HomeMy WebLinkAboutPermit Signage 2008-10-24 (2)
ZZ5 FIlTH STREET 0 SI'RlNGHELD, OR 97477 0 I'H:(541)726<~753 0 F^,X:(54 1)726-3689
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CITY OF SPRINGFIELD, OREGO~
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Tax Lot
03S0~
OwnerofProperty COt\,MEQ C.IA.L INVtGTt'Y\ENT PRO ~Ef<.....,Tl12<\
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Address. 1100(\ VAL-L-EV RJVI?k.... ~> IPhone 5Yl ili9,&;; Ji.O'tO
City E U 0lt=? t--...J 'C: State 0 R... Zip 91 Y-O (
S.~~,.s:~/lnstal1p, P\2-.Clc.. L-A.I VV"I PR.Cl m ona ~ <-
Address 14WMA~~~ CT 5TE:. I~Phonequ/'2fl)I-30CO
,.' TION: Oregon law r.eq~~~~1 il q I I e:::: -J ~
Cit" CON(,Q12~~ "__",,plp.dbVthe,QatJ! _' 'Zip \'-t"JLJ,--.J
. IOIHJW ,u.-- -. . Th e rUre:;," . .
. . .' Notific'ation center. t~~OU9h OAR 952-001- .
ConstructIon Contractors L;IF!:!)~!\ #52,00; -00; 0 'U ;~:T:~ .hl> rules bY_ExpIres
,. 0090 You may obt~'tNQre: the te'e~\l.o~e.a. . \ ~ I V2 PE -rl-
DescriPtionll\.r5TALG..~aliWft~~,;,~l1\lI/w..to!~i/;;atiOIDt! L.L.()()/,-, ?' NNA.N t
. lJulT)ber jor )U~iS ; .600-332.2344). . / / n
Date of Installation 16 /2JH-.Cf;f(!J6j{ Date of Removal II 3 0 IS
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...J!'P.75 including $100.00 Deposit and applicable fees.
By signature, I state and agree that I have carefnlly 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
removed within fourteen (14) days from the date listed as the date of installation above. If the display is not
removed within the timeline specified, l will forfeit the $100.00 deposit. I also nnderstand that this special
permit can be issued only orice per calendar year per development area. I also agree to ca.~ the inspection line at
726-3769 by the end of th~ 14'h day to request an ins ection to verify the e 'YVI~MlG~play. This inspection
Willbe~ct-i ~.processt,r mathe$100.00 WI i pE :tJ(ty1'OS.,"Ol I &fL
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Signa!u p .. __~. }li - .Date 10.110..
c . ,., . Oil nP,~ PEP-IOO.
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f<'or Office Use
Date of Application /0/-2-:;(08.
Issued By ,'. ~'<::,
CB -0/5"61
Receipt#
Job#
Amount Collected
2C> 2-r-
Shared Drivecr:)/Building FormslBlimp _Pennants _ Balloons8-06.doc
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination" Permit
PERMIT NO: COM2008-01569
ISSUED: 10/24/2008
APPLIED: 10/23/2008
EXPIRES: 11/03/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5415"MAIN ST
ASSESSOR'S PARCEL NO.: 1702334203300
Springfield TXPE OF WORK: Blimp, Portable Sign, Etc.
TYPE OF USE: New
PROJECT DESCRIPTION": Balloon - install 102408 removal date 110308
Commercial
Owner: MCKENZIE PLAZA LLC
Address: 1600 VALLEY RIVER DR STE 160
EUGENE OR m401
I CONTRACTOR INFORMATION ".
Contractor Type
Sign
C,!ntractor
PROCLAIM PROMOTIONS
BUILDING INFORMAT\ON ilqulreS yoU.t~
:nON: 'Jre\ju'" - the oregon Utili\,!
~~\lU"ie~ adopted by e rules are se~ ize:
1~~1~Rf&. ()"aIll\1l1>c 6~~~OU9h OAR 95 ~Ist Floor: .
1l'f('9~1-001. copies 01 the ru 1'2nd Floor:
I ?JO~~aY obtain Note: the tele\l~% 1\ Basement:
~\M\\'r;~ cente~'e~on Utili\,! Notlll~q t GaragelCarport
EIl6ft\fl~the.O 1.aOo-3S2-23"A). Sq Ft Other:
Sprinkle~\JI~: .. nla Occupant Load:
License
Expiration Date
Phone
925-887-3000
.# of Units:
Primary Occupancy Group:
'I
Secondary Occupancy Group:
Primary Con~truction Type"
Secondary Construction Type:
# of Bedrooms:
I" DEVELOPMENT INFORMA TIO~ ".
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0;:0 of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPRO~mlm.l EXPIRE If i\-1E WOR\{.
11115 PERMll S~~~"tfl\9't'ERMn IS NOl
f\.UlI10RIZED U..Do~l\$l\MllQ~~P: FOR
COMMENCED un
ANY 180 DAY PERIOD.
Notes:
I V ~Iuation D~scriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Sq uare Footage
or Bid Amount
Value
Date Calculated
Paee I 01'2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01569
ISSUED: 10/24/2008
APPLIED: 10/23/2008
EXPIRES: 1lI03!2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lihe
Total Value of Project
Fe~s paidJ
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Blimp + Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number'
$18.00
$4.00
$80.00
$100.00
10/24/08
10/24108
10/24/08
10/24/08
2200800000000001553
2200800000000001553
2200800000000001553
2200800000000001553
Total Amount Paid
$202.00
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.
Reouired Insoections I
Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested,
the applicant may fol-tietthe deposit.
"
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
informa"tion hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
th'e Ordinances of the City ~f Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY wili: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
Date
Paee 2 of 2
225..Fifth Street
Springfield, Oregon 97477
,
541-726-3759 Phone
Job/Journal Number
COM2008-0 1569
COM2008-0 1569
COM2008-0 1569
COM2008-0 1569 .
Payments:
Type of Payment
Check
CreditCard
Job/Journal Number
COM2008-0 1569
COM2008-01569
COM2008-0 1569
COM2008-0 1569
Payments:
Type of Payment
Check
CreditCard
cReceintl
lJ
RECEIPT #:
Description
Blimp:it- Special Permit
Deposit
"
+ 5% Technology Fee
+ I O%IIAdministrative Fee'
II
Paid By II
PROCLAIM PRODUCTIONS
WILLIAM iWELDON
.1
Description
Blimp:t Speciai Permit
Deposit
, .
+ 5% Technology Fee
+ 1 O%IIIAdministrative Fee
I .
II
Paid 8y
PROCLAIM PRODUCTIONS
"
WILLIAM WELDON
II
I
,i
City of Springfield Official Receipt
Development Services Dcpartment
. Public Works Department
,
2200800000000001553
Date: 10/24/2008
Received By
Check Number
Batch Number
Item Total:
Authorization
Number
How Received
DJB
DJB
3623
In Person
025451 In Person
Payment Total:
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DJB 3623 In Person
DJB 025451 In Person
Payment Total:
)
Page 1 of I
1O:50:2IAM
Amount Due
80.00
100.00
4.00
18.00
$2U2.UU
Amount Paid
$161.75
$40.25
$2U2.UU
Amount Due
80.00
100.00
4.00
18.00
$2U2.UU
Amount Paid
$161.75
$40.25
$2U2.UU
10/24/2008