HomeMy WebLinkAboutPermit Signage 2011-4-6
225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (~41)726-3689
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Description Or-a.-.--. cl Ope-^-.':3 5'15 ^, / AI Ii vJ 0 0 ~
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Date of Installation j &. // 7- 0 I ) Date of Removal ~J ~ ;/ '/ C> / /
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 time1ine
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 oftbe banner(s) and/or portable
sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
portable 'sign(s) ~try:en removed. . "
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Amount Collected
Shared Drive (T:)lBuilding FonnsIBanner ]ortable Sign Permit CSD 7-08.doc
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00560
IVR Number: 811138508492
www.cl.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
04/06/2011
ISSUED:
APPLIED:
04/06/2011
04/06/2011
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.spril'l9fielrl.Of.US
EXPIRES:
VALUE:
05/06/2011
$0.00
SITE ADDRESS: 1408 MAIN ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703363203400
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
banner/portable signs - 040611 removal date 050611
PROJECT DESCRIPTION:
Phone Number:
OWNER:
ADDRESS:
EMMITT PROPERTIES LLC
13593 SE PORTLAND VIEW PL
HAPPY VALLEY OR 97086
Contractor Type
Sign Contractor
Contractor Name
OWNER
CONTRACTOR INFORMATION I
Lie Type
OWNER
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Units:
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:
Lie No
0000000
Lie Exp
08/12/2025
Phone
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Fl Carport:
Sq Ft Other:
Occupancy Load:
o
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
4/6/2011 1;35:04PM
Page 1 of 3
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00560
IVR Number: 811138508492
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.sprirlgfieltl,Qf.us
PROJECT STATUS:
STATUS DATE:
Iss ued
04/06/2011
ISSUED:
APPLIED:
04/06/2011
04/06/2011
EXPIRES:
VALUE:
05/06/2011
$0.00
SITE ADDRESS: 1408 MAIN ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703363203400
PROJECT DESCRIPTION:
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
banner/portable signs - 040611 removal date 050611
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION ~
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
~
Description
Tvpe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
FEES PAID
~
Description
Admin fee (10% of applicable fee!!
Technology fee (5% _?!",p':.~~it tot~I)~_____,.__
Banner, Portable
Banner, Portable Deposit
'Amount Paid
$20.00
$5.00
$100.00
$100.00
$225.00
Date Paid
04/06/2011
04/06/2011
04/06/2011
04/06/2011
ReciDt #
2011000673
--~--
2011000673
2011000673
2011000673
Total Amount Paid
Springfield Building Permit
4/6/2011 1:35:04PM
Page 2 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00560
IVR Number: 811138508492
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfietd.or.us
PROJECT STATUS:
STATUS DATE:
Issued
04106/2011
ISSUED:
APPLIED:
04/06/2011
04/06/2011
EXPIRES:
VALUE:
05/06/2011
$0.00
SITE ADDRESS: 1408 MAIN ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703363203400
SCOPE: Banner, Portable Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
banner/portable signs. 040611 removal date 050611
Plan Review
~
DeDartment
Permit Issuance
Received Due Date ComDleted Result
04/06/2011 04/06/2011 04/06/2011 Issued
Reviewer
David Bowlsby
Application Acceptance
04/06/2011 04/06/2011 04/06/2011 Over the Counter
David Bowlsby
INSPECTIONS REQUIRED ~
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 forfiet the deposit.
By signature, I state andagree, that \ have carefully examined th~ 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 agre~
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.
.5',U/rAM~>1ffivlHcz--
L;-c; -1/
Owner or Contractor Signature
Date
Springfield BuildIng Permit
4/6f2011 1:35:04PM
Page 3 of 3
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
www,c(,springfield.OLUS
811 'SPR2011-00560
1408 MAIN ST
permitce nter@ci.springfield.or,us
RECEIPT NO: 2011000673 RECORD NO: 811-SPR2011-00560
lDESCRIP.;tIQf..r;;:::~;, 'fie,: y; ~":"F ?~';,~;;;," ;,;:;;':~""!:' ~;'~;:;;,~fACcoliN;fLCODE:~:C .;;",-
Admin fee (10% of applicable fees) 224-00000-426605
Banner, Portable 224-00000-425602
Banner, Portable Deposit 821-00000-215500
Technology fee (5% of permit total) 100-00000-425605
TOTAL DUE:
DATE: 04/06/2011
'26 AMQUNt:O.UE4 - I
20.00
100.00
100.00
5.00
"."..__...._----_._---~--"
225.00
LfU~yMgNt.::.lYeg~'-'t;;+:gAY9R ':C'A~tlIER:ril3_~(SBY;;~,' ";;.~:C:QMlI'i.El'lig,;"ij?::l;,.-,'...;f,$::.-;"_;~; '. "~MOUNTPAID.. - " :I
Check 5th inc 14th and main street market 225.00
1053
TOTAL PAID:
225.00