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Home My WebLink AboutPermit Signage 2011-7-22 225 FIITH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 € City Job Number sIt-of golf ..o~4 rfIJ;l' ..~ ~ ..~1 Q ~ ~ Owner of Property .. ~ Address ~ ~ City ~ .~ ~ ...~ ~ m .~ 11 I. '. ..@ ~ ~4 ~ ~ "~ ~ ~ :-~ ! ~ ~ ~ i ~ ~ ',1 . ., , ~- - ~jt:<:;le:t[~'\~~€IirYi@R~SRRirNGFrELD(QREG0N::J~_,_~-:~;5; ,: ~ ;" ",,0i: hFR.r;t--"1i' ,<_""~ Z'SW' W'~ ~j"" 'i."""" .n~,,",,' -"~_::''"''-'," ,t' "1, f-tJty 'tf'c7f,,,:,,,,~~ '<P" " _ -!1' ~ "" - -~ . ~ \ ,~."" .~.'" . _ 'l . '~. . ~ , . "" ~ ~ Job Location 2 'Z? W.e.A..l r0 Assessors Map~ 70 3> 2 7/ 0 (IV'. ,'t H. s+ (:> S S-O 0 Tax Lot Me}.. \ '8-,(0<;'+' S {." jCfg'L( c ~t::vL 5~r;.. ~ {~/L I s+- Ph()n" 6L Zip '7 If( 7 7 State Address ~~Wu!.1- PhoI1" 541-L't:?'-(II( () sl- City S~H'\.I{':-..J A0 . Zip <])1(7) State 'D R- Construction Contractors License # Expire'. . Description Yn r-t o....~ \-<2. '5'r Date of Installation ~- ;;l..::>- Date of Removal g - )...:?.'j I 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. 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 Rece.ipt#ZO(/-;:::O 'le;- I / ....... .r7 2r Issued By P ~ Amount Collected Z) Shared Drive (T:)lBuilding Fonns/Banncr]ortable Sign Permit eSD 7..Q8.doc SI(~O( 2'0 Y 7-;)..'-.,(( , \ ~\-, s (\,..~'<"~" ~ f?ev<.fi"'<J , J V"\ ; -I-- 1-1 ~1: ~'? WeA..-t Q s+ :,. Sfri-L.....J7 Ai T ('"7\ve IUnu+ (~wi PfiV\~i~ ? R/'d,q' S .; .. I) ... --rd (J 5 P "HI 5;'. f) CuI' ~ N~~~+{~~i:~O~3Th~ ," S t' ~-e 1..J".1..}<. n,r ,!<.-e 2 V'Jo.,fh5 , ~'7-f.^I'Uf/ 8, rL..<€- ;5,,(' {'Dc/e.-. .~.~ www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01804 IVR Number: 811171396000 Iss ued 07/22/2011 ISSUED: APPLIED: 07/22/2011 07/22/2011 225 Fifth SI Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@ci .springfield. or. us EXPIRES: VALUE: 08/22/2011 $0.00 SITE ADDRESS: 28 wa ST H, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703271003500 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Portable sign - 072211 removal date 082211 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 Lic Type OWNER BUILDING INFORMA TION ~ # 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 FtGarage: 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 7/22/2011 9:54:20AM I Page 1 of 3 . , . . SP~~.N ~.FIE~~ ~-. .~~ ~ .. .."m. OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01804 IVR Number: 811171396000 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/22/2011 ISSUED: APPLIED: 07/22/2011 07/22/2011 EXPIRES: VALUE: 08/22/2011 $0.00 SITE ADDRESS: 28 W Q ST H, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271003500 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. 072211 removal date 082211 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 Tvee of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I Descriotion Technology !ee (5% of permit total) Banner, ~~able Depo~it Banner, Portable Admin fee (10% of applicable fees) Total Amount Paid Amount Paid $5.00 $100.00 $100.00 $20.00 $225.00 Date Paid 07/22/2011 07/22/2011 07/22/2011 07/22/2011 Recio! # 2011002094 2011002094 2011002094 2011002094 Springfield Building Permit 7/22/2011 9:54:20AM Page 2 of 3 SP~I~G_FIEL~D ~~,. .' ~rt:o =. OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01804 IVR Number: 811171396000 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 07/22/2011 0712212011 Issued 07/22/2011 EXPIRES: VALUE: 08/22/2011 $0.00 SITE ADDRESS: 28 W Q ST H, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703271003500 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Portable sign - 072211 removal date 082211 Plan Review I Deoartment Application Acceptance Received Due Date Completed Result 07/22/2011 07/22/2011 07/22/2011 Over the Counter Reviewer David Bowlsby Sign Review 07/22/2011 07/22/2011 07/22/2011 Approved 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 fomet 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. J 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 construction. ~$7i1-""',-" ry ~::1..2.-I( Date Sprl1"\gfie\('\ Building Permit 7/22/2011 9:54:20AM Page 3 of 3 SPRING...FIE.l. ~ .-' . ';"~ ,,~ OREGON www.ci.springfield.or.u~ TRANSACTION RECEIPT 811-SPR2011-01804 28 W Q ST H CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 perrnitce nter@d. springfield. or. us RECEIPT NO: 2011002094 RECORD NO: 811-SPR2011-01804 DATE: 07/22/2011 'DESCRIIWON ;;~,.__".(l;-___L:':,.~_.:!...:~:- ~:';'~>'i;::;iil':;.f;;;' '::":ACCOiJNT.!C-0DE~~;'::..LI.2.L__.~ AMOUNj:j:iiJE'.:5" :.~ Adn:in f~e (10%?f a~~licab~e fees) _ ___. .._ __ _?24~QOOOO-4266.!l~_.__ .____ _____.._____ 20.00 Banner, Portable 224-00000-425602 100.00 U~_._. __ ._. ___._____,~~ . __. ._~....__~.__4.__ _..._,_..,.._"._._._ _ Bann,:,:, Portable Deposit __________~_ _ 821-00000-215~~______".____.___.____:..~0"00 Technol09Y fee (5% of p~rmit total) 100-00000-425605 ____ _u5~_ TOTAL DUE: 225.00 _:eAYQ8:.'.till]liER~"DBowLSBy;,~:f"~;;:):..sQr~fMENISi-::::""':,T " ,".: ' :"i\MOQNJsPe!ID,,:, -,' ,.--=--:1 robert timmons 225.00 b.llAXMENJ])'PI;' Check 29413 TOTAL PAID: 225.00