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Home My WebLink AboutPermit Signage 2011-5-5 225 FIFI1l STREET. SPRINGFIELD,OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~:, SJJ/J -70l(- a <:::;, 76/ ,.9 City Job Number ,r IC-'- ..;,a Job Location Jl:lO<f. M fh~f s: t- '0 ~ Assessors Map-J 70 "5 -:s b '3 Z Cl ~ ~ Owner 'o~ ~ Address J.!:l ( ) ~ ,~ ~ ~ ~ '0 ~ Contractor Ei ~ ~ U II I, '. ,.~ ~ f"'_l; = ~ ...~ ~ "~ ",e) ! ~ ~ ~ ! ~ ~ "''0 *, ..~"'''"' ". "'~-"'~~, '" I. f ~_ t i. ,''il ". ~,*.' - \~ "> ",_J'~<i;~~.~ "" .;--~~ :;:~'~. ~;~ fITYl~f,,:~\~,Q.FJE~P;:9~g~1'fE."~:,-'>':~c<(' '1.:'1:' Tax Lot M 0...,/, S I~ Phone State rHZ ~ L../ A( 2Yl Address Phonp City State Construction Contractors License # '. Descrip~on ? A-AlAlt::rL,/ rey-v ~L Ie Date of Installation 05/ 0 S /11 Sffc..-- / Date of Removal OS 1"00 Zip 9"'7l-i/~ Zip Expire< ~ o0165/1l 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. 1 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 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 inspection will begin the process to return the $100.00 deposit if the banner(s) and/or portable sign(s) has been removed. Signa~:l~Q,~~[\;1L{,~~,",:,:,u~",'l0:,,""U'2C' ~"",,'T.;:DatP {~,~" k;t;~~:~::::'~~~; ".,,;q;"::;~<r~,::~tr:~,il!.u:'i!~'...: -',' ,-::~:;;~ti~!' Date o~ :;~~i~a::n 5:; (/ ~~"~~~~;:~;5If- D 0 71;7 Issued By Amount Collected tEJ~ll' , '~iYf~;-'>;~;~~ .5%,;~~.;::~:i; '7 Receipt# ZDI/~oogS' 2ZS- - Shared Drive (T:)fBu.ilding FormsIBanner_Portable Sign Permit CSD 7..Q8.doc SPRINGFI.E~.D ~\L"''' : ,~ ,',u \. OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00761 IVR Number: 811118124395 www.cLspringfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 05/05/2011 05/05/2011 05/05/2011 SITE ADDRESS: 1408 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703363203400 EXPIRES: VALUE: 06/05/2011 $0.00 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Bannerfportable signs - install 050511 removal date 060511 Phone Number: OWNER: ADDRESS: EMMITT PROPERTIES LLC 13593 SE PORTLAND VIEW PL HAPPY VALLEY OR 97086 Contractor Type Sign Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lic Type OWNER BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal f Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: . Structural Specialty Code Edition: Lic No 0000000 Lic Exp 08/1212025 Phone Lot Size: Sq Ft 1 st 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 5/5/2011 11:13:45AM Page 1 of 3 5P~IN... G. FIEl?iiJ .- '-'e', <.~ ~ '.:, OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00761 IVR Number: 811118124395 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 05/05/2011 05/05/2011 EXPIRES: VALUE: 06/05/2011 $0.00 05/05/2011 SITE ADDRESS: 1408 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703363203400 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner/portable signs - install 050511 removal date 060511 Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ Overlay Oist: # 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 ~ Descriotion Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion Admin fee (10% of applicable fees) Banner, Portable Depos"~.__. Banner, Portable Technology fee (5% of permit total) Total Amount Paid Amount Paid Date Paid $20.00 05/05/2011 $100.00 05/05/2011 _...________..0_..__._...____,_>__.., $100.00 05/05/2011 $5.00 05/05/2011 $225.00 ReciDt # 2011000889 2011000889 2011000889 2011000889 Springfield Building Permit 5/5/2011 11:13:45AM Page 2 of 3 . SPR. IN....G...FIE~ ~.,- .;~,~ ,"" >> OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00761 IVR Number: 811118124395 www.ci.springfield.or.us 225 Fifth 51 Springfield,OR 97477 Phone: 541.726-3753 Inspection Phone: 541-726-3769 Fax: 541-726.3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/05/2011 ISSUED: APPLIED: 05/05/2011 05/05/2011 EXPIRES: VALUE: 06/05/2011 $0.00 SITE ADDRESS: 1408 MAIN ST, Springfield, DR 97477 ASSESOR'S PARCEL NO: 1703363203400 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner/portable signs - install 050511 removal date 060511 PROJECT DESCRIPTION: Plan Review I Deoartment Application Acceptance Result" Over the Counter Received Due Date 05/05/2011 05/05/2011 ComDleted 05/05/2011 Sign Review 05/05/2011 05/05/2011 05/05/2011 Approved David Bowlsby INSPECTIONS REQUIRED ~ Inspections 6972 Banner Removal Reviewer David Bowlsby 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. j\~C~tJ~J~ O~ \ 0," w Owner or Contractor Signature Date Springfield Building Permit 5/5/2011 11:13:45AM Page 3 of 3 SP~~N. ..G_FIE~ ~,.~ .,,,,~ XC',\ . OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00761 1408 MAIN ST pennitcenter@ci.springfield.or"us RECEIPT NO: 2011000889 lDESCRI~TION. ., Admin fee (10% of applicable fees) Banner, Portable Banner, Portable Deposit Technology fee (5% of permit total) l.PAYMENT TYPE,.,:"PAYOR . ~"""""",--""""-~""",.",--"",----"--~-,,,.,..,,,,, Credit Card 5th inc 141900 CASHIE'R~ '-DBOWL~;BY' RECORD NO: 811-SPR2011-00761 DATE: 05/05/2011 ACCOUNT~CODE. . ' AMOUNT.DUE~_... _, 224.00000-426605 20.00 224.00000-425602 100.00 821.00000-215500 100.00 100.00000-425605 5.00 TOTAL DUE: 225.00 "AMOUNTPAID. ~' -- i::::':':"'<;.QJ"OOJ':.Nlli.": . refund deposit to: sth inc 1408 main st, springfield or 97477 ., 225.00 TOTAL PAID: 225.00