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HomeMy WebLinkAboutPermit Signage 2011-4-5 ,- ,., , ;l ~ o .~ r:f) . ...... :> . ...-.l o r:f) <1)' o .~ ~ Cl) 0f:) .c .~. ~ ~. ~ o U I, . ...... .~ (l) ~, ~, bJ), ._~: l?/). Cl.:,), ~ ,~' t' e: ~, ---- ~; (!L), ~ ~, ro: ~: 10."'. . fP'i"-"'--~-'-;~-~"'~-~--="~-"'-= _"'~~""""'7~_~ ~ - rl.fV-'~'-"';-"~'T--ll"''>''''~'''..:..:~,:_.!:...'IY'': 'n''''--:,{cl''';''''',-,-'"".'''- ~H_ '....,"._""';'-'''--'''''.,. _.,,""-~. " ... .. 111' '. ,,' (Jf'f;YZ;OF SBRllirGFrEUD, ffiREGON i.~i';;~ ~,.,.,W~~ s.~...~~i:k.k_~iit..~~_.".>; ", "'-"'~~:;.~ __ _" SPRllIIGFIELD r--- ~~] 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 ~-.-.. s~~~; G;'IE,~ ~"-''''L ,jl'''' 1Y3' ~",. OREGON 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