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Home My WebLink AboutPermit Signage 2011-8-29 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ~ .#~ ..~J ~ ".~ Q ~ Owner of Property ". ~4 Address > ~ ~ City ~ '~ 1, \, ...~ i e City ,~ II 01 ~ ~1 ~j ~ ...~~ ~ ,.~ ~ ~, ~ ~~ ~ ~ I ~ m 4' ." -::,;!iti*4~ ""~ ",~>,?;'n . ~ .,tl_ .'t.t_-,,~~h',n'-'.qi,; ~-?.k""'", :>..'. ":,,' ,,',' :f-.,.,... ~\.~ ~~ ~-'1 '~''''l'. , ""if}" 'flj;~" -C'TT:\h'Itl'C'snU,Tl'dA.EH:,rT\ AREGt::lN"- ',-d',' ;"~~di::~\~; JL r~~~~L'Jy!;~~~~~~~"~ ~~::'~,_ ~.~:'<r ~ ~~"\;4!;~~~: :~~_"~ City Job Number '51/-- 0202 ( Job Location 2 'is lA I eA.t Assessors Map_l -:?C> ? Z 7/0 Q<;\- H-' OJ seo Tax Lot {Y\o. \ ~s+~u cL. E~l s 1- / If 9<( Sf~ Phon" Zip ~ 7C(7 7 ~ State ;;< <6 W -vJ- ~ s ? \1',' "- '{ (,' ~ ~ Construction Contractors License # b Phon" !:Jyi- t~-III ( Address /JR Zip C( ? Y7? State Expire< , Description 'Y(,'\~<L\'\..Q $,) A- 3'-;) cr- \ \ Date of Removal q - 30 - cPt Date of Installation 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 fromthe date listed above. If the banner(s) and(or portable sign is not removed within the tirneline 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 ofthe 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 removed. Signaturf' '~4 ;::~ , ',,',-,', .,,- '-'0ii~-"'l', ....~_., ,~':\\5<;'?':~:fjloftj2if se :",'~ ."N;:'.,"~~ .''''''M2\,X;;.'X~,''Y'tly. 4' ..<C ~u "'-~'.,~'(O"""='; '~ll- "6 - Z Job # .5/I-D ZoZ ( ?;'-~j';I~f0~70f!i~~'~r,~~ Receipt # Zefj - Z:;: ;1 2' Date of Application Issued By ~q Amount Collected 22 ("'- Shared Drive (T:)lBuilding Forms/Banncr ]ortable Sign Permit CSD 7..o8.doc SPRING. FIE.L~. .- ". r8b . .~ '\ OREGOH www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-02021 IVR Number: 811184172635 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 08/29/2011 ISSUED: APPLIED: 08/29/2011 08/29/2011 EXPIRES: VALUE: 09/30/2011 $0.00 SITE ADDRESS: 28 W Q ST H, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271003500 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUGTURE: Commercial Portable sign - install 082911 removal date 093011 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 ~ Lie Type CCB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: . Lie No 000000 Lie Exp 08/01/2025 Phone 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: lot Size: Sq Ft 1 st 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 Infonnation Bf29f2011 10:3B:05AM ~ Page 1 of 3 sp. ~..I."'. GFIE~ .l~ ...... .h.<. " l.tie- :: ,\ OREGON www.ci.springfield.or.us. CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-02021 IVR Number: 811184172635 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726.3769 Fax: 541-726-3676 pennitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/29/2011 ISSUED: APPLIED: 08/29/2011 08/29/2011 EXPIRES: VALUE: 09/30/2011 $0.00 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Portable sign - install 082911 removal date 093011 SITE ADDRESS: 28 W Q ST H, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271003500 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 ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion Technology fee (5% of permit total) Bann.er, Portable D~posit Banner, Portable }l,d-T~n_fe! (10% of ap~licable fees) Total Amount Paid Amount Paid $5.00 $100.00 ---.-.--- - ---,,-- $100.00 $20.00 $225.00 Date Paid 08/29/2011 08/29/2011 -~_..~-_..._.. ---.-- --,- 08/29/2011 08/29/2011 ReciDt # 2011002338 2011002338 2011002338 2011002338 Springfield Building Permit 8f29/2011 10:38:05AM Page 2 013 S.P~ING""FIE?ijD ~'!~- "i i.~ .\ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-02021 IVR Number: 811184172635 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 08/29/2011 ISSUED: APPLIED: 08/29/2011 08/29/2011 EXPIRES: VALUE: 09/30/2011 $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 Portable sign - install 082911 removal date 093011 PROJECT DESCRIPTION: Plan Review ~ OeDartment Sign Review Received Due Date ComDleted 08/29/2011 08/29/2011 08/29/2011 Result Approved Reviewer David Bowlsby l,AppliC"ation Acceptapce I ."" . .. .- -'-' ." ~. .,"'" Permit Issuance 08/29/2011' 08/29/201.1,' 08/29/2Ot1~~:~Over the,C6unte~---O-avid Bowlsb"~;-~-:--~~-'-"'~'-- 0_ - - ~ . . . 08/29/2011 08/29/2011 08/29/2011 Issued 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. 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. . <[ - ::>-"1- I ( Date Springfield Building Permit 8f29f2011 10:38:05AM Page 3 ot 3 SP::.N...~E~ ~~ ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-02021 28 W Q 5T H CITY OF SPRINGFIELD 225 Fifth 81 Springfield,OR 97477 541-72fS..3753 permitcenler@ci.springfield.or.us P",YMENTTYPE... Check 29478 RECORD NO: 811-SPR2011-02021 DATE: 08/29/2011 ~~;::tL...:- ,- ~;;-.'1.~AC,c,6.UN~tC.ODE,., :F 0 '" .AMo.UNT:.:O.UE 224.00000-426605 20.00 224-00000-425602 100.00 821-00000-215500 100.00 100-00000-425605 5.00 TOTAL DUE: 225.00 .~AX~_:,:."'~S.HIE~oP~Q~SB~-.:::._ _.E~~rv:'!=~T~,. _ __ _,,--=-=d'~~~~D robert timmons refund to- robert timmons 28 w Q 225.00 51 sp C, Sprin9field OR 97477 RECEIPT NO: 2011002338 lOES.CRIP..TION--'-.....:--<.- ~'-Cl Admin fee (10% of applicable fees) Banner, Portable Banner, Portable Deposit Techn~logy fee (5% of permit total) .__J TOTAL PAID: 225.00