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Home My WebLink AboutPermit Signage 2008-8-5 l~ "~~1 .--1 r-~ , ,-{ ~ ~1 l~ ~~ ~ ...r-I , 1 ~ ~ ,----,- ~ ~{ ~ ~ ~ ~ ~J ~{ ~{ ~ ~ '. II " II ~} ,,~ ~l .............. ~J I~ ~ ~l ,,~) ~I ~1 ~{ ~l ~ ~~ .............. ~\ll a " 'r-(~ " I~ ~l ...- ~ CITY OF SPRINGFIELD, OREGON 225 HrrH STRELF . SPRINGFIELD, OR 97477 . PH (541)726-3753 . lAX (541)726-3689 CIty Job Number _ (/5 .-- 11 <g g (<{11 P/O r--JEE i<- Assessors M8~ /705 Z bZ ~ Job Localton P~~k W A\-' T"x Lot az'!<y'L Owner of Property l! \ Y\n (() R..~A L ITV 6T'E;' I bO COr<..t--JEU. RlJ. PhoneSQ?:'!51L).~3?J2q \ ala 3S NuJ , Clt" po RTLA. N D State 0 R S Ic'N CO rnP~NY ~"H;",';';H~;>' PRClCLf-\ \ YY\ ~ R(\Y\J\C1T\() NS Address I 4" 7 (J m P\ \Q..K. C-r S\S [ cr 0 Phonp q zS I1s 1 - .3 oc:x::) ! TTr=~lT10N Oregon law requires you to CIl:' CO N CO (2.., D~', :GVJ rules adootea tsiJlee O~ Ulillty ZIp I,O,:'lsation Center Those rules are set forth Construclton Contractors Llcen~~ #g)OAR 952-001-0010 through OAR 9521-0P.~illfes UU ,ou Iflay UUld./1l \';UfJlt1-..; UI U 1l:11 U 1:;:" uy DescnptlOn_PLE A. S F' '~H~'~~ ~~~~t~r~ ~f.~f1f--A p ~\ I C~_ e7i J Z Q I Oe-enter IS 1-800-332-2344) - -I 0 I ( -I oY Date of InstallatIon "0 Date of Remo~p, I(J. - Address ZIp (~5Z.0 $161.75 includmg $100 00 DepOSit and applicable fees. By signature, I state and agree that I have carefully completed thiS apphcatlOn and hereby certify that all mformatlOn hereIn IS true and correct I further agrec and understand that the above descnbed display WIll be removed WithIn fourteen (\4) days from the date hsted as the date of InstallatIOn above Ifthe dIsplay IS not removed wlthm the t,melIne speclfied, I WIll {q~'T\~'$lOO 00 depOSit I ~~ ~'WtffiWthat thIS speCIal pennIl can be Issued only oncehper calendar y~a\llg~h ~'t,~\'tPffi4"'tllr@(l'iq\;; rl\&I\'\"lts R'illfthe InspeclIon lIne at 726-3769 by the end of the 14' day to requesiTh\llhSi 560\) raffil'\!.fY ThM~ 1'V~'toF~ dISplay ThIS InspectIon will begIn th~return the $100 00 d~U;\l-\~H~ p(j~ Y3s,tl;lSMlOOJ'lI,;Vd :JOMME p'~p,fuo I Signature -f:J <:. P ~ ANY -:I)' _ Date Q.. 5 J O~ I ~ - . , For Office Use sr/5/Dr Date of ApphcatlOn -2..:,'/' ~:J Job# cB -O(f S"t Recelpt# IZJ"6 Amount Collected /b/7S Issued B" Shared Dnve(T )l8ulldmg Fonm/Bhmp_Pennams_8alloons8 06 doc -ii:~iij Status Issued 225 FIfth Street, Sprmgfield, .oR 54]-726-3753 Phone 54]-726-3676 F.x 54]-726-3769 InspectIOn Lme CITY OF ~rK1NGFIELD Building/Combination Permit PERMIT NO: COM2008-01188 ISSUED. 08/15/2008 APPLIED 08/08/2008 EXPIRES: 10/06/2008 VALUE: SITE ADDRESS ]89] PIQNEER PARKWAY EAST ASSESSQR'S PARCEL NQ ]703262302302 Spl mgfield TYPE .oF WQRK Blimp, Portable SIgn, Etc TYPE .oF USE PRQJECT DESCRIPTIQN Pennants - mstall 092008 removal date ]00608 .owner PK SALE LLC Address 3333 NEW HYDE PARK RD #]00 NEW HYDE PARK NY ]]042 Contractor Type SIgn I CQNTRACTQR INF~RMA TIQN I Contractor .oWNER LIcense # ofUmts Pnmary Qccup.ncy Group Secondary .occupancy GI oup Pnma, y ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms Frontyal d Setback SIde I Setback SIde 2 Setback Rearyard Setback Sol.r Setbacks Street Impl ovements Storm Sewer AvaIlable SpecIal ]nstructlon Notes DeSCriptIOn BUILDING INFOR~;\ TIQN' # of Stones B HeIght of Structure Type of Heat VB Water Type Range Type Energy pathr "le5 ~OU to Sprmkled BuIldmg \ U\\\\W nla I. ''''~ _"",t lo(th ~ DEVELOPMENT jNF:~RM'ATIQN , , v '1.....-.... 'tnet.....-- 1\ - " ~oll\es 0 \ephone , '\JlI ,,\e.~ Oi1l~b~!)lStthe ~Jot\l\ce.t\Ol\ OOcv\\ ~g the ceti'Slr~~\hJiree~\R\I~4) ca ~~e( lot thPa~~d~~~ nUl centeo/Jsot Lot Coverage I PUBLIC IMPRQVEME~TS I New Commercial ExpiratIOn Date Phone Lot SIze Sq Ft ]st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft .other .occupant Load REQUIRED PARKING Total HandIcapped Compact. SIdewalk Type Downspouts/Drams t \NO?\<. \'\?t W i\-\ \'0 ~O\ "I~;~~;~~;~ ~~~;Qt;~~:~~~~~ fO? I u('\\-'IIL-Lv -t \'0 J:>;vl"' V aluatJol1'}'D\'sr,rJDtj~~, ? 'OQ. C\)\~l"'- ~'{ t?' $ Per Sq Ft ~~'{"\ 'BQul;)re Footage or multiplier or BId Amount Tvpe of ConstructIOn Page] of2 Value Date Calculated ---"~ ~ WiL~ CITY OF SrKll'llJt<lJ!.LD . Building/Combination Permit Status Issued PERMIT NO ISSUED. APPLIED. EXPIRES VALUE COM2008-01188 08/15/2008 08/08/2008 10/06/2008 225 FIlth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fdx 541-726-37691nspectlOn Lme Total Value of Project Fees PaId I Fee DescnptlOn + 10% AdmmlStraltve Fee + 5% Technology Fee Bhmp + SpecIal PermIt DepoSIt Amount PaId Date PaId Receipt Number $1450 $225 $45 00 $10000 8115/08 8/15/08 8115/08 8115/08 2200800000000001256 2200800000000001256 2200800000000001256 2200800000000001256 Total Amount PaId $16175 Plan Reviews .1 To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7:00 a m. wIll be made the same working day, inspections reque~ted after 7 00 a m. will be made the following work day. I Rel)U1red Tus'l.echolls I Banner Removal To be requested the day followmg the eXpIratIOn of the permIt If mspectlOn IS not requested, the apphcant may forfiet the depOSIt By signature, I state and agree, that I have carefully exammed the completed apphcatlon dud do hereby certIfy that .dl mformatlOn hereon IS true and correct, and I fUI ther lcrhfy that any and all work performed shall be done In accordance With the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY will be made of any structnre wlthont permISSIon of the Commumty ServIces DIVISIOn, BUlldmg Sdfety I further cel tlfy that only contrdctors and employees who are III comphauce With ORS 701 005 WIll be used on thIS project I further dgree to ensure that all reqUIred IIIspectlOlls are requested at the proper tIme, thdt each address IS readable from the street, that the perm.t cdrd IS located at the front of the pI operty, dnd the apploved set of plans will remam on the SIte at all times durmg constructIOn Owner or COli tractors SIgnature Date Page 2 of2 225 FIfth Street Spnngrteld, O'regon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1188 COM2008-0 1188 COM2008-01188 COM2008-0 1188 Payments Type of Paymeot Check cRecemtl RECEIPT #: Description DeposIt Blimp + Special Penmt + 5% Technology Fee + 10% AdmInIstratIve Fee PaId By PROCLAIM PROMOTIONS INC l~~ E. CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department 2200800000000001256 Date: 08/1512008 Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 3342 In Person Payment Total Page I of I 2 29 38PM Amount Due 10000 4500 225 1450 $16175 Amount Paid $161 75 $16175 8/1 512008