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HomeMy WebLinkAboutPermit Signage 2011-4-6 225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (~41)726-3689 =: oo~ City Job Number o.~ Job Location 00 ~~ Assessors Map Q) ~ <al) ..9 ~ Address ~ ~ . >-.. .. ': ~I ~ I 8 ',... I! ~ OO~ ~ ~~ ~ ~) ..~ ~ ~ ~ ~ ~ I ~ m ., I' ,. ""\.7 ~ ',w,. ,.<<",r...r "" , ~ I <, ,,~Q', ~lW,j_ '" ~ ',.1- .!: -', ~."",; , -.' ',CITY QF .S.eRINGEIELD' OREGON~. ~, . ;;""" -,,- ':~~?~M - ~ - ::.'" ~.~ ~ ., . 'T.J'~ ~ . ,""<'_'~ }it SP{J-:'C..6({~OC:=:> 5:f::,O /~c:) f? f'1jl /~ >Jre.~..J-- 170 ~-sb""$l. 'D ~o/ca Tax Lot ?rD9e/he S P ~~ 1/.t:W' Phone oJ2- Owner of Property ~ h1 / if /3 ~"5 Sf::? Zip f ?708'"6 Contractor Address / D C; '7J t{ h / d City ~~e:...... Phon'" >Vj.- >20 ~ tfLo}7 Zip 97 cl() <I Expire" 2-/ ) ~ I State o/L Construction Contractors License # 15 0 :3 'I (j" Description Or-a.-.--. cl Ope-^-.':3 5'15 ^, / AI Ii vJ 0 0 ~ , / / . I I. 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. . " Signaill!'" ~~;;h d DatI> '1/ b kDJ J ~;"ii~7~,~~-~;,:tj~~;] Receipt#Z.od- b 7 3 22f'"" Date of Application .c:~t\~;' Job # .>//....0 ~ -SbO Issued By -::c,S" 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 .. " 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