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Home My WebLink AboutPermit Signage 2008-6-18 (2) Status Issued 225 F.ftb Street, Sprmgfield, OR 541-726-3753 Pboue 541-726-3676 Fax 541-726-3769 InspectIOn Lme CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO ISSUED' APPLIED' EXPIRES: VALUE. COM2008-00888 06/18/2008 06/18/2008 07/06/2008 SITE ADDRESS 2197 OLYMPIC ST ASSESSOR'S PARCEL NO 1703254201202 Spnugfield TYPE OF WORK Bhmp, Port.ble SlgU, Etc TYPE OF USE New Commercial PROJECT DESCRIPTION Balloou - mstall 062308 lemove 070608 Owuer POLEN DEVELOPMENT LLC Address 2197 OLYMPIC SPRINGFIELD OR 97477 Contractor Type S.gu Contractor OWNER # ofUmts Pnmary Occupancy Group Secoudary Occupaucy Group Pnm.ry Coustruchou Type Secoudary CoustructlOU Type # of Bedrooms Front yard Setback Side I Setback S.de 2 Selback Rearyard Setback Solar Setbacks Street Improvements Storm Sewer Available Spec.al1ustructlOn Notes DescriptIOn Type of Construction .._o~ \IOU 10 law \~..,- U\\\l1.1 \0\ oregon Ine oregon lorll'l ,b.\ \E~:\~s ado\lle~:~se lules ~~ ~~i-001. \o',lo>N C n\er \ n 0,,1" b" , ,,"raHOn ~. nO; 0 \nloUg, _, ''Ie lules 'J , _ (\_~R gbt.~Vv ',_').h'8:\1"\ CU\-,\'"':~o tA'epnUil~ I CONT~crrOlUf.ftQ..RM>\,[l9INitll\Cat\On al\ln\j co'. oreliuJ - "'34 c 101 \\\e 0-332-<- nutnbercen\er IS 1-60 License Expiration Date Phone BUILDING INFORMATION I # of Stones Lot SIze Helgbt ofSlructure Sq Ft 1st Floor Type of Heat Sq Ft 2nd !.lllD~()"'~ Water Type t ~~en\lmJS\'\O\ Range Type ~01\Ct: S\11,,\1- S-t gtl~(Wfort Euergy Patb ?'t.l\\'J\\i D't.l\ S "1 \lIl..~D to Sprmkled BUlId.~\-IOl\ll~?,~~\', IS P& ltitoad I DEVELOPMENT 1NriC{)~~\fi!W~1 ?'t.'i>.\\.lVo p.Nf \~, REQUIRED PARKING Overlay DlSt # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage Total HandIcapped Compacl IPUBLIC IMPROVEMENTS I SIdewalk Type DownspoutslDrallls I Valuation DesCrIDtlOnJ $ PerSq Ft or mulhpher Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 -~ Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00888 ISSUED: 06/18/2008 APPLIED 06/18/2008 EXPIRES: 07/06/2008 VALUE: 225 Flftb Streel, Spnugfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-37691uspectlOu Lme Total Value of Project Fees Paid J Fee DescriptIOn + 10% AdmlUlstratIve Fee + 5% Tecbnology Fee Bhmp + Spec..1 PermIt Deposit Amouut Paid Date PaId ReceIpt Number $14 50 $225 $45 00 $10000 6/18/08 6/18/08 6/18/08 6/18/08 2200800000000000920 2200800000000000920 2200800000000000920 2200800000000000920 Total Amount Paid $16175 I Plan Reviews I To Request an mspectlOn 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 Remllred r nsnechons I Banuer Removal To be requested the day followmg tbe explratlOu of tbe permIt If mspectIon IS uot requested, tbe apphcant may forfiet Ihe depOSIt. By slgnatuTe, 1 state aud agree, that I have carefully exammed the completed apphcatlOu and do hereby certIfy that all mformatlOu bereou IS true and correct, aud 1 further certIfy tbat auy aud all work performed shall be doue 10 accordauce WIth the Ordmauces of tbe CIty of Spnugfield aud tbe Laws of tbe State of Oregou pertammg to tbe work descnbed berem, aud that NO OCCUPANCY will be made of any structure WIthout permISSIOn ofthe CommuDlty ServIces DIVISIOn, Bulldmg Safety I furtber certIfy that only coutractors aud employees wbo are 10 comphauce wltb ORS 701005 will be used on tb,s project I furlber agree to eusure tbat all reqUIred mspectlOus are requested at the proper tIme, that edcb address IS readable from tbe street, that the permit card IS located at the frout ot the property, aud tbe approved set of pia us will remam ou tbe sIte at all times durmg construction -rL , -f~ ~ I g -09, ./ ~ Owner or Contractors Signature Date Page 2 of2 "11~~~r:'" '~~L~1 '~k}~< ' r~~. 225 fIITH STREET. SPRINGfIELD, OR 97477 . PH (541)726-3753 . fAX (541)726-3689 ~ Co-1~og-ou $88' 'I :=:.~~~:7~ :;:;~ 51 ~ l-arry i o...or"""", Address :1 I ct 7 ..~ Clty.5fr;r7e-.[;eI) ~ ' / ~ Contractor/Install"' ~ Address = Clt: ~ l o :: :: ~ ~ =: ~ e( ..~ ~ (fJQ i1<5 "TWfr>--. [~ ~-'~ Tt;>xLot 0' 202. PoJevr ()/~,'c. g I"" ::~."ileS;,o1~1~onr ~ oregon \\'Ie o~e~e\ \0(\\'1 r.,'n::~I~O _rnn\ed b'l Q;tat\\l~~nf\f\\' \~\lOW 1~~~"Cen\eIO\~I~~;0\1gn 01 \\'I:;~es b'l "n\,I\ca:_:- nf\~-O _~.."es 0 '_,hone '1(\ 0{>..\'I ::;~~ l'lIa,'1 00\"" '~~oi.e \tIe ~~t\\ICa,\IOl\ Clo90 '''P cen\~l __"n U\\\\\'I3'/') Phonr Ca,II'"'' , \\'Ie V' -.J 0-'3'3'(.-" ' bel 101 IS \ ,\)0 n\1l'l1 "pn\el ~tate , 7L/?:, -G1r;,0" ZIp q71177 ZIp ConstructIon Contractors LIcense # /' ROUnd 8",//00'1 Description (/J' P,xplres Date of Removal I-r;,-Ot'r..\~f:jy,~ ,c \ \ ~ to'\) \ ~\y,~ ,\ \1 \~ ,. ,.......' \ tf. _ o~~\l\ d\9. O\\\J"'. II 'bt'l"i~ 1\\'''' ' G~t.\i \ - $16\ 75 including $100~\\\Q~~~~I~~ees ~'ln~ ::r':-n?;' .J;. By signature, \ state and agree that I have carefullf:~c . ( ~I~~ l\llP~alt~n and hereby certIfy that all mfonnatlon herem IS true and correct I further agree 'l~d that the above descnbed dIsplay WIll be removed wlthm fourteen (14) days from Ihe date hste he date ofmstallatIon above If the dIsplay IS not removed wlthm the tlmelme speCIfied, I wIll forfeIt the $100 00 depOSIt I also understand that thIs specIal pennlt can be Issued only once per calendar year per development area I also agree 10 call the mspecllon lme at 726-3769 by the end of the 14th day to requesl an mspecllOn 10 venfy the removal of the dIsplay ThIS mspectlOn WIll begm the process to return the $10000 depOSIt If the dIsplay has been removed Date of Installation If, - J. 5 -0 ~ Slgnatu'p /5 :,-, b:?- ^ p7 Dat~ r:; -/108 Date of ApphcatlOn f-,-n-o r 'DIJ For Ofllce Use Job# c.S -OiJ <68 ~ Recelpt# C; ZO /6/7) Issued By Amount Collected / i Shared Dnvc(T )/BlIlldmg Fonns/Bhmp_PennAnIS_Balloon~8 06 doc 225 Fifth Street Sprmgfield, Oregon 97477 541:726-3759 Phone Job/Journ.J1 Number COM2008-00888 COM2008-00888 COM2008-00888 COM2008-00888 Paymeuts Type of Payment CredltCard CRLl.elOtl RECEIPT #: Description Deposll BlImp + SpecIal Peron! + 5% Technology Fee + 10% Administrative Fee PaId By BENJAMIN ELEY ~~ City of Sprmgfield OffiCial Receipt Development Services Department Public Works Department 2200800000000000920 Date' 06/18/2008 Item Total t.:heck Number AuthorizatIOn Received By Batch Number Number How Received dJb 034418 In Person Paymeut Tolal Page 1 of 1 10 10 39AM Amount Due 10000 4500 225 1450 $16175 Amount Paid $161 75 $16175 6118/2008