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Home My WebLink AboutPermit Signage 2011-7-13 .. ';' '\ CITY OF SPRINGFIELD, OREGON SPRINGFIELD ~~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 g: (Q) City Job Number .... ....:]~ tiOl ..~ .... .....-I~ Ql ~ ~ ~) .... ....=I~ ~ ~ ~ ~, l.-~} ....~~ ,;",l, ~! ~l ~l ~l -, ~ U I] l~ .'~l ,.-( , -( ~ f'\ 11 ~( ~. .~:(!)) ....~t ~ ~) , -J~ ...JQ) .~; ~ ~ ~ ___..1 blj ~) ~( ~( ~( ro! .~ Ml 5(1- 0 17cf3 I (~ :5 Job Location Assessors Map--.J 70 -:s. :s b 3: Z ) If.(~ o lf700 Tax Lot OWller Owner of Property II-LC 730"f/~ Address (<?'S ~C7u+1I lifrd City qrrAJ'jfJ,c!&f COlltractotlIllstaller 57 Phone SVi-C(,K;?.-av.&? ([5~ Zip '171'77 State Contractor /1I()~/o l-VI've7L Phone Address City State Zip Construction Contractors License # Expire< Description .5A 1lI/JI.l)r W :z3".l'/Vt9 S; yrJ Date ofInstallation 71 If Date of Removal "i.?!to I Permit Fee: ~ 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. lfthe 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 be in the process to return the $100.00 deposit if the banner(s) and/or portable sign(s) seen v. . / Signatur Date f:;1.!!... Date of Application -? /~;:( / I ~~ For Office Use J~lho{I-D/7l{ 3 Receipt # ZZS;- ZO/(- oZCf ~ Issued By Amount Collected Shared Drive (T:)/Building Fonns!Banner]ortable Sign Permit CSD 7-08.doc . ; SP~:=~. _L~ .~:;~~M .~REGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-017 43 IVR Number: 811127140982 www.ci.springfield.or.us 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 07/13/2011 ISSUED: APPLIED: 07/13/2011 07/13/2011 EXPIRES: VALUE: . 08/11/2011 $0,00 SITE ADDRESS: 195 S 14TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703363204700 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Portable sign - 071111 removal date 081111. COD11-398 PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: TINDALL STEPHEN A & VICKI M 195 S 14TH SPRINGFIELD OR 97477 Contractor Type Sign Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lie Type OWNER BUILDING INFORMATION ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazrnat: # of Bedrooms: Sprinkled Building: Fire Alarms: 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: Lic No 0000000 Lic Exp 08/12/2025 Phone lot Size: Sq Ft 15t Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy load: o Site Infonnation ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 7/13/2011 2:16:24PM Page 1 of3 . , s~':~~ 1I~,~ .. '., OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01743 IVR Number: 811127140982 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 07/13/2011 ISSUED: APPLIED: 07/13/2011 07/13/2011 EXPIRES: VALUE: 08/11/2011 $0.00 SITE ADDRESS: 195 S 14TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703363204700 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Portable sign - 071111 removal date 081111. COD11-398 Fronlyard 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 ~ Descriotion TYoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Description ~dmin fee ,(.10% of applicable fee~) !?~~~ec, "~ortable__e~p~~l!_ __.~____ ___0_____ . _~ Banner, Portable Technology fee (5% of permit total) Total Amount Paid Amount Paid $20.00 $100.00 - .-- ------~ $100.00 $5.00 $225.00 Date Paid 07/13/2011 07/13/2011 07/13/2011 07/13/2011 ReciDt # 2011002019 2011002019 2011002019 2011002019 Springfield Building Permit 7/13f2011 2:16:24PM Page 2 of 3 CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01743 IVR Number: 811127140982 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/13/2011 ISSUED: APPLIED: 07/13/2011 07/13/2011 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenler@ci,springfield.or.us EXPIRES: VALUE: 08/11/2011 $0.00 SITE ADDRESS: 195 S 14TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703363204700 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Portable sign - 071111 removal date 081111. COD11-398 PROJECT DESCRIPTION: Plan Review I Deoartment Application Acceptance Received Due Date Comoleted Result 07/13/2011 07/13/2011 07/13/2011 Over the Counter Sign Review 07/13/2011 07/13/2011 07/13/2011 Approved Reviewer David Bowlsby ~"7:-' J INSPECTIONS REQUIRED I David Bowlsby 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 construc~ion. ,./]/1. <: /1;/ '-" Owner or Contractor Signature 7!t51tt Date I I Springfield Building Permit 7/13/2011 2:16:24PM Page 30f3 . . TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.U5 811-SPR2011-01743 195 S 14TH ST pennitcenter@ci,springfield.or.us RECORD NO: 811-SPR2011-01743 DATE: 07/13/2011 ~ ;.~ _~ ;';F;Si;'ii~~t..:,~&::,:", ~)dAC_c_6uNt~C:o[iE":'i:r, '~'.~ ~,~; '\<}~~~'\ 'A'MQU N;f~I)XJE ~ 224-00000-426605 20,00 224-00000-425602 100,00 821-00000-215500 100,00 100-00000-425605 5,00 TOTAL DUE: 225,00 ["'Xp'A'Y"M"E"N'T TV p, E'fJ'::J5]P'-,A'y' ,O'RO, ~-;;;:'CASHIE",(DB6WLSBY> .', "C'O',"'M"M"E'N'T'S;',', ,F"'::- >,';i f,~'_'.,,". ,; AM O'UNT)PA'I'D ' " "',, -' J kh-_ ., .. h~,'" -, . ..,,,.~~._..._..,.._.. ..... '-i-~i,~".;..;~ "__V,"~' -.-" -,.-' _e. ';"'_~_"" "~''''':''".. Credit Card STEVE TINDALL refund to: ace buyers 195 s $225.00 613131 14th, springfield or 97477 RECEIPT NO: 2011002019 IOEstRII~TION''Vr ->'- 7-,",,;::j-"',,~; Admin fee (10% of applicable fees) Banner, Portable Banner, Portable Deposit Technology fee (5% of permit total) J TOTAL PAID: $225.00