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Home My WebLink AboutPermit Signage 2011-4-22 .. ......l.. www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00666 IVR Number: 811187942807 Issued 04/22/2011 ISSUED: APPLIED: 04/22/2011 04/22/2011 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: -="9;)!/~V II VALUE: $0.00 <.i/SI/ft SITE ADDRESS: 500 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353108100 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner permit. REMOVAL DATE 5/31/11 - Refund to Emerald Art Center Phone Number: OWNER: ADDRESS: EMERALD EMPIRE ART ASSN INC 500 MAIN ST SPRINGFIELD OR 97477. Contractor Type Contractor Name CONTRACTOR INFORMATION I Lie Type Lie No Lie Exp Phone # of Units: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: o BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 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 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: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Information 4/22/2011 10:16:56AM I Page 1 of 3 "'..... www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00666 IVR Number: 811187942807 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.u5 PROJECT STATUS: STATUS DATE: Issued 04/22/2011 ISSUED: APPLIED: 04/22/2011 04/22/2011 EXPIRES: VALUE: 10/19/2011 $0.00 SITE ADDRESS: 500 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353108100 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner permit- REMOVAL DATE 5/31/11. Refund to Emerald Art Center Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ Overlay Dis!: # 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: Downspout/Drains: Valuation Description ~ Description Tvpe of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID I Descriotion Admin fee (~O% -"..!.~aEE~cab!e fees) :rechnology.fee J~%of ~errni: tot~IL__ Banner, Portable .-."_...._.~....-. Banner,~~r:!able Deposit Total Amount Paid Amount Paid Date Paid $20.00 04/22/2011 $5.00 04/22/2011 --- $1015:00 ------0412272011--- $100.00 04/22/2011 $225.00 Reciot # 2011000782 2011000782 -- -- --- -.-.--"'-.--- 2011000782 ~ _.. 2011000782 Springfield Building Permit 4/22/2011 10:16:56AM Page 2 of 3 .-... Sp'~H......~...FI.E..~ L~~ ~OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00666 IVR Number: 811187942807 www.ci.springfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 04/22/2011 04/22/2011 04/22/2011 SITE ADDRESS: .500 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353108100 EXPIRES: VALUE: 10/1912011 $0.00 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner permit- REMOVAL DATE 5/31/11 - Refund to Emerald Art Center PROJECT DESCRIPTION: Plan Review ~ Deoartment Application Acceptance Received 04/22/2011 Due Date 04/2212011 Comoleted 04/22/2011 Result Over the Counter Sign Review 04/2212011 Not Required 04122/2011 04122/2011 Reviewer Chris Carpenter 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 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. ~r-.~ -d1-V\\\ Owner or Contractor Signature Date Springfield Building Permit 4/22/2011 10:16:56AM Page 3 of 3 225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ~ ..~ City Job Number ,~..l ..~ Job Location .. ~~ Assessors Map Q ~ ~ ~ \ Q .,,---- '~ ::.~,~~:~- ~, goo< (Y? poo~~:1 \ ~~/~'> " ~ .. ........... ...... ....... ~~~~~i~l~ffd;;t?fa!~1~~f:i~1~'1~111~f~[ii~{rI~~fil;'ll~\I~Ji?~i~i~11i7;1~iIIlt~it~~~~~~~ ..~: ~, /Contractor ~~ . _ at ' =i Address Phon~ ~\ City 8 Construction Contractors License # . rei) 7 T II Description Pm6~ D ~R,~a:: ~bt[C5mo-J BAJ~ ~ "i ~ ~j; ~ ~) ..~ ~ ~ 1 ~ ~ ~ i ~ . ~. ~ , ~''.., :~~":"GrfM (j)F':SFRLNGFrEI:iD OREG0N-:,,,, ~:.~'l: '. . -~,,~ ""'.i;~:~"j''.~'''' "~.o ,'"_. :;:",-:~"~,,~,,, .s'U -(g~ft; 93 () 1V1r/--1 r./ ~ :] J'3! 0 (St 00 State Zip Expire. Date of Installation 0i\p,..... ~ I do II Date of Removal C'r\.F\-\.. ''Z\ Q.o\'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 reinoved within the tirneline 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 inspectio egin th ocess to return the $100.00 deposit if the banner(s) and/or portable sign(s b en re ved. ~ ". o '__ Date of Application ~l '2- 2 ! l ( Issued By ~. Job# ;!Cljct~ Receipt # 20 II ooor)'? 2- ?-:;2-~ Amount Collected Shared Drive (T:Y8uilding FormsIBanner]ortable Sign Permit eso 7-08.doc ..-:>.. www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00666 500 MAIN ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541.726-3753 permi1center@ci.springfield.or.us RECEIPT NO: 2011000782 RECORD NO: 811-SPR2011-00666 DATE: 04/22/2011 l[)ESCRII':rION:_,5;':'~..:' .,.,-; .' ."'* . /~. :":"Z.::t;;'-,~5""::~:---1;A'(;cOUNTcCobE~;::i;;,,;L:;L.::..::.:AI\IIOLJNT.DLJU'..,....:.'-.;; Admin fee (10% of applicable fees)_ 224-00000-426605 20.0.~_. __ Banner, Portable 224-00000-425602 100.00 Banner, Portable Deposit 821-00000-215500 100.00 Technology fee (5% of permit total) 100-00000-425605 5.00 TOTAL DUE: 225.00 L~j3AYMg~T!TIEJ;~'b :.: ,~~'y'Q~';~'-+CASHIER:CCA'RP,ENtirR~~4~.€j5i;.";:I::..<IQ.nliMEN!$'\"J'o;~-4'~5~.;!t~?;C\'Fi's~~MqU~T~~AlpF',:r'o, ....~ ~ .-~-:'.rl Check EMERALD EMPIRE ART ASSN 225.00 3866 INC TOTAL PAID: 225.00