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Home My WebLink AboutPermit Signage 2011-7-5 225l1f11l STREET. SPRINGI1ELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689 ~ "~ ..~ Job Location ~ '. .~~ Assessors Map Ql ~.1 ~ Owner of Property "e ~ City ~PH () rtIJ.J ~. .",~4 ~ ~ 11 ~~ y II l"",,~~ "i ~ I, ~ ~~ gj ~) "~ rtIJ.J ". ~ ~ ~ ~ ~ ~ i ~ M ... . '- "" - , ." .,>"._ . t < ~ ,,' ! ,,_I .r. ;J;,:'1;;;r~':,,~':H;{"1'I-T,;r;AF~S' nI:iThTi'ip' -IET't~D<"'Y"'REdA1\'lV::'":: "."t~.tc .: >'h', "'ili'-. "', \C; .-.l:..I:, \d "r,Nli'l"-' .l!>. U \J\dl'l,m"', J-~' ,', ~~. '~':;.~'!:'1-, if <:.<:' """'" 14f*>l.;~~,,:~;;>.:i';-'JS.-",!I:"';-":~. - ~".J- ",._'-~, _'!d 't i-f"A ~ ...if1".._.:.'t'5-' '" City Job Number 5 1 I - /2 Z r,." " 7<-.91 W ~ \'10~0~ \0 !:2.' ~ +- O'6'f:J.D Tax Lot f"\ O..J ~0s;+i c; ./<, Adth-ess / l{ liY r!H-r-7jL c17--- Phonp. State (xL Zip Address ::1..<15 S \) t ( tJ 0~' ~ . D PhoD" <;-<.t.{-i, ~3'~(\ (\ () r')fL Zip 97 '-(7? City State Construction Contractors License # Expire< '-?r~,,:t-o.- b (~ s,' J~ Date ofInstallatiori 7 - ~ - ( I Date of Removal ~r\- . ')!. ~(L I( . '71..J.-i I (( Permit Fee: $225.00 including $100.00 Deposit and applicable fees. Description 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 process to return the $100.00 deposit if the banner(s) and/or portable sign(s) has been ~~~/ . Signatur~~~ r:..:-?,..~.~ Datp. · "7~{(_ g.~.....~,.,....:~.;.........~. .~,'.?\..-;.:,\..' ...;...',......:...;.~... ......;;....'.',;...:...;~,.,...;..........~..~~,,_0.,..-..''',.._,'.'.....:....., ~~.'~.~.~~.,._7;:.f;.~.:.~.:...~..".;r" ".,..,.w.:.._;.....;..~.t',.:r.:".;..~...,..:,.:'_lv,.."~wo'..~....~T...'...'i!,?':',....).'-,;r..:.~.Ii...Ml..;~~C.:.,;'-"e;F:~..,f_.,~......~..'.. 'I ~ ,Gw 'j"lr"'-"~" ,.,. ,T'" ' ~,-,-, '.' ~ ; :2' -, , . .'.. ... . . ", .,... "'2.1:'. _ ~{'~~:., .;~~~!~3_~,:;~~~[~:;::3]~'~ Date of Application ~/:>,/ / I Job # ~\/I -c /270 Receipt # Amount Collected / / S-c>~ (;;,rT1:=7V.SloiJ Issued By rX:'V -' Shared Drive (T;)lBuilding Fonris/Banner]ortable Sign Permit CSD 7-08.doc \ , SPRINGFIELD ~A', "'f(~ . 7~b. OREGON www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01226 IVR Number: 811148640315 Issued 05/31/2011 ISSUED: APPLIED: 05/31/2011 05/31/2011 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 EXPIRES: VALUE: 06/21/2011 $0.00 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Portable sign - install 052111 removal date 072111 (extended) SITE ADDRESS: 28 W Q ST F. Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271003500 PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: MALCOLM BOSISTO REV TR 1484 CHECK ST 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 OWNER 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: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition:. lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Fl Other: Occupancy load: o Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Information 7f5/2011 12:04:23PM I Page 1 of3 "i. www.ci.springfield.or.us .CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01226 IVR Number: 811148640315 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield,or,us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 05/31/2011 05/31/2011 EXPIRES: VALUE: 06/21/2011 $0.00 05/31/2011 SITE ADDRESS: 28 W Q ST F, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703271003500 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Portable sign - install 052111 removal date 072111 (extended) PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION I 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvpe of Construction Unit Amount Unit Type Unit Cost Value FEES PAID ~ DescriDtion Banner, P~rtable :'Idmin fee (11J~."f appli:"bl."Jees) Technology fee (5% of permit total) Banner, Portable Deposit Banner, Portable Banner, Portable ~echnology fee (5% of permit total) ,=-ern;~!ee Adjustment - Administrative Fee Total Amount Paid Amount Paid $100.00 $20.00 $5.00 $100.00 $20.00 $80.00 ..'_.,_....,.~._"'-~....~..~" $5.00 $10.00 $340.00 Date Pa id 05/31/2011 05/31/2011 05/31/2011 05/31/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 ReciD! # 2011001367 2011001367 -'- 2011001367 2011001367 2011001367 2011001873 2011001873 2011001873 Springfield Building Permit 7/5/2011 12:04:23PM Page 2of3 . SPRINGFI,E, L~ ~'.Il- .' ~ ,. .;jm OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01226 IVR Number: 811148640315 www.ci.springfield.or.U5 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci. springfield ,or. us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 05/31/2011 05/31/2011 Issued 05/31/2011 EXPIRES: VALUE: 06/21/2011 $0,00 SITE ADDRESS: 28 W Q ST F, Springfield, DR 97477 ASSESOR'S PARCEL NO: 1703271003500 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Portable sign. install 052111 removal date 072111 (extended) PROJECT DESCRIPTION: Plan Review ~ DeDartment Application Acceptance ComDleted 05/31/2011 Result Over the Counter Received Due Date 05/31/2011 05/31/2011 Sign Review 05/31/2011 05/31/2011 05/31/2011 Approved Reviewer David Bowlsby 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 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. J 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 i ocated at the front of the property, and the approved set of plans will remain on the site at all times during construction. 1~ s- r ( Date Springfield Building Permit 7/5/2011 12:04:23PM Page 3 of 3 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth $t Springfield,OR 97477 541-726.3753 811-SPR2011-01226 28 W Q ST F pe rmitce nter@ci,springfield,or,us www.cj.springfield.or.us RECORO NO: 811-SPR2011-01226 DATE: 07/05/2011 ';, '''':''''(:~:':'1''~~~_.:::~A'c:c:6UNECODE;;,t ,.,~cAM6uNLD,UE.~' . , ,= 224-00000-425602 .-80:00 (DC) 224-00000-426605 10,00 100-00000-425605 5,00 TOTAL DUE: 95,00 L;'~'PAYMENTTYPE" --?''',PAycrR;"'L;::;~'CASHiER,lCCAR';E'NfElt,''":'C'oMMENTS'i:i:~:,';?1::~: "," ; ';, AMOUNTP AID '-"~."..,~~'~".~_._"~",""~.,,,,.~ . " ~,""~,."~.t::.l~",,^,..=_..._~,,,,.."o~~;';".._,,,{,..f""~'_';"_"_~~'<<_'"...,.....,,;.,k...,o. . -. _w__. Check Timmons Extension $115.00 RECEIPT NO: 2011001873 kDESCRIP..TION',);":,- ~t: Banner, Portable Permit Fee Adjustment - Administrative Fee Technology fee (5% of permit tot~l) I ~- I(>-~ :J 29370 TOTAL PAID: $115.00