HomeMy WebLinkAboutPermit Signage 2011-6-13
225 FIrm SfREIT . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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Owner of Property l'Y\ f4- J" IL oE.,
Address 907'::)1 ~Ai~lC:> 12,-)
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Phon,,"3-iI- b?f1-97m
Zip 0; 7/0 d.
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State
Contractor/Installer
Contractor
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Address
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City
State
Zip
Construction Contractors License #
Expire<
Description & ';)0 Y"\.Q P-e.o IG,rl€.e> T~VV\.p wi jJlyLJ-IJdJ S19/1.
Date of Installation A 'S -A. ~ Date of Removal CJ-u I ...; IS.'::2 e ( ,'-
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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 removed within the timeline
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 pr s to return the $100.00 deposit if the banner(s) and/or
portable sig n emoved.
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Date t}//;.~/ 0701/
Date of Application b,;/ v,/t (
Issued By ~
'For Office Use
Job# (1!-/t!3 5-
-
Receipt # 2011 00/&/ '-I
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Amount Collected
Shared Drive (f:)lBuilding FonnsIBanner ]ortable Sign Permit CSD '.{IS.doc
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~OREGON
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-01435
IVR Number: 811135577946
www.ci.springfield.or.us
225 Fifth Sl
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permltcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
06/14/2011
ISSUED:
APPLIED:
06/14/2011
06/14/2011
EXPIRES:
VALUE:
12/10/2011
$0.00
SITE ADDRESS: 3260 GATEWAY ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703222002300
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Temporary sign for rodeo Removal date 7/14/11 Refund to Oregon Horse Center 90751
Prarie Rd, Eug 97402
OWNER:
ADDRESS:
DEFOE RONALD MAJOR
90751 PRAIRIE RD
EUGENE OR 97402
Phone Number:
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
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 Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
lot Size:
Sq Ft 15t Floor:
Sq Ft2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy load:
o
Site Infonnation
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Pennil
6/14/2011 3:02:33PM
Page 1 of 3
www.cj.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-01435
IVR Number: 811135577946
225 Fifth St
Springfield,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
06/14/2011
ISSUED:
APPLIED:
06/14/2011
06/14/2011
EXPIRES:
VALUE:
12/10/2011
$0.00
SITE ADDRESS: 3260 GATEWAY ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703222002300
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Temporary sign for rodeo Removal date 7/14/11 Refund to Oregon Horse Center 90751
Prarie Rd, Eug 97402
I DEVELOPMENT INFORMATION ~
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
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
~
Descrietion
Tvee of Construction
Unit Amount Unit Tvee
Unit Cost
Value
FEES PAID
~
Descriotion
Admin fee (10% of applicable fees)
Technology fee (5% of permit total)
Banner, Portable
Banner, Portable Deposit
Total Amount Paid
Amount Paid
$20.00
$5.00
$100.00
$100.00
$225.00
Date Pa id
06/14/2011
06/14/2011
06/14/2011
06/14/2011
Reciot #
2011001614
2011001614
2011001614
2011001614
Springfield Building Permit
6/14/2011 3:02:33PM
Page 2 of 3
.S~~I.N_~~~
.-~EGO"
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-01435
IVR Number: 811135577946
www.ci.springfield.or.us
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pennitcenter@ci. springfield. or. us
PROJECT STATUS:
STATUS DATE:
Issued
06/14/2011
ISSUED:
APPLIED:
06/14/2011
06/14/2011
EXPIRES:
VALUE:
12/10/2011
$0,00
SITE ADDRESS: 3260 GATEWAY ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703222002300
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Temporary sign for rodeo Removal date 7/14/11 Refund to Oregon Horse Center 90751
Prarie Rd, Eug 97402
I Plan Review ~
Department
Sign Review
Received Due Date Comoleted Result
06/14/2011 06/14/2011 06/14/2011 Not Required
f?ermit'lssliance'-
.-,.-,"
- ,
",1)6/14/2Q!}, '06/1~001.1 W.\~:201.1 - . :Issued -
~'.' ><:.
Application Acceptance
06/14/2011 06/14/2011 06/14/2011
Over the Counter
Chris Carpenter
INSPECTIONS REQUIRED ~
Inspections
6972 Banner Removal
Reviewer
Chris Carpenter
-'. .:-;~hris,Carpjnter
- -"~~' "'~-'-':"
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 reque ted at the proper time, that each address is readable from the street, that the
permit card is located at the front f the property, nd the approved set of plans will remain on the site at all times during
construction. /'
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.5 - jL/~ /1
Date
Springfield Building Permit
6/14/2011 3:02:33PM
Page 3 of 3
.
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2011-01435
3260 GA TeWA Y ST
CITY OF SPRINGFIELD
225 Fifth $t
Springfiefd,OR 97477
541.726-3753
perm itcenter@ci.springfield.or.us
~t'eAyi'IIEt.Jf.:.D'm=~::::EtI'(.9Jl' · "CASHIEltCCARPENTEFff
Check Oregon Horse Center
6886
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DATE: 06/14/2011
;;C';~';'AIViOlJNTiO:UE ~ _
20.00
100.00
100.00
5,00
------~---
225,00
,...' '. A..MB!!!'!!.EAnJ" :,.;.
225,00
RECEIPT NO: 2011001614 RECORD NO: 811-SPR2011-01435
[OESCRIP.IION ..'!! " ';''f"' ", "'~,J'. 'O.'L~' ", .;.( ;~... ";'!>.CCOlJNTiCOOE' . -;'
Admin fee (10% of applicable fees) 224-00000-426605
Banner, Portable 224-00000-425602
--~_._--. --------,-
.__~n.:.0'."l1able Deposi!, _____.821;00000:?,15500
__:!:~chnoIogy fee (5% of permit total) ___._._ 100-00000-425605
TOTAL OUE.
" -'I
TOTAL PAID:
225,00