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Home My WebLink AboutPermit Signage 2011-8-3 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ e. ~ City Job Number e.~ Job Location ~ e. ~ Assessors Map 4:dl t:i01...l ~ Owner e.~ > Address ~ ~ rt;#.J:; ~ e. ~ Contractor 5 e {t~ II I, ~. e.~, E ~ ~ ~ ~J e."""" ~ ..~ .~. ~ o ~( ~!!",r cu' ~ i M .- ~":;'>lJt?'m ;,;, 'T. :v~=-~. ~"~.. ~.~:..., > ..i~ 0 . ,h' _ ""-",&J _~l' ~ ~'~-' ,"I ,i- )'::t \;;;e- , . 't'!'-~ ~~~~"J Clif\{.QRSPRINGEIELD -OREGON,' ,l'"'",~,; XJ '., ~A"i'r_~~'7 ~,f:~."'., ""??,.7_"f,,,\4f~r.ol~~';J1~~""";;;" >.~< " ~":"-:"G*,> ~(<,? 'If''''''~~Y.f "",/,. Sf( -0 ( '6 &" 2- ~r'1J- (j;x;i euJO-i-(j I?o J 2-220 t/r 1Jp.f(J.. QlZ. Cf'7 4 7l OZSOZ- Tax Lot Phone &- V 17* --(y zzl 4/6' -7 Zip C:j'7477 Address-L3JQ,) ~(){JJ ~ Phon" !fr4/) 72&-&~ 22/ \. ./ (rfL Zip 97117 r-;ClJfiA Y6---Lf City State Construction Contractors License # Expirf"O Descriptionl1McJ /j A -fro.lI/1 e '- Date of Installation 1h III I I S,d'''S f/;/r Date of Removal 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 portable sign(s~ has ~een remov~. j Signatur" f ~ ;~-tM 7/5// Date of Application Receipt # ZOI(- t:-\ 76 2-ZS: Job # Issued By Amount Collected Shared Drive (T:)lBuilding Forms/Banncr]ortable Sign Permit CSD 7.08.doc ..sp. RIN. ..G. FIE.L~ . ~.~' """"- -. ~ 'l8,S, OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01882 IVR Number: 811170488573 WWN .cLspringfield.or.LJs 225 Fifth SI Springfield,OR 97477 Phone: 541.726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfieJd.or.U5 PROJECT STATUS: STATUS DATE: Issued 08/03/2011 ISSUED: APPLIED: 08/03/2011 08/03/2011 EXPIRES: VALUE: 09/03/2011 $0.00 SITE ADDRESS: 3192 GATEWAY LOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703222002502 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner/portable signs - install 080311 removal date 090311 Phone Number: OWNER: ADDRESS: SHEILA S LLC 2390 LARIAT DR EUGENE OR 97401 Contractor Type Sign Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lie Type OWNER BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building: Fire Ala rms: 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 Lie 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 Site Information I Ertgineered Fill: Fill Volum~: Flood Hazard Area: Land Hazare-'i!~. . Retaining~. ~.c.:' Soils R~1>OR'Reuuioo ... .... . , Springfield Suilding Permit B/3f2011 10:06:48AM Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01882 IVR Number: 811170488573 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfleld.or.us PROJECT STATUS: STATUS DATE: Issued 08/03/2011 ISSUED: APPLIED: 08/03/2011 08/03/2011 EXPIRES: VALUE: 09/03/2011 $0.00 SITE ADDRESS: 3192 GATEWAY LOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703222002502 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner/portable signs - install 080311 removal date 090311 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 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 Tvee Unit Cost Value FEES PAID I Descriotion Technology fee (5% of permit total) ~ann~r: ~ortab~~2eposit ___~."._ Banner, Portable Admin fee (10% of applicable fees) Total Amount Paid Amount Paid $5.00 $100.00 $100.00 $20.00 $225.00 Date Paid 08/03/2011 08/03/2011 08/03/2011 08/03/2011 Reciot # 2011002176 2011002176 2011002176 2011002176 Springfield Building Permit 8/3/2011 10:06:48AM Page 2 of 3 . .$P~ ING. 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OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01882 IVR Number: 811170488573 www.ci.springfield.or.us 225 Fifth SI 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 08/03/2011 ISSUED: APPLIED: 08/03/2011 08/03/2011 EXPIRES: VALUE: 09/03/2011 $0.00 SITE ADDRESS: 3192 GATEWAY lOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703222002502 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner/portable signs ~ install 080311 removal date 090311 Plan Review Deoartment Application Acceptance Result Over the Counter ~ Received Due Date 08/03/20t 1 08/03/2011 ComDleted 08/03/2011 Sign Review 08/03/2011 08/03/2011 08/03/2011 Approved INSPECTIONS REQUIRED ~ Inspections 6972 Banner Removal Reviewer David Bowls by David Bowlsby 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. 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 construction. '& '/J ?~~ . ~Vt;/ ~B/// / Date Owner or Contractor Signature Springfield Building Permit 8/3f2011 10:06:48AM Page 3 of 3 ~p~~~....::;ii ~~ ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01882 3192 GATEWAY LOOP CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 permilcenter@ci.springfield.or.us , , '~'Xf .": RECORD NO: 811-SPR2011-01882 .' "i ,,':'.':. ,~. 'AC;:COUNJ~c.bbE"4;. '",.,'J. f' DATE: 08/03/2011 224-00000-426605 224-00000-425602 821-00000-215500 100-00000-425605 TOTAL DUE: [;~AYMEN:r::rrP.E.3--_:l1gy.oR,'- CASHI"R:b~~,,,-_L:'::~:_C.ONlM.I:.NT.S~:,,~~,,,~;""'':'"':':''' Credit Card michael schwartz refund to: michael schwartz 3194 00058p gateway Ip, springfield or 97477 RECEIPT NO: 2011002176 lbES_CRIe.tfoN~L~''?-~::~{:---' ,.;<:~P Admin fee (10% of applicable fees) Banner, Portable Banner, Portable Deposit Technolo~y fee {S% of permit total) "L"" AMQI.lNJl'Due, 20.00 100.00 100.00 5.00 225.00 - AMOUNT PAID , 225.00 , -'5-~ : , i '-', "'j TOTAL PAID: 225.00