HomeMy WebLinkAboutPermit Signage 2011-4-5
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
FIREWORKS SALES LOT/CHRISTMAS TREE LOT Banner/Portable Sign Permit
City Job Number <;!L20(( -O~ 5li7
Job Location !:t~sS MAl" st (frl"r(/~: O~ q71178
Assessors Map.-J 76 2 '3 Z Y L Tax Lot
ODbOO
Owner
Owner of Property Geyt'./ec. h
Address '1t"3S- MAI'IlI (f
City ~Affl'lf'(;eJd t:*
1-'- C
Phone .)4'-7,)(" -::<eeb
State O~ Zip 4 'T47~
COlltractor/Illstaller
Contractor IJope:>J(ee4-1 L('o<;~tiI'C
Address tiLl') ] ~J-~
.sf- Phone (j."-('?J6-~3
State OR Zip 171(7 7
City V/"l'~e1d
Construction Contractors License #
Expire<
Description r-i(~(t; ~""Mt5 '1..,d. t:,"~h5
Date oflnstallation (,-IO-).tJU
Date of Removal 7-/0-;2.01/
Permit Fee: $115.00
Permit is valid for 30 days from date of Installation
By signature, I state and agree that I have carefully completed this application and hereby celtify 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.
Signatur
Date '7 - .) 0/- 1/
Date of Application
'-(/;/,
I I
~
For Office Use
Job #
SI/-oo 54,
Receipt # 2'6/1 . b S 8
fir-
Issued By
Amount Collected
Shared Drive (T:}I8uilding FonnsIFireworkslChristmas Tree Ba~er-Portable Sign Pennil 1-20 IO.doc
... .-.-...
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00547
IVR Number: 811122151398
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
04/05/2011
ISSUED:
APPLIED:
04/05/2011
04/05/2011
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfieId.or.us
EXPIRES:
VALUE:
07/10/2011
$0.00
SITE ADDRESS: 4535 MAIN ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702324200600
SCOPE: Banner,'Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Firework sales signage - 061011 thru 071011
Phone Number:
OWNER:
ADDRESS:
BERAKAH LLC
PO BOX 221
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
I
I
Contractor Type
Sign Contractor
Contractor Name
OWN ER
Lie Type
OWNER
BUILDING INFORMATION I
# 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 I Development Code:
Plumbing Specialty Code Edition:
'Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lie No
0000000
Lie Exp
OB/12/2025
Phone
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
Site Information
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
4/5/2011 2:10:34PM
Page 1 of3
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-5PR2011-00547
IVR Number: 811122151398
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
. Fax: 541-726-3676
permilce nter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
04/05/2011
ISSUED:
APPLIED:
04/05/2011
04/05/2011
EXPIRES:
VALUE:
07/10/2011
$0.00
SITE ADDRESS: 4535 MAIN ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702324200600
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Firework sales signage - 061011 thru 071011
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
~
DescriDtion
TVDe of Construction
Unit Amount Unit TVDe
Unit Cost
Value
FEES PAID
I
Descriotion
Amount Paid
Date Paid
04/05/2011
04/05/2011
04/05/2011
Recio! #
2011000658
~-,--
2011000658
..-._--_._*
2011000658
Technology fee (5% of permit total) $5.00
Banner, Portable $100.00
~....._,..,....~_.,._..~...._-_.__._--,--_._-,----_._-.--"-~
Admin fee (~ofapplicable fees) $10.00
Total Amount Paid $115.00
Springfield Building Permit
4/5/2011 2:10:34PM
Page 2 of 3
. ~'~"
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00547
IVR Number: 811122151398
225 Fifth 51
5pringfield,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
04/05/2011
ISSUED:
APPLIED:
04/05/2011
04/05/2011
EXPIRES:
VALUE:
07/10/2011
$0.00
SITE ADDRESS: 4535 MAIN ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702324200600
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Firework sales sig~age - 061011 thru 071011
Plan Review
~
Department
Application Acceptance
Received Due Date
04/05/2011 04/05/2011
Comoleted
04/05/2011
Result
Application Accepted
Reviewer
David Bowlsby
Sign Review
04/05/2011 04/05/2011
04/05/2011
Approved
David
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.
Owner or Contractor Signature
Dale
Springfield Building Permit
4f5/2011 2:10:34PM
Page3of3
.. . ~ ~
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2011-00547
4535 MAIN ST
CITY OF SPRINGFIELD
225 Fifth 81
8pringfield,OR 97477
541-726-3753
permilcenter@ci.springfield,or.us
RECORD NO: 811-SPR2011-00547 DATE: 04/05/2011
''';'R,~.t'';';'''';''f'~;;;f,,~f fA'ccO(fNT~COOE:"': .,- t" ,'f4~ >'AIVIOUNT~DUE
224-00000-426605 10.00
224-00000-425602 100.00
100-00000-425605 5.00
TOTAL DUE: 115,00
~";:PAYIVIENt':TYPE~Aft~ "p Ay~ij~~f'icASHI'ER':,DBOWLSBY~~t31~~J~)r;'C9MM~ijI~]:t~~f; f:,'.,~:_:T ~~:o;~E;.;' ::;AMOUNT PAID, ~, . w. i;'" --I
Check crossfire world outreach 115.00
3530
RECEIPT NO: 2011000658
tOESCRip.JION;f,":""-;' :,j:' '':.,_~'F~'
Admin fee (10% of applicable fees)
Banner, Portable
Technology fee (5% of permit total)
j
"'1
TOTAL PAID:
115,00