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Home My WebLink AboutPermit Signage 2011-9-8 225 FII'JB STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 g: _. ~ City Job Number -.~ Job Location ~ .. ,_.J~ Assessors Map Q ~l ~ -.~ > ~ ~ ~ ~ t, ....." "~ ~ ~ e .~ Il ~ ..~~ ~~ ~ ~ . ~ ~ ~ "~ ~ ~ ~ '1 o ~ ~ I m l ..,. SPRINGFIELD ""'" ,",,-~,- >> .. ...., e. '" <' ~ --.~ ~m," . _'. ~""'}-'"' .";o:c~...~,,,\.:... .. ;-'" ""~~,,"," ~'"~,~"'1;A", ~"A ~ ''''--'b''~0~~ ,.~-~i"", "^ .:; ~~> t".li~~crry J!>F.'S'RRiliNGEI.EEID; OREG@NrA'~"'~";-' 't""'~"r~ . if'P"h8~y".-~i-h"il"'~'".?4~~~w;;t:.,h:.,~' '.....~.~ ,~n' ..q'A~ '\*~'ir^ 'Ii,!'; ~%~d>j" ,.-,- Sfl-20o/ '61'1,2 0CV+-I?IP'd- LfOf \'lO~~J~0D I I lTQ~1~~i;:ti;,~":W~~;~{~f;;bh~~fEt~~~l~~l~j~~~rB~~~~~i~1~~":~;]~1~~Ld~~;L:,:~t;~;~~~ Owner of Property 5Wc~ Sc..0..vJCl\{+z. Address '6t0'-/ ('7cJ{uJ~ Lp I P~OD" f!~,)7 U '&2Z1 City S P-f1.1 I State ()1L Zip CJ 7'-1/ 7 '<<~ ~-,.".! -... -("\."",~t ~""'~7"'''' ~. ?i7rFF""" -$ - ""---; "j~';~ ";"{'4"'N: ""Jl<\~f7\' ) 'ti '<<~- "12"FW""'''' ""*~'"'":n '0 "? ~ #"'~";"k'1' jj- -;;-,.... "i ~7~~'''- - "'~ - "-',; , . ....~ , ~ iJi'f'" ~"~~m.-,"-~'~ ""'~01"''';f -:0; ,l y. ?"" ';1;1"",,~~-:r"~""'fi4"':;-" ' "''t-j~'' K'\c j' """ i)l",_" ~ Contrai:toTnnstaller"~ :\*1J~"""i" It~:iV: ~t''{ -'\~' ~~"'ilT<i~ )'~, ,'{ "~M?iJh,'~~r~(~" dtv )'.1; i: ;,J;)J;:~ ~\x.F'}P~ ";}- ,:'\t>.='-O:::; ~ ".^ t,,. , ~j__:._~~... "-~. ~, ,_1'l" '" , ~~~~"";:;",it:;"''\-1p;/::t:':.:::..:t~_ ~";;,;~~;_~1, tzf:"t..,2.,\?:.!.:Q!L'}ik~~~~2_7~,-~,:7~-S:::.~,i.~~",,":-'-:;JQt.~3i Contractor I PhODi> (j;cJf)1m-& 72/ I State (J7L Zip 17477 I I Description p,rfw6k 5<:11/5 I Date of Installation q / '% / II I Date of Removal I () / r; / ! I .. . I / I Permit Fee: $225.00 including $100.00 Deposit and applicable fees. I By signature, I state and agree that I have car~fully 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 t1:Ian 60 square feet, and will be removed within 30 days from the date listed above, If the banner(s) andfor portable sign is not removed within the timeline specified, I will forfeit the $100.00 deposit. 1 also understand that this special permit can be issued only twice per calendar year per development Jea. I also agree to call the inspection line at 726-3769 by the end of the 30th day to request an inspecti6n to verifY the removal of the banner(s) and/or portable I 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. SignaturPy-~ If ~ . 5p{td I 012. q 71..177 CfL r:D'L Tax Lot Address '3 { 4 City -.5p{'rJ Construction Contractors License # Expire< Dati> cz/ J/ .~ !~~ff~J~~:~:fEi~I]~~ Date of Application Cj I 3" J Issued By ~ ~1't:;{{;~~.LJ!~.."1;:/:'~~'?'~~'" ~i!'P'o1'Offu:(! () , >"+2"'''";''f.\.... "~';~~~""""J\&'" 'i~. '. -"-'- " . ., , /"~"""'" - ~ .3_""-_,~._,, N.if;.t_-0_4I',"~" ",,,^, Job # S I I - 20 ~ ( I Receipt# 20/lcJ02"(O,r 22-0cJO Amount Collected Shared Drive (T:)IBuilding Forms/Banncr]ortable Sign Permit CSD 7.08.doc ~ ,- SP~I;. G=L~ ~~~ '~:l'~mOREGON I CITY OF SPRINGFIELD I Building I Si~n Permit I PERMIT. NO: 811-SPR2011-02081 I IVR Number: 811149870567 , ISSUED: I APPLIED,: ww.N .cL spri n gfield, or. us PROJECT STATUS: STATUS DATE: Issued 09/08/2011 09108/2011 09/08/2011 SITE ADDRESS: 3192 GATEWAY LOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703222002502 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-72.6-3676 pe rmitcenter@ci.springfield.or.us EXPIRES: VALUE: 03/05/2012 $0.00 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Temp Banner - REMOVAL DATE 10/~/11 . REFUND TO MICHEAL SCHWARTZ PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: SHEILA S LLC 2390 LARIAT DR EUGENE OR 97401 Contractor Type Sign Contractor Contractor Name OWNER CONTRACTOR INFORMATION I Lic Type CCB BUILDING INFORMATION I # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Cbde Edition: Mechanical Speci~lty Code Edition: Municipal I DevelJpment Code: I Plumbing Specialty Code Edition: Residential Speci~lty Code Edition: I Structural Specialty Code Edition: I I Site Information Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit I 9/8/2011 10:00:24AM Lie No 000000 Lic Exp 08/01/2025 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 ~ Page 1 of 3 PROJECT STATUS: STATUS DATE: Issued I CITY OF SPRINGFIELD . I Building I Sign Permit I PERMIT NO: 811-SPR2011-02081 I IVR Number: 811149870567 , ISSUED: I APPLIED: , 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 S,~~I,NG"._.FIEl~ ~..a... .... \tw ~'OReGON www.ci.springfield.or.us permilce nter@ci.springfield,or.us 09/08/2011 09/08/2011 09/08/2011 EXPIRES: VALUE: 03/05/2012 $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 Temp Banner - REMOVAL DATE 10/~/11 - REFUND TO MICHEAl SCHWARTZ I DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: I # Street Trees Reqd: Paved Drive Reqd! I % of Lot Coverage: H. h' I 19 est pOint on structure to north property line: I I PUBLIC IMPROVEMENTS REQUIRED PARKING Total: Handicapped: Compact: ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuatio~ Description ~ Description Tvpe of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ I DescriDtion Amount Paid Admin fee (10% of applicable fees) $20.00 . .-----i Technology fee (5% of permit total) $5.00 -- .---.----.-.- . '--'--'--'--'.'-----~-.--'--' ------1-.. ---- Banner, Portable $100.00 - -------,------- I- Banner~!!~ble D..:E~_ $1.00.00 ____,___.__~___,~_._~_~____ Total Amount Paid $2'25.00 Date Pa Id 09/08/2011 09/08/2011 09/08/2011 09/08/2011 Reciat # 2011002408 2011002408 -,.~-,._-'~.._,--,._._- 2011002408 ~---- 2011002408 Springfield Building Permit 9/8/2011 10:00:24AM Page 2 of3 PROJECT STATUS: STATUS DATE: Issued I CITY OF SPRINGFIELD Building I sidn Permit I PERMIT NO: 811-SPR2011-02081 I IVR Number: 811149870567 , ISSUED: I APPLIED,: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SP~:IN~:EL~. ~~ ~OREGON www.cLspringfieId.or.us permilcenter@ci.springfield.or.us 09/08/2011 09/08/2011 09/08/2011 EXPIRES: VALUE: 03/05/2012 $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 Temp Banner. REMOVAL DATE10/~/11 - REFUND TO MICHEAl SCHWARTZ I Plan Review ~ PROJECT DESCRIPTION: DeDartment Permit Issuance Received Due Date 09/08/2011 09/08/2011 Comoleted 09/08/2011 Result Issued Reviewer Chris Carpenter r~igI; Reyievi,~":--';::;.' -;(;.. .r:,'09/08j20t1 '."Q9IQB/201:1;,-:05l/Q8igO),~:J}JOrl3_e8Uifci1r:\":II:: .\:)"Chii;c;;rp~fi\eriT.: ...,,::"7"'. .. ; L0:~,~~~~' ':,;' I;:!::y:~, ,-;;~"rt;;} :c'~~~~:~':;":~'l;~';':ME:::~;,~:' ;,.J~' ~v~~'_ ~~j'i~~::"~~~l;;f:i~>:i~~:~{~;~~:~~~< ~: pi",,,", "',--:- ,"'::. ~ .:> >:~<' c. j~h ': ' Application Acceptance 09/08/2011 09/08/2011 09/08/2011' lover the Counter Chris Carpenter INSPECTIONS REClUIRED I , '~~I ' ' .', 'j '.t"'-+_ ;T" '-H. - , . - .., ~ ~, Inspections 6972 Banner Removal Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requ~sted, the applicant may forfiet the deposit. By signature, I state and agree, that I have carefully examined the'co~Pleted 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 a.nd 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 timel, 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. f4~ 5oC---- ~/-;?//(/ Owner or Contractor Signature Date Springfield Building Permit I I 9/8/2011 10:00:24AM I Page 3 of 3 TRANSACTIO~ RECEIPT 811-SPR2011i02081 3192 GATEWAY LOOP I S:;~N~ .~~ L'", OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 permitceoter@ci.springfield,Of.US RECEIPT NO: 2011002408 [OESCRIP..TION0c, j '00, ,;:jC'j;l:;c;",",,~j Admin fee (10% of applicable fees) Banner, Portable Banner, Portable Deposit Technolo~y fee (5% of permit total) RECORD NO:!811.SPR2011.02081 :0"'.'" T,' ,2.'::t--:ACCOLJNT~CObE 'r F"~., I 224-00000-426605 i 224-00000-425602 821-00000-215500 100-00000-425605 TOTAL DUE: L..ptl,'(MENil"::TY.IiE~~R.l\y.oRd';~~lELq<!!'E"jftE~,::;:~C.oMME~T$;j.,? . Credit Card Micheal Schwartz 05688p TOTAL PAID: DATE: 09/08/2011 :'':kANlQUNJ:[)UE' '; 20.00 100.00 100.00 5.00 225,00 'AMOUNT.P~ID' . ....:....:.....J 225.00 225,00