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HomeMy WebLinkAboutPermit Signage 2008-4-21 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH'(541)726-3753 . FAX' (541)726-3689 ~ T oohZ5' "~1 :~:::a::~b'~:;;Z-::/: :-~ ~ Assessors Ma!1' , 70 Z 3 2 3> L f'i h !~ Owner of Property ~~ .,....,--.~ Address ~) ." <r-~~ CIty s: PR \tJ C vi E LD , ,I~ ~1 "~ ~~ ~ ~ ~ ~~ ~ Description ~1 ~1 (Q) ~ , -:1 , (1 ~ ~~ '-...... 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 \ ~~ /l ~1 Slgnaturf' .......,...., ~1 C/ ~1 ~ f'i 14 ~~ Date of ApplIcatIOn 'r~11 E1 Issued By ,,-1 ".-q ." 'r,Jj T--l~ rn ,; " .. ~ CITY OF SPRINGFIELD, OREGON . , ~J Tax Lot C> I 90 0 "DON Pf E.' rEV< 4;;).~3 $., <' D 3 a.S 6". ~:J33 ,,^A f I\J Phone Contractor/lnstallf'r R ALL 0 D tJBI 2. Address ;;2 s> t. 2.. ,lJi I{k~~ C-r- \Jt/ CIty c..ASTL€ RoCt<:" Stat(' (,)R I N C . / OVJ Nell... "-. Zip 97;),3>1 IN~r,4UC^ ') 7.:20- 937. 'l./3'-1 gOJD <t Phone ? State c.. ~! \~ Zip ~..f!1O ~ \)\~~ ConstructIOn Contractors License # / 4' te~o.o.o~ yJ>-\ \~ Ires . ~,~ 1{\e e.~e ^"i~ I.AJrL-A71'h'JL~ ~ ~~~~~~0~;dm~/;:^/ , _,,(\(j''t. ~o~.J~~;~~({(,r-;,,~ ~ / &l\\,e.~ ~e\. ~~o ;\0~O \e\e~.c'b-~o sl' / ('j Date of Installation 5' ..!:~~ r.C'ja~ ~~~~e~O\\~1 I 1.../, Q 6 ,o\\~-"~ rl,~\ -dO\~ ~o \}\\X~~tt.'. ~O~'N' ~\ ~9-~~&Op~ t),~?J(;J . ~..e:~ ~. \-V $161.75 in~tu ~ ~~iteposit and applicable fees. ~ Ce 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_ .... ---- tJ L//~//(ji Date For Office Use Job# c..8 -COb Z 5" Receipt# if J 5- I bd 1E "'b'3 . Amount Collected Shared Dnve(T )/BUlldmg Fonns/Bhmp]ennants_Balloons8-06 doc ..-.-.:- HI)' ~P-16-20\Y3 11 .~_' J ~VESTr'lEtlT'3 f-FEIFEP. -=1~~2::4188t P.01 FROM : ~LLOONi31 'l 1.6 2008 ~2:58PM P2 H\:<T' . rm- NO. ~ /frz ~v~;tI-c) i 1,1 ~ _ -- , 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. 1. > 7 ) ~~4' I ~-/0-cE Oat. .......... A~ .....:d. ~ -....- 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 ~ ~ ~\ ~t-~\. ~~ ~'P \::J ~ Date c;/s /t>~ ~~ 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