HomeMy WebLinkAboutPermit Signage 2008-4-21
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH'(541)726-3753 . FAX' (541)726-3689
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'-...... removed wIthin fourteen (14) days from the date lIsted as the date of Installation above. If the display is not
.'.~Ll ~~ ...tR~~~~~~~~f):~~5~~lfied; [ wil1.f()rf~ittb.~.~~,OO d.-e~sit I ~I~o ~~der~t~nd that ~~~J ~pe_cia~ . J l.
!~ permIt can be Issued only once per calendar year per development area, I also agree to call the inspectIOn Ime at
C4 726-376? by the end of the [4th day to request an InspectIOn to venfy the removal\,ofthe dIsplay, ThIs inspectIOn
~~ wIll begIn the process to return the $100.00 deposit If the dIsplay has been removed \
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~~ Date of ApplIcatIOn
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E1 Issued By
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CITY OF SPRINGFIELD, OREGON
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Tax Lot
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Address ;;2 s> t. 2.. ,lJi I{k~~ C-r-
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Zip 97;),3>1
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7.:20- 937. 'l./3'-1
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ConstructIOn Contractors License # / 4' te~o.o.o~ yJ>-\ \~ Ires
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Date of Installation 5' ..!:~~ r.C'ja~ ~~~~e~O\\~1 I 1.../, Q 6
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$161.75 in~tu ~ ~~iteposit and applicable fees.
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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 display will ,be_
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Date
For Office Use
Job#
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Receipt# if J 5-
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. Amount Collected
Shared Dnve(T )/BUlldmg Fonns/Bhmp]ennants_Balloons8-06 doc
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FROM : ~LLOONi31 'l
1.6 2008 ~2:58PM P2
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, DOlI Pfeifer, 1"" ~ OWner 0' 4223 MillIn St.
SPringfi.'d, OR 172M, IJrv. "1'ftI""o" to
."OOnBb: 01 O.IV.I'. CO to pull a IIOrmft for an
'nfl.alt'4II ballOOt I start'"g May 1, 2008 from tho
City of .p!'In"'eI, r, OR. Th. 1lI11lll00il will H for
Save A Lot GroCtl rles in the McKenzie West
lih Center.
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00625
ISSUED: 05/05/2008
APPLIED: 05/05/2008
EXPIRES: 05/14/2008
VALUE:
SITE ADDRESS: 4223 Main St
ASSESSOR'S PARCEL NO.: 1702323201900
Springfield TYPE OF WORK: Blimp, Portable Sign, Etc.
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Blimp and balloons for Sav-A-Lot
Owner: PFEIFER DONALD V TE
Address: 326 MAIN ST
SPRINGFIELD OR 97477
Contractor Type
Sign
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
I CONTRACTOR INFORMATION I
License
Expiration Date Phone
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
___ .~ "1I~~\C
PUJW]O ~ Tti P\Rr. '~~II"\~ \s Not
\s p~n\'\It
AU1HOR\2EO UNO~S ABANO~NeDOOi)pe:
COMMENCEO OR R\OO. Downspouts/Drains:
f;..N'l180 OA'i PE
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00625
ISSUED: 05/05/2008
APPLIED: 05/05/2008
EXPIRES: 05/14/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Blimp + Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$14.50
$2.25
$45.00
$100.00
5/5/08
5/5/08
5/5/08
5/5/08
1200800000000000435
1200800000000000435
1200800000000000435
1200800000000000435
Total Amount Paid
$161,75
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Reouired InsDections I
Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested,
the applicant may forfiet 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 of 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,
Owner or Contractors Signature ~ ~
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Date
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Pal!:e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00625
COM2008-00625
COM2008-00625
COM2008-00625
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
DescriptIOn
Depostt
Bltmp + Special Permtt
+ 5% Technology Fee
+ 10% Admmtstratlve Fee
Paid By
BALLOONBIZ INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000435
Date: 05/05/2008
Item Total:
Check Number AuthorizatIOn
ReceIVed By Batch Number Number How Received
dJb
l803
In Person
Payment Total:
Page 1 of 1
11:33:45AM
Amount Due
lOO 00
45.00
225
l450
$161.75
Amount Paid
$161 75
$161.75
5/5/2008