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Home My WebLink AboutPermit Signage 2011-3-23 ':-.. SPRINGFIELD ~~ . 0 ~ o .~. CI':l .- >:- .- o CI':l (() <0 .~ ~ . CL) r,./?'\ I:;'..l' Q .~ $::l ~. ~ S o U I ~ .~ (1) ~. ~; ~ ....~' ef)i (l:) ,..-_J ,.-~ ~. e: ~. <:....::..' as' ~ ~I ro ~. ZZ5 fIITH STRI:ET . SPRINGfIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 FlRI:WORKS SALES LOT/CHRISTMAS TRI:E LOT Banner/Portable Sign Permit City Job Number Sfll.:ZO((-CO 5l(8 Job Location -;;2/ 17 OIYM.plC. S+ Assessors Map /76"$ 2 Sy 2- Tax Lot Owner Owner of Property ?O\~ vi Dwe1<JpvY\e VI-\- 2\q, nkl-M(J\ ( S~C'r& orZOl City State ill Phone 54)- 7,u,-C,1bS- Zip~ Address Contractor/Installer Contractor Hop" )tr~"'t(c.-r0&5(;re- PhoJlP ~ql.r;,@fe,- SQ73 Address cr!-f)., .:;lg~ ~+- City S(Jr;n~dJ State OR. Construction Contractors License # Description Afe-v..tJ-M; ~? ~ Date of lnstallation fo -I 0- ~O j;J Zip 'f7~17'1 Expire< Date of Removal 7-(O-,..oI/' 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 certifY that all information herein is true and correct. I further agree and understand that the above described banner(s) and/or p0l1able sign(s) is not larger than 60 squareJeet. s;~,~v~ Yi/ll Lf (..:; (If , / -:PS Date of Application For Office Use Job# Sll-ce::,9{8 Issued By Amount Collected Date 3/2-3/1/ Receipt II CDr r - /1) ~5cr Shar~d Drive (T:YBuilding FOffilsIFireworkslChristmas Tree Banner-Portable Sign Peffilit 1-201O.doc . :.;., SP. R.. IN G..F..I.E~ D... . .C~ ."'.::n" _.- ~'.' "'."'''l;(iffiJ .~3;0;+}.-""OREGON " www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00548 IVR Number: 811154042594 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 04105/2011 ISSUED: APPLIED: 04/05/2011 0410512011 EXPIRES: VALUE: 07/10/2011 $0.00 SITE ADDRESS: 2197 OLYMPIC ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703254201202 SCOPE: Banner, Portable Sign WORK INVOLVED: New' TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Firework sales signage - 061011 thru 071011 Phone Number: OWNER: ADDRESS: POLEN DEVELOPMENT LLC 2197 OLYMPIC SPRINGFIELD OR 97477 Contractor Type Sign Contractor # of Units: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Contractor Name OWNER CONTRACTOR INFORMATION I . Lie Type OWN ER BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lie No 0000000 Lie Exp 08/12/2025 Phone o Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanic~1 Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Fl Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Information 4/5/2011 2:20:35PM I Page 1 of3 -. www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00548 IVR Number: 811154042594 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT'STATUS: STATUS DATE: Issued 04/05/2011 ISSUED: APPLIED: 04105/2011 04/05/2011 EXPIRES: . VALUE: 07/10/2011 $0.00 SITE ADDRESS: 2197 OLYMPIC ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703254201202 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Firework sales signage. 061011 thru 07.1011 DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING PROJECT DESCRIPTION: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutJDrains: Valuation Description I Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I Description Technology fee (S% of permit tot~._ Banner, Portable ~~f;e(1"O~;PE~-r;,;;)----" Total Amount Paid Amount Paid $5.00 $100.00 $10.00 $115.00 Date Paid ReciD. # 04/05/2011 20110006S9 04/0S/2011 2011000659 04/osPioiT-------2611"000659' Springfield Building Permit 4/5/2011 2:20:35PM Page 2 of 3 .. ,- CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00548 IVR Number: 811154042594 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: 04/05/2011 04/05/2011 Issued 04/05/2011 ISSUED: APPLIED: 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci,springfield.or.us EXPIRES: VALUE: 07/10/2011 $0.00 SITE ADDRESS: 2197 OLYMPIC ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703254201202 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Firework sales signage - 061011 thru 071011 Plan Review Department Application Acceptance Completed 04/05/2011 Result Application Accepted Received Due Date 04/05/2011 04/05/2011 Sign Review 04/05/2011 04/05/2011 04/05/2011 Approved ~ Reviewer David Bowlsby David Bowlsby INSPECTIONS REQUIREb ~ Inspections By signature, I state and agree, that I have carefully examined the completed applica'tion 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 Date Springfield Building Permit 4/5/2011 2:20:35PM Page 3 of 3 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541.726.3753 www.ci.springfield.or.us 811-SPR2011-00548 2197 OLYMPIC ST permilce nter@ci.springfield.or.us RECEIPT NO: 2011000659 RECORD NO: 811.SPR2011.00548 DATE: 04/05/2011 lDESCRi~TI()t'k 'iPl!.:::L:'J~ '<~i ::;f~fi'fi."{i':)~~;" ~',';:":0;,i:<;:Ac:c'QUN;t~cobEc;"" ':{ ) V::: ',4.MOUNif:2DUE':' ::: Admin fee (10% of applicable fees) 224-00000-426605 10.00 Banner, Portable 224-00000-425602 100.00 Technol09Y fee (5% of permit total) 100-00000-425605 5.00 TOTAL DUE: 115.00 b.PJ. YM:g:~tfY~,:iti:.e~jORt:CM;)iIER;'DOOWbSBy~~G:,.:_ttJ~.9~I'/IEJ'tt$~: "';' ,Fi":;::,,,,;":,,AiylOUNT.!.'AID' Check crossfire world outreach 115.00 3529 .,',J '1 .j TOTAL PAID: 115.00