HomeMy WebLinkAboutPermit Signage 2009-6-30
225 F1rrH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 Ii
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it: Job Location
~ Assessors Map
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I; \, Owner of Property
'. ~) Address
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~. Address
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~ Cit:'
rrfl\\ Construction Contractors. License #. Expires
~ Description / - LL// //H/ < J,&., r5.[jJ17NJ/(// X/3 /X<//
g ....,fI,......" 1/_"";/07. ?"""llim"'" ,riff;")J
~~/S r7:.~ 1J-'~o~~,r'Pus$,.J~< !J'j1R~~b~/oJ
"J $2~~r:00 i~~~~~i~~g$l~P,~lit'ge~~~:~!?,?,~pplicable fee~!
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m By SIgnature, I state and ~gree tljatIhave(car~f!!!)~t7omple~~ihlits:apphcatJon and hereby certIfy that all
r ( information herein is true and~c\'ori&!i. r'Ffurtheriagfee Jhrii'ililde~ft3ri'd)that the above described display will be
, "";UJlI'g th,o G,;..t, -'"'r-Jrc~ 0' rnr. r' .," - , :1
~ removed w!th~ fou~een ~ I ~M~~g,lfRf\~~.e~~t~:11ist~ ~o-1f,t!I~he:~~~stallation abovr, If the display is .not
~ removed wtthm the tunelme spectfiell; I wIll'foffett the/$l 00.00 depostt. I also understand that thIS speCIal
~ permit can be issued only once per ~~i~'iidn ye1/f1per'deY.'~pp#~'ffi[~a. I also agree to call the inspection line at
=: 726-3769 by the end of the 14th day to request an inspection to verifY the removal of the display. .This inspection
~ will begin the pr(91ss to return~e $100.~O !1Jj;sit if the display has been removed, .
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City Job Number C~oo 9- 069-J'b
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Contractor/lnstaller ~ <J~ t ;::
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THIS PFR'AflIT "'J" For Office Use
. P/J'}"tjO~I~ .J, ""L.l tXPIRE 1&-;1'; ~ - It
Date of Application (~Z'.%::-~'J?JNDER Tl!lJO~#-.f...:~ WO~16 b Receipt#
. --....,,"~'VGl::u OR IS A - l, IIVII I Ii) NOT "
. AN'l<..1~ 0 BANDONED II ?_
Issued By :J)I'1" AY PFR/nr. FOl1unount CoUec,ptJ 20,-
72%
Shared Drive(T:)lBuilding FOI'IIlSfBlimp _Pennants_Balloons 7-08.doc
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Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINLtu.LD
Building/Combination Permit
II
PERMIT NO: COM2009-00956
ISSUED: 06/29/2009
APPLIED: 06/29/2009
EXPIRES: 07/1312009
VALUE:
SITE ADDRESS: 1174 Gateway Lp
ASSESSOR'S PARCEL NO.: 1703222002410
"
Springfield TYPE OF WORK: Blimp, Portable Sign, J'tc.
Owner: SHEILA S LLC
Address: 3194 GATEWAY LP
SPRINGFIELD. OR 97477
Contractor Type
Sign
Contractor'
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard.Setback:
Side I Setback:
Side 2 Setback:
Rea..yard Sethack:
Solar Setbacks:
Street Improvements:
Storm Sewer AvaiJahle:
Special Instruction:
Notes:
Description
Type of Construction
I CONTRACTOR INFORMATION 1
License
BUILDING INFORMATION I
# of Stories: " ;'0 \fOU to
H. h "S'- .Ml\,I_S J
,- " e'g to tructure n Utility
Type of Heat:! :.'8 ore9r08 set forth
-. 00 (Illes a
,:-Vater. Typ~:"O~ hOAR 952-001-
. .,Range;rype:lfOU9s of the rules by
It ,,\' - E 'R-' h ....Op19
O'e.'J. \uU ,I!e.~gy;_.at ,i;-..~' the telephOne
Cullin" t~pmnkled. BUlldmg:'lty Notihc!1iaJn
t:\ ,.,... ......... ()rp(1on Ulli .
r"""'~" .-. _~,r> .,.J.,_.....,_.......
I D~V~L0PME-N'f.I~FOR:v'ATION .1
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Commercial
Expiration Date Phone
Lot Size: .
01
Sq Ftl~t Floor:
Sq Ft 2nd Floor:
'I
Sq Ft Basement:
Sq Ft Garage/Carport
."
Sq Ft Qther:
Occupant Load:
I'
"REQUIRED PARKING
Total:
ii Handicapped:
'. Compact:
I PUBLIC IMPROVEMENTS 1
. Sidewalk ~~"i'J'~R\\
Oi\C~' c"p\I'.E II' . ,r:'MOl
N . Mil SI-If\..LL "DowilSe.~'\VH1>r.ains.
~~:~~2EO U~~~; ~~~~;O~EO FOr
c?~~;~%~~ PERIOO. II .
I V aluation DescriDtio~ I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Paee I of 2
I'
!:
I:
Valuei'
Date Calculated
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
,
PERMIT NO: COM2009-00956
ISSUED: 06/29/2009
APPLIED: 06/29/2009
EXPIRES: 07/13/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
;'ees Pairl .
.. ..~ .
$18.00
$4.00
$80.00
$100.00
6/29/09
6/29/09
6/29/09
6/29/09
I;
Receipt Number
2200900000000000728
2200900000000000728
2200900000000000728
220090000000000~728
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Blimp + Special Permit
Deposit
. Amount Paid
Date Paid
Total Amount Paid
$202.00
I Plan Reviews ,
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. wilLbe "1ade the following
work day.
I ReOl,Jirecl TnsnectionsJ
,;
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, al~d I further certify that any and all work performed shall:rbe 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 Servi~es Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 willi:be used 011 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 remaill 011 the site at all
t;es ~.r::c_o ~ns~ruct~_n. #; /h
U-T-;;+-/v{~ lb.7/{]f
Owner or Contractors Signature Date I Ii
ii
Paee 2 of 2
225 Fifth StFeet
Springfield, Oregon 97477
541-726-3759 Phone
City of Sprihgfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00956
COM2009-00956
COM2009-00956
COM2009-00956
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Date: 06/29/2009
2200900000000000728
Description
Blimp + Special Permit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
MICHAEL SCHWARTZ
Item Total:
Check Number Authorization
Received By Batch Number Number How 'Received
djb
072843 In P,erson
Payment Total:
'.
Page 1 of 1
. II
2:49:34PM
Amount Due
80,00
100.00
4.00
18,00
$2U2.UU
Amount Paid
$202.00
$2U2.UU
6/29/2009