HomeMy WebLinkAboutPermit Signage 2008-11-17 (2)
ZZ5 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689
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City Job Number
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Job Location
Assessors MF r
Tax Lot
Owner of Property /3tp : / A- ~Sj'1 ........~_
Adgress ;;):;;:/7;) LM J H-r--
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City
State _/'77/
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Zip 97VO(
Phone
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Contractor/lnstalle"
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Address / -7/ Cjlj Cd./'/ ,LJ)(v
Cit:' ~ q; Y 1:)'./ /'.,r/; I "tate _O:x Zip: f 707 ")
r . U'lres you to '
, , T - ON: Oregon law req. ' .
ConstructIOn Contractors License # ,~" TeNTI, '1'-" .hnE'xpQjes11Ilillty
, /J IO'!OW rUles~o.uUI-',vTh- 's~ rules are set forth
Description CoX /0-' It DI"r/ !c,--'z}piJl.':!!} ~;:,~t,;'~'1 nll~rnlloh OAR 952-~01-
, / In UI\t\ ~~~-VV' - bl in copies of the~les uy
Date ofInstallation jD!Al/ () ~ 0090,:.:~~~~~t~O;R~'8V.l\1e tele-r,~f ~
/~ vW""~ - h Oregon UtITiiy ,w "'''' .-
number for t e, 1 800-332-2344). '
Ce~M~ - , . ,
~Uding~eposit 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
removed within fourteen (14) days rrom the date listed as the date of installation above. If the display is not
removed within the timeline specified, I will forfeit the $100,00 deposit. I also understand that this special
permit can be issued only once per calendar year per. development area, I also agree to call the inspection line at
726-3769 by the end of the 14th day to request an inspectiOli to verifY the removal of the display. This inspection
will begin the process to return the $100,00 deposit ifthe display has been removed.
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Date of Application
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Amount Collected
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Shared Drive(T;)lBui!ding FormslBlimp]ennants_Balloons 7-08.doc
CITY OF SPRINGFIELD
Building/Combination Permit
Status
FiIialed
PERMIT NO: COM2008-01671
ISSUED:
APPLIED:
EXPIRES:
VALUE:
11/17/2008
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I
I
SITE ADDRESS: 1174 Gateway Lp
ASSESSOR'S PARCEL NO.: 1703222002410
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PROJECT DESCRIPTION: Balloon - expired. REF: C0D2008-00644
i
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Springlield TYPE <?F WORK: Blimp, Portable Sign, Etc.
TYPE OF USE:
New
Commercial
Owner:
Address:
I
SHEILA S LLC
3194 GATEWAY LP
SPluNGFIELD OR 97477'
I
I CONTRACTOR lNFORMA TION I
Contractor Type
Sign I
, Contractor
OWNER
Licenst 10 Expiration Date Phone
-"DC. \fO
-p~''-'\' >~_~ Illi\iW
BUlLDlNG INF?RMATlON:f sel :~~\~~
". .., 'V' ,-" \Id-" tI 01\\-1952\ 5 '0'1
-, " # of si~\iig~:\ I) 1"loUges 01 Itle I': eone Lot Size:
, ,,,)'-VV ~()ll\ \ nl> I>
, ", "Height of .5't~ucturele' Itle Ie ey\, ~Iiol\ Sq Ft 1st Floor:
\>' I' _" cn'"'' \\'>\0' \,>\011 IC~
I)O\;!) , Typ~~fJj~~t:. n \.lli\iW Sq Ft 2nd Floor:
ca\\iWaier'Ty.ee<:lle900 "-32,2344). Sq Ft Basemeut:
.101 \, '\ aD -v
nulfRiin,gt;lillP45 - Sq Ft Garage/Carport
Enel-'gy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
# of Units: I
Primary Occupancy Group:
1
Secoudary Occupancy Group:
Primary Consti'uction Type
Secondary Co~struction Type:
# of Bedrooms:'
!
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I
i
Frontyard Setback:
Side l Setback!
Side 2 Sethack!
,
Rearyard Setback:
Solar Setbacks!
I
I
I
Street Improvements:
Storm Sewer A'vailable:
r
Speciallnstructiou:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: ?,\<. Compact:
% of Lot Coverage: W -\\-\t. ~O :'i
..n'T,\',t', _ "I.lM_\.. t."'?~;I"RWI\:'i \~~O
I PUBLI~~~i~~1ii \~~~OO~t.\) rv' I
'''~\- r, ,,\" Ii\-, .! [;:v"
r>,\) ~~~ic'i'.\) G '\00" Sidewalk Type: ,
, COWl"'\- ,,'{ ?'i'.\'-, '
r>,~'{ '\'000" ,Downsp!'uts/Drains:
Notes:
I V alu~tion Descriotion .1
Description
Type of Constructiou
$ Per Sq Ft
or mnltiplier ,
Square Footage
or Bid Amount
Value
Date Calculated
,Paee I of 2
"
,
Status
Finaled
225 Fifth Street, Spriugfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Iuspectiou Liue
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Blimp + Special Permit
I
Total Amount Paid
Amouut Paid
$8.00
$4.00
$80.00
$92.00
CITY VJ' ~rKlj"\.JJ'H..LD
Building/Combination Permit
PERMIT NO: COM2008-01671
ISSUED:
APPLIED: 11/17/2008
EXPiRES:
VALUE:
Total Value of Project
Fees Paid I
I Plan Reviews ,
Date Paid
11/17/08
11/17/08
11/17/08
Receipt Number
1200800000000001150
1200800000000001150
1200800000000001150
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 Insnections ~
11 I "
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 descrihed herein, and
that NO OCCUPANCY will be made of any structure without permissio,n of the Commuuity Services Division, Buildiug Safety:
I further certify that only contractors and employees who are in cumpliance 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 frout of the property, aud the appro,:ed set of plans will remain on the site at all
times during construction. .
Owner or Contractors Signature
Paee 2 on
Date
225 Ftfth Stt;eet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-01671
COM2008-01671
COM2008-0 1671
Payments:
Type of Payment
Check
cRece.intl
RECEIPT #:
Description
Blimp + Special Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Paid By
HEATHER ENLUND
1200800000000001150
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/17/2008
2:58:4IPM
Amount Due
80,00
4,00
8.00
$92,00
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
Page I of I
05129D '
Amount Paid
In Person
Payment Total:
$92.00
$92.UU
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11/17/2008