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Home My WebLink AboutPermit Signage 2011-4-21 ZZ5 fIITH STREET. SPRINGfIELD, OR 97477 . PH:(541)126-3753 . FAX: (541)126-3689 ~ 00 ~ City Job Number o.~ Job Location ~ o. ~ Assessors Map Q ~ Owner o.~ Address \ '-( 'B' L( ~ rt.#)J ~ o. ~ Contractor 8i ~ ~ Q Ii I. '. o.~ ~ ~ ~ ~ ~j ~ oo~ rt.#)J ~ ~ ~ ~ ~ i ~ ~, SPRINGFIELD ";,,,:,,,4_' ._",;. ,':" 's" " G'" - "'0 0"C;' , ,";~. ",.~" " /~ : , :cpr~;;,q~"J~W, FIEf0J?, REG 1'\1 .<.: ',;'j,l;l; ,-. ~fl-oDLf5;- Z~ L, \p~ /703 Z. 7/0 ''fl' s/- 4C--, o 3 So Q, Tax Lot (' l. f' i'~ ( <Sr- Phon... State {)K CJ 7 1.(7"/ Address ~ 'l<; W ~. () <,. {- City :3(OVl\'-il'--e.J-ey Phon" .5"L( I - Go <63 -( \ \ ( 9 7Y' 7 7 bK State Zip Construction Contractors License # Expin,>. Description r(')Y' t N \) l-e ~ ~~~ -( ( S--A~-l\ 5<)/1/\ Date of Removal Date of Installation 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 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 '11 begin the process to return the $100,00 deposit if the banner(s) and/or portable sign(s) has been moved. ,., '-;:21\~-T:;:,?~;;'t;, ,F;9r. Of.fic!{ Us ..tiL'"t,;;';_^,~L;,~j.;S:,;t:;\fg~dE-~ Job# $.//-00 L.f5::: . Receipt # 7011- 78/ //) - Date of Application Issued By Amount Collected C:)<TC---:~?,rS7ING-,_j)(::fLvv>.I7) <"- Shared Drive (T:)lBuilding F011llSIBanner ]ortable Sign Permit CSD 7-08.doc .. www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00455 IVR Number: 811143718425 Issued 03/21/2011 ISSUED: APPLIED: 03/21/2011 03/21/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us EXPIRES: VALUE: OS/21/2011 $0,00 SITE ADDRESS: 28 W Q ST C, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271003500 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Portable sign - install 032111 removal date 052111 Phone Number: OWNER: ADDRESS: MALCOLM BOSISTO REV TR 1484 CHECK ST SPRINGFIELD OR 97477 Contractor Type Sign Contractor # of Units: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: o CONTRACTOR INFORMATION ~ Lie Type OWNER BUILDING INFORMATION I . # of Stories: Height of Structure: Type of Heal: Water Type: Range Type: Hazmat: Lie No 0000000 Lie Exp 08/12/2025 Phone Contractor Name OWNER Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Res.idential Specialty Code Edition: Structural Specialty Code Edition: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Fl Carport: Sq Ft Other: Occupancy load: o Engineerec:.l Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Information 4/21/2011 3:21:10PM I Page 1 of 3 . .;. ST~~ ~~,~ ~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00455 IVR Number: 811143718425 225 Fifth St 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: Issued 03/21/2011 ISSUED: APPLIED: 03/21/2011 03/21/2011 EXPIRES: VALUE: OS/21/2011 $0.00 SITE ADDRESS: 28 W Q ST C, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271003500 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Portable sign - install 032111 removal date 052111 Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKtNG Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ DescriDtion Admin f,e:e (10% of applicable fees) Banne~~rtable Deposit Banner, Portable Technology fee (5% of permit total) Permit Fee Adjustment - Administrative Fee Technology fee (5% of permit total) Banner, Portable Banner, Portable Total Amount Paid Amount Paid $20.00 $100.00 $100.00 $5.00 $10.00 $5.00 $80.00 $20.00 $340.00 Date Paid 03/21/2011 03/21/2011 03/21/2011 03/21/2011 04/21/2011 04/21/2011 04/21/2011 04/21/2011 ReciDt # 2011000516 2011000516 2011000516 2011000516 2011000781 2011000781 2011000781 2011000516 Springfield Building Permit 4/21/2011 3:21:10PM Page 2 of 3 ;; .. SP;~~N~.. ~ ~(~ ~OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00455 IVR Number: 811143718425 WoNW ,ci. springfield. or. u s 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: Issued 03/21/2011 ISSUED: APPLIED: 03/21/2011 03/21/2011 EXPIRES: VALUE: OS/21/2011 $0.00 SITE ADDRESS: 28 W Q ST C, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271003500 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Portable sign - install 032111 removal date 052111 PROJECT DESCRIPTION: Plan Review ~ Deoartment Application Acceptance Received 03/21/2011 Comoleted 03/21/2011 Result Over the Counter Due Date 03/21/2011 Permit l.ss:.uance ,.~"Z'i~ . ,. . .- .- _ 03/2Y20f1- .03/21l~q1,l" 01/2V2011 - Is,lued~ .... ."''''. ,~ . ~ - ,,'" . '1 ,[,1_' Sign Review 03/21/2011 03/21/2011 03/21/2011 Approved Reviewer David Bowlsby pavid Bowlsby.:_ David Bowlsby 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 fortiet 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 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. ~ --~.J- \ \ Date Springfield Building Permit 4/21/2011 3:21:10PM Page 3 of 3 ; . . .~ SP:~N =~~~ .~l~ )f". ~ . .;,'~ OlUGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00455 28 W Q ST C permilcenter@ci,springfield.or.us RECEIPT NO: 2011000781 RECORD NO: 811-SPR2011-00455 DATE: 04/21/2011 fDES~CRIP-tION' ,'l".;'F*,"_S::;, '>'f*';t~ 3i~. , ",,- . ~"'; ';:Att0UNLC6DE~';'-'PjZ.~;;., .AMOUtitD.UE",' ' I Banner, Portable 224-00000.425602 80.00 Permit Fee Adjustment - Administrative Fee 224.00000-426605 10.00 Technology fee (5% of permit total) 100.00000-425605 5.00 TOTAL DUE: 95.00 L:P./l.Y1A,g~Jj:YPE:..:.;:2;:g~Y:o.l3, 'CASH\ER;DBQWLSEfit'~:.:i!:,~* '"COMM~Nisi:,,;;;'>'i::,; , '.' '. AMOUNT:PAID.' .' Check robert timmons extend permit to 052111 115.00 29225 TOTAL PAID: 115.00