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Home My WebLink AboutPermit Signage 2011-6-14 . ~C0^{J ~NJj\/ef2- PElLrvt r ~ 'CT'.::: ~~::~'.(4i; :.;Il L::.~~ "'j; ~ ~ . ~j 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726'-3689 ~ City Job Number :; if - (Lt3 P 01B1 Site Address: b bIN (Ylo.-Ln :::;+ ~.l ,) Assessors Map ~~J Owner:m A-lhR ~ ij Address: go 7c) I fA Ci '147 ie... R;) ~ ::,,~:* rw,,y>~~,,",,, ("nl.^ j?I1S,7::VAo P:;:Z'IOd \r=il ~~j Description ofproposed Si~: (Please check and complete all appropriate information) t1\ - Wall Freestanding Projecting Roof ~j -$- Single Face Double Face ~~fl j Square Footage: Lf '1)( Vertical Dimension of Sign or Enclosure: Dimension from Grade to Bottom of Sign Enclosure ~ Material Sign is Constructed of: 0);,:1 r 1 List ALL existing signage and attacb a photograpb of eacb sign: "j (a) Type ( ;:1 (c) Type - j Contractornnstaller: .W Address: .1 r'~ 1 Construction Contractors Registration Number: " . - '-... -" "~I , ;'/ ',') "'-'-./ Tax Lot: /'/61 2- J Ljif ( cJ t;cv ! Phone: 541- (, <;(9 - '1'70/) Marquee Billboard Lf-rg Other .~ Total Heigbt above Grade: Horizontal Width of Sign or Enclosure: Electricallnstallation:_Yes _No (If yes additional electrical permit required) '-IX g' ~Wrod Value of Sign: Sq. Ftg. (b) Type (d) Type Sq. Ftg Sq. FIg. Sq. Ftg. ~ CUJ akov-P Phone: City: State: Zip: Expires: OFFICE USE Sign District: Zoning: By signature, I state and agree, that I have carefully examined the completed application and do hereby certifY that all information herein 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 of Oregon pertaining to the work described herein. I further certifY that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the street, that the permit card' located at the fro 0 e property, and the approved set of plans will remain on the site at all times durin e i 1'0 e sign(s). Date Shared Drive(T:)IBuilding Forms/Sign Permit Applicarionl-02.doc ;2CT #- 2t.J( I tJCl J&;( S- ..~ SP~lt~ ~,.: a,.. j!v \.!jOlJI' . '.",<ft.. OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01436 IVR Number: 811119132982 225 Fifth St 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 06/14/2011 ISSUED: APPLIED: 06/14/2011 06/14/2011 EXPIRES: VALUE: 12/10/2011 $0.00 SITE ADDRESS: 6684 MAIN ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702344107001 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Residential . Temporary sign for rodeo Removal date 7/14/11 Refund to Oregon Horse Center 90751 Prarie Rd, Eug 97402 OWNER: ADDRESS: MARK SHAWN J & MARGERY P 6684 MAIN STREET SPRINGFIELD OR 97478 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION I Lic Type lic No lic Exp Phone # of Units: o BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 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 # of Bedrooms: Sprinkled Building: Fire Alanns: 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: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: . Retaining Wall: Soils Report Required: Springfield Building Pennil 6/14/2011 3:20:53PM Page 1 of 3 S~l..iH.G:~F.ELD . ~*'.~. ,,.. ,*':'~;,,~11 . .<,",',..'"' OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01436 IVR Number: 811119132982 225 Fifth SI 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: 6684 MAIN ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702344107001 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Temporary sign for rodeo Removal date 7114111 Refund to Oregon Horse Center 90751 Prar;e Rd, Eug 97402 I DEVELOPMENT INFORMATION I Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted,: Notes: Sidewalk Type: Downspout/Drains: Valuation Description i Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descrivtion Admin fee (10% of applicable fees) Technology Ieee (5% 01 permil lotal) 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 Recivt # 2011001615 2011001615 2011001615 2011001615 Springfield Building Permit 6/14/2011 3:20:53PM Page 2 of 3 SPRnolG. fiE, ~ a; ,~ m:-:~. OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01436 IVR Number: 811119132982 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: 6684 MAIN ST. Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702344107001 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Temporary sign for rodeo Removal date 7/14/11 Refund to Oregon Horse Center 90751 Prarie Rd, Eug 97402 I Plan Review ~ Deoartment Application Acceptance Received Due Date 0611412011 06114/2011 Completed 06/1412011 Result Over the Counter Reviewer Chris Carpenter Permit Issuaiice . ':1 ',06/1412Q1;L '06/14!2011 ,06/14/2011c", --Issu_ed': ;", " .. ;_com~e,ntS: Removaldate 7Ii4/11,.Refund~to OreVgOnHorse c;nte~ 90751~P!afje-Rc(_~ug" 97102 Sign Review 06/1412011 06/14/2011 06/14/2011 Not Required .Chri~s._carpemter . "'..,y I J Chris Carpenter INSPECTIONS REQUIRED I 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 will remain on the site at all times during construction. 6,/4-(r Date Springfield Building Pennit 6/14/2011 3:20:53PM Page 3 of 3 SP~.~IN.G.. FIE.~ aV . ;- ~- t:Ii . ,';c. OREGON TRANSACTION RECEIPT CITY OF SPRINGFiELD 225 Fifth 8t Springfield,OR 97477 541.726-3753 wWw.cLspringfield.or.us 811-SPR2011-01436 6684 MAIN ST permitcenter@cLspringfield.or.us RECEIPT NO: 2011001615 (DESCRIP.TION..:":':';>""'"f''o);'" ". ;d:J'i~', . ." Admin fee (10% of applicable fees) Banner, Portable Banner, Portable Deposit Technology fee (5% of permit total) RECORD NO: 811-SPR2011-01436 DATE: 06114/2011 ~~2::-,"::-2,ACCOUNT~CODEL"r' :: :~'1'c, AlVio(jN.tDUE.....;~j 224-00000-426605 20.00 224-00000-425602 100.00 821-00000-215500 100.00 100-00000-425605 5.00 TOTAL DUE: 225.00 '-:-'~aGQMM,g,NT.$-';'~1Z ._-_:~~'t.-;--,~:,~t~-~L\2-~~"AMQIJN:tPAI[fT0:0?h<1:,t - -~iI 225.00 [:t:~XlI'Ig!'l_T.;r.y'~ETI~AY_QR;'-C'ASH1ER,ccA"PENfE"" Check Oregon Horse Center 6886 TOTAL PAID: 225.00