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Home My WebLink AboutPermit Signage 2011-7-14 225 FIFTH STREET. SPRINGFIEW, OR 97477'. PH:(541)726-3753 . FAX: (541)726-3689 ._~ S/I-o(7 S-! .~ City Job Number __ ..~ Job Location 4\q~ Vlili.n ~. ..~ (7 6 Z S Z 3, Z Ql ~ ~ Owner ..~ > Address 9.c>. ?n')(~t=- ~ ~J ~ I, '. -.. ,t--'-l" &i I 8 II I, h ...~ EJ ~ ~\ ~ ~1O) "~ ~ ~ "~ ~ ~ ~ "'=-.: ~ I ~l ~I '~.~>.; ~ ~~,t~BnE~":@R" sPR1INGEIEISD OR:EGON~'.l~!i'-:;~.;~." '. ...," :%~... .. % '1!'~ "'~ ..,_ , " . '-' 'lJ\! Tl .-fw Q > .-" .~, ,;<If.."'~' '-~ "" ~ "\-_.ct-"",,,,._ ~]of \ '^ ,,_ _~~"". - ,- ;' '> 'lj ~, . '" , ~. ~ '. + "'" ,~ .",,' ",,--.. "...~~ -- " ." ' , -. Of)' () I . City~\~1d PhoD" E:A-\ ' 1'21.0 ' ~2 <t; Z. CnLlil lp DQ State Address Phonp City State Zip Construction Contractors License # Expire< D~scription~lj-\~ J;.y.,R;7!L Date of Installation '4- . \B' ,\ \~'v0\'\ C~.J? c;-;\~ Date of Removal f).n, \\ 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 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. J 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 ins ction will begin the process to return the $100.00 deposit if the banner(s) and/or portable sign(s)1. been removed. , 5tf/1'l--~ Signatur Date of Application Job # Issued By 2-2-~ Amount Collected Shared Drive (T:)IBuilding FormslBanner]ortable Sign Permit CSD 7-08.doc 5P~:~~.L~ (~ . OREGON www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/15/2011 CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01758 IVR Number: 811133604979 ISSUED: APPLIED: 07/15/2011 07/15/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield,or.us EXPIRES: VALUE: 08/17/2011 $0.00 SITE ADDRESS: 4198 MAIN ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702323201501 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Portable sign - 071811 removal date 081711 Phone Number: OWNER: ADDRESS: BEll CO llC PO BOX FF SPRINGFIELD OR 97477 Contractor Type Sign Contractor # of Units: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path; CONTRACTOR INFORMATION I Lie Type OWNER BUilDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Contractor Name OWN ER o 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft 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 7/15/2011 1:45:09PM I Page 1 of 3 S1~N;~~ ~ ~OREGOH www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01758 IVR Number: 811133604979 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfleld.or.us PROJECT STATUS: STATUS DATE: Issued 07/15/2011 ISSUED: APPLIED: 07/15/2011 07/15/2011 EXPIRES: VALUE: 08/17/2011 $0.00 SITE ADDRESS: 4198 MAIN ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702323201501 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Portable sign - 071811 removal date 081711 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: Compac~: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Description Amount Paid Te'O.~?~'!2Y..!".~J~~-,,!permit total)_________ $5.00 ~~,~.PortabJe De~osjt ___.,___~.""" .____~100.00 Banner, Portable $100.00 Admin fee (10% of applicable fees) $20.00 Total Amount Paid $225.00 Date Paid ReciDt # 07/15/2011 2011002037 .----.-----..-....-...-.-- --- 07/15/2011 2011002037 .---..."..-,.,.....--.--,.---,- ------ ,----- 07/15/2011 2011002037 07/15/2011 2011002037 Springfield Building Permit 7115/2011 1:45:09PM Page 2 of 3 CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01758 IVR Number: 811133604979 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/15/2011 ISSUED: APPLIED: 07/15/2011 07/15/2011 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: 08/17/2011 $0.00 SITE ADDRESS: 4198 MAIN ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702323201501 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Portable sign - 071811 removal date 081711 Plan Review ~ DeDartment Application Acceptance Received Due Date ComDleted Result 07/15/2011 07/15/2011 07/15/2011 Over the Counter Sign Review Jss'ued~~"~--~ . ?1?j.\~;J.~- '~ "'~"""'ll'~ Approved 07/15/2011 07/15/2011 07/15/2011 Reviewer David Bowlsby' 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 farfiet 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 ro"""ct''"L~ f2 W Owner or Contractor Signature J f(;::w0llt.- Jsr-T'gee:, . /~ (:)- Date Springfield Building Permit 7/15/2011 1:45:09PM f Page 3 of 3 .. .-' TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfleld,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01758 4198 MAIN ST pe rmitcenter@ci,springfield.or.us r. 0 __0000 . L:;BA YME~T;jJjY.R!' 0 Check 39832 RECEIPT NO: 2011002037 RECORD NO: 811-SPR2011-01758 DATE: 07/15/2011 IDESCR"~TjON~~:~:.k~,:<_l;',h'-: _-:.:~" -- _,00 ,",ZA!.::f_':r,_.L!.ACcbUNJ:CO[)E.'~:;:L~:.:"-:~E:AMO:UNTc6uE:J:c:.c: '.':'::! Admin fee (10% of applicable fees) 224-00000-426605 20000 Banner, Portable 224-00000-425602 100000 Banner, Portable Deposit 821-00000-215500 100000 Technology fee (5% of permit total) 100-00000-425605 5,O.CJo___ TOTAL DUE: 225.00 :-~ipA''''0R~;.:'''' <~;'.XtAsHIER::DB6wiSBi'"it:;i~jCOMMENfS~?~t~< ,-'. ''';;Y;;::;S;:ff;y,r ~i"'i'+cAM-OiJ Nt? AIDS;I'~' -;':'~:;f-:?:__:~:- ~ -''-~ 'j - .&.._. ........---............~~_._~-- - ~.-.- - BELL CO taco bell refunld to: BELL-corrACO $225.00 BELL PO Box FF, Springfield OR 97477 TOTAL PAID: $225.00