGFIELD, OREGON SPRINGFIELD ~~ BARTZAT JOINT TRUST 3525 Oxbow Way 541 543 6619 Phone Eugene 97401 Ore State Zip OtNJ(/~ Phone State Zip Construction Contractors License # Expires .A-c...€ Date of Removal $202.00 including $100.00 Deposit and appiicable 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 display will be removed within fourteen (14) days from the date listed as the date of installation above. If the display 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 once per calendar year per development area. I atso agree to call the inspection line at 726-3769 by the end of the 14"' day to request an inspection to verify the removal of the display. This inspection will begin the process to return the $100.00 deposit if the display has been removed. Signature ~ ~ ~ . .-:f~ Date .1 /7 /11 . . For Office Use 4 7 (/ :b::7 sll-DO S-b$ Receipt# 'ZO({-OObYO ?2- Job# Amount Collected Shared Drive(T:)fBuilding FonnsIBlimp_Pennanls_Balloons 7"()8.doc SPR, IN, G, FIE~ p- ,-F' ""- ";'-' \.~ "- ~ :\ ORi:GOt-l www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00568 IVR Number: 811168645008 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci. springfield. or. us PROJECT STATUS: STATUS DATE: Finaled 04/07/2011 ISSUED: APPLIED: 04/07/2011 EXPIRES: VALUE: 10/04/2011 $0.00 SITE ADDRESS: 2009 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703364204300 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner and pennant permit for code compliance ~ ref:COD11-175 BARTZA T JOINT TRUST 3525 OXBOW WAY EUGENE OR 97401 OWNER: ADDRESS: Phone Number: Contractor Type Sign Contractor # of Units: # of Bedrooms: Sprinkled Building: Fire Alanns: Energy Path: Contractor Name OWNER o CONTRACTOR INFORMATION ~ Lic Type OWNER BUilDING INFORMATION ~ # 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 I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 0000000 Lie Exp 08/12/2025 Phone lot Size: Sq Ft 1 st Floor: Sq Fl2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Fl Other: Occupancy load: o Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Pennit Site Information 4/712011 11 :49:23AM ~ Page 1 of 3 5P~IH.G. 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OREGON www.ci.springfield.OLUS CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00568 IVR Number: 811168645008 225 Fifth St 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 04/07/2011 ISSUED: APPLIED: 04/07/2011 EXPIRES: VALUE: 10/04/2011 $0,00 SITE ADDRESS: 2009 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703364204300 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner and pennant permit for code compliance - ref:COD11-175 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 ~ Descriotion Admin fee (10% of applicable fees) Technology fee (5% of permit total) Banner, Portable Blimp, Balloon, Searchlight Total Amount Paid Amount Paid $18.00 $9.00 $100.00 $80.00 $207.00 Date Paid 04/07/2011 04/07/2011 04/07/2011 04/07/2011 Reciot # 2011000660 2011000680 2011000680 2011000680 Springfield Building Permit 41712011 11:49:23AM Page 2 of 3 SPR. INGFIE~ ~.~ II,.: ~'r ,~f- '}~' " ~:I " -' ',.1\ OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00568 IVR Number: 811168645008 www.cj.springfield.or.us 225 Fifth St 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: Finaled 04/07/2011 ISSUED: APPLIED: 04/07/2011 EXPIRES: VALUE: 10/04/2011 $0.00 SITE ADDRESS: 2009 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703364204300 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner and pennant permit for code compliance - ref:COD11.175 Plan Review , Deoartment Application Acceptance Received Due Date 04/07/2011 04/07/2011 Comoleted 04/07/2011 Result Over the Counter Close,Out Finaled '''04/07/2011 ,'04/07/2011' "04/07/2011"', ~pproved' """,~::...,. . '.f: '_~t;.,,-i':'>" f -."-;.... ~ - ~ A ~- 04/07/2011 04/07/2011 04/07/2011 !fnspection . , " ' ~""---~~---"-- -~~--- -'--'-" David Bowlsby 04/07j2011'04/07/2011 ' "''';0"" .. .... 04/07/201.1 11 .~, "'. -~- -- -~~- -~-....::....._.- .-;,,-.:..-~-~ Permit Issuance 04/07/2011 04/07/2011 04/07/2011 Issued Reviewer David Bowlsby ~" ,D~yi~:E1(),WISbY~,,;" . . David Bowlsby ~.avid.BoW)sbC . , 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 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. ~---=-.v;;_/~-;...-,~ ~<7-/) Owner or Contractor Signature Date Springfield Building Permit 41712011 11 :49:23AM Page 3 of 3 SP~...I;G:.L~ ~lC :i.~~"~ ~~ ,,:,,~?" OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield, OR 97477 541-726.3753 www.ci.springfield.or.us 811-5PR2011-00568 2009 MAIN 5T permitcenler@ci.springfield.or.us RECEIPT NO: 2011000660 lDE5CRI~TION' '> '''1' N' -'''' " Admin fee (10% of applicable fees) Banner, Portable Blimp, Balloon, Searchlight ------I~c:':'.~ology fee (5% of permit total) RECORD NO: 811-SPR2011-00568 ";._"5 .~'<':'" ~!#;' "-~ . ACCQUNT~CQbE . 224-00000-426605 224-00000-425602 224-00000-425602 100-00000-425605 TOTAL DUE: DATE: 04/07/2011 .~ -~;AMo.UN}~D.UE 16.00 100.00 60.00 9.00 207.00 AMOUNT pAID . I ....,.'-~...:.._..."-"-'--_~_,J UAXiVlENTjyeE . Check 1649 2~&Qlr"i:ASHIE",DI30wi.S'!Y-'<j; ~"'GQMMENTll'i; claudia staton _~:-':'-._4_ 207.00 TOTAL PAID: 207.00