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Home My WebLink AboutPermit Signage 2011-5-31 " ~, ,Ir "~'. l , , ~.-' \; , " . " : --,' CITY OFSPRfINGHELD, OREGON :..' , ',,~,' ~ ~;~ ~-t~' .~,~.,::- ~: .." ~ .. -.'_,' SPRINGFIELD ZZ5 Firm STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ~ "~ "~ Job Location ~ ..~ Q ~ ~ ..~ > ~ ~ ~ ~ "~ ~ S .~ II I. -. ..~ ~ ~ ~ Iq~ ..~ ~ ~ ~ ! ~ ~ ~ ~ ~ ~ ~ City Job Nu~ber 5/1- I 2 27 iff .s / tfTrI \ f[ tffi~52- Tax LotlYfD \ Assessors Map . ;~~~;;;:C;:;: ..'-~,_~~\<~~:~;.:; .:-~:~Lc ,'S ~.: _,;.~.:~~,~, ',-::':':': :...,::,..,,,~,~~~'~=:'~'I:~;:: "C,.'_.:-:~~;;~~;; Owner of PropertY J:;, e.. ~ A l A- \Y Address '"<,:3 '3..;2:b .flo -v e... I !-'I- VI e..- Phone 5"2f I J:t'i 5' "3)7 ( Zip If?j :2(, City r:rC::";,Lu.e-d DR State . C~n~act~;' ~1;;r" '(J:,;:A.~ -,.,~~~.. - -..-,- .._~.__.~,.... .~.. .~~._-_._._~~_.. Address Phonp City . Zip' State Construction Contractors License # Expireo 0$, .]' . Description Date ofInstal]ation Jf\A-)/ S \.., . Date of Removal ~tJ ~/ 1""\ Permit Fee: $225.00 including $100.00 Deposit and applicable fees. By signature, I state and agree that I have careful]y 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) andlor 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 timeline specified, I will forfeit the $] 00.00 deposit. I also understand that this special permit can be issued only twice per calendar year per development area. I also agree to cal] 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 will be' e process to return the $]00.00 deposit if the banner(s) and/or portable sign(s) has een remo " Date ~- '5/- ~tl Signatur ",. ~., :";1,/, ~";~Fir->-,;~;-""7:"'..;; ,,~-?~,t~-:---~-~'''.TI_~'j;,':,:':'''~r;l;:-v ;.,~. ~;F0> ';,0 - ,'.:'," .... A < C' ..' ,'. ";",, -, ,." ''''o''r' Olrr./Ce "see' 'V",,',: ;'''':', "de,' ";.;',"'~:"; . ':if~';"~"".~{",>L:.l., ,:JJ,~.. V.;", ;;',d..:'< .~ D~t:of :;~~iCa~i~:57jJJI/- -'~~';~~'~~~;22;/' , I ';-';'-"'._-'~' -.-,'., :," ~~_. ~'j Receipt # 20 II (JIJ/ ~ ;)-2-Y - Issued By ~ Amount Collected I Shared Drive (T:)IBuilding FormslBanner_Portable Sign Permit CSD 7-08.doc Jan-04-l3 04:S9P P.Ol Joe Balaty Rentals Commercial and Residential 33328 Howe Lane Creswell, OR 97426 Phone: 541-895-5071 Fax: 541-895-5072 E-mail: escind@msn.com The tenants have permission to install a Read A Board sigh on the side of the building at 117 S 14th Springfield Oregon. Joe Balaty ~ 5 -16-11 . - SP.RIN. GFIE~ ~\\_. '""-': it:/; .c,t,,," OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01227 IVR Number: 811163385022 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/31/2011 ISSUED: APPLIED: 05/31/2011 05/31/2011 EXPIRES: VALUE: 11/26/2011 $0.00 SITE ADDRESS: 117 S 14TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703363204401 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner REMOVAL DATE 7/1/11 - Refund to TNK Inc. @4787Wendovereugene 97404 PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: JOSEPH J BALA TY REVOCABLE LIVING TRUST 33328 HOWE LN CRESWELL OR 97426 Contractor Type Contractor Name CONTRACTOR INFORMATION I Lie Type Lie No Lie Exp Phone # of Units: BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire C;:ode Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lot Size: Sq Fl1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit S/31f2011 3:23:52PM Page 1 of 3 SP~~:~:4iJ ~~ ~OREGON www.cLspringfleld.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01227 IVR Number: 811163385022 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfieJd.or.us PROJECT STATUS: STATUS DATE: Issued 05/31/2011 ISSUED: APPLIED: 05/31/2011 05/31/2011 EXPIRES: VALUE: 11/26/2011 $0.00 SITE ADDRESS: 117 S 14TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703363204401 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner REMOVAL DATE 7/1/11 - Refund to TNK Inc.@4787Wendovereugene97404 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 PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvee of Construction Unit Amount Unit Type Unit Cost Value FEES PAID ~ Descriotion Admin fee (10% of applicablefees) T~chnolog~fee (5% of.!'er,!,it total) Banner, Portable Banner, Portable Deposit Total Amount Paid Amount Paid $20.00 $5.00 $100.00 $100.00 $225.00 Date Paid 05/31/2011 05/31/2011 05/31/2011 05/31/2011 ReciD! # 2011001368 -_.._-_. 2011001368 2011001368 2011001368 Springfield Building Permit 5/31/2011 3:23:52PM Page 2 of 3 SP~I\N;:~ ~(~ ~OREGON WWW.ci.springfield.or.U5 CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01227 IVR Number: 811163385022 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/31/2011 ISSUED: APPLIED: 05/31/2011 05/31/2011 EXPIRES: VALUE: 11/26/2011 $0,00 SITE ADDRESS: 117 S 14TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703363204401 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign, WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner REMOVAL DATE 7/1/11 - Refund to TNK Inc.@4787Wendovereugene 97404 Plan Review I DeDartment Permit Issuance Received 05/31/2011 Due Date 05/31/2011 Comoleted 05/31/2011 Result Issued Reviewer Chris Carpenter ',,,_. 0"- , ',- ~,.;05131/2011;,':05/31/201 1'':'05/31/201'- c"':i"". .~. ,. ._',", _~""'_ ._~~~__ - :".Not RequireQi"";.' - ~.. ;C.- ,... "'t?-",---. - -'r,", 'j _/<Gbrii:;~Carperit~(<0'- ~",. ,- ,-:-." -.. - .. ;p'-.-' ,.,,'~.'. "'--.-4 - "'~'. > c-__~ ~i~.~~evie:w L: '. -~. Application Acceptance 05/31/2011 05/31/2011 05/31/2011 Over the Counter 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 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 wtll remain on the site at all times during constructi//"'~ D ! /;i~7 -"~\ \\.".<.1 Q.? 5-:::,1- 0') U - /' \\ Owner or Contractor Signature Date Springfield Building Permit 5/31/2011 3:23:52PM Page 30t 3 SP::\.::.~EL~ ~ ~OREGON www.ci.springfieJd.or.us TRANSACTION RECEIPT 811-5PR2011-01227 1175 14TH 5T CITY Of SPRINGfIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenler@ci.springfield.or.us RECEIPT NO: 2011001368 lDESCRIP-TION Admin fee (10% of applicable fees) Banner, Portable Banner, Portable Deposit Technology fee (5% of permit total) RECORD NO: 811-SPR2011-01227 DATE: 05/31/2011 . " . AC.COUNLCODE' . 224-00000-426605 224-00000-425602 821-00000-215500 100-00000-425605 TOTAL DUE: AMOUNT.DUE 20.00 100.00 100.00 5.00 225.00 AMOUNTPAID 225.00 I L~AYMENLQ-:~E._~ ~~Ay'Q~. CASHIER,CCAR?ENTER'... Credit Card Kevin Powel 403803 G.OMi\1ENTS.: . .~;: '" Y I TOTAL PAID: 225.00