HomeMy WebLinkAboutPermit Signage 2009-6-29
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225 FIrm STREET. SPRINGFIELD; OR 97477 . PH:(541)726"3753 . FAX: (541)726"3689 '.
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Construction Contractors License # Pxpires I
Descriptior (;.(., 12o,-,'"d 15'?1.lIoo'1 e U" '.:'" r~QUi(e~~~~,)~:,
. . . / "EN1\ON: or \J d by't\16 Oreg c '" jo'th
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Date ofInstaUation /: / 2 I 6'1 . "_,,, r\lleSDate of1,Removlll' . .0/ Z'b.1c(j)Q
, . I N";;trticatiOn (j~\I~~01 0 throUg~ ~lth~ ruler bY
;~ nJ>.R 952..0 "" Ahlaln cople ,~~ ,p\ephone
0090. WU ".-, ter. (,'!U\o':: Noti\\ca\,U"
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$202.00 IncludIng $100.0~P.~PPslt"and\leI!Bljcatile fee~.
nuff\O ~ _"'0' 15 1-tl . ,
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By signature, I state and agree that I have carefully completed this application and nereby certif'y that all
information herein is true and correct. I further agree and understand that the above d~s~ribed 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, 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 inspection to verity the removal of1J;le display. This inspection
will begin the process to return the $100.00 deposit if the display has been removed. Ii
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Job LocatioI' (-/i-{t) w..o.r 10 l...J R2
Assessors Map 170 3 zz. 4 '-f
Owner of Property ::BecK,,' S+.e.n 2.le
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Date
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For Office Use
Date of APPlication-kn ~ r
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Job#
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Shared Drive(T:)IBuilding F~limp ]ennants_Balloons 7-08,doc
CITY OF SPRINGFIELD
Building/Combination Permit
"
Status
Issued
PERMIT NO: COM2009-00951
ISSUED: 0.6/29/2009
APPLIED: 0612912009
EXPIRES: 07/06/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 445 Harlow Rd
ASSESSOR'S PARCEL NO.: 1703224407200
Springlield TYPE OF WORK: Blirrip, Porta hie Sign, Etc.
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Balloon - 062909 removal date 070609
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I'st Floor:
<I
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occup~nt Load:
n/a
I DEVELOPMENT INFORMATION 1
REQUIRED PARKING
Frontyard Setback:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage: .
Total:
:' Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
-,'
NlrriIlBU1C IMP..I~Q. Y"~ffil'.s:tr 1\-1t ~S~uNnO'~ '
I. .., . . .. r, 0\\1111 \
1\1IS \-'tt'\\V11' v' DER 1\1\5 \" n Sirn.walk Tv e: .
Ul\10RIIED UN ANDONEDrun . p
. A \\II\\IIENCED OR \S AB . Downspouts/Drains:
CO 0 D!\Y PERIOD.
ANY 18 .
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value'
Date Calculated
Paee I of 2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Cqmbination Permit
PERMIT NO: COM2009-00951
ISSUED: 06/29/2009
APPLIED: 06/29/2009
EXPIRES: 0i7/06/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid 1 :
IIII
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Blimp + Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$18.00
$4.00
$80.00
$100.00
6/29/09
6/29/09
6/29/09
6/29/09
220Q900000000000726
2200900000000000726
2200900000000000726
2200900000000000726
Total Amount Paid
$202.00
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!lbe made the following
work day;'
I Reonired Insnections ~
Banner Removal: To be requested the day following the expiration of the permit. If inspeciion 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 h~reby certify that all
information hereon is true and correct, and I further certify that any and all work performed shaU'rbe done in accordance with
the Ordinances of the City of Springlield 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 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 wil1 remain on the site at all
times during construction.
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Or~~/Oq
Date il
Owner or Contracto;s Sjgnature~
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00951'
COM2009-00951
COM2009-00951
COM2009-0095I
Payments:
Type of Payment
Check
cReceint 1
RECEIPT #:
City of Springfield Official Receipt
Developme~t Services Department
Public Works Department
Ii
2200900000000000726
Date: 06/29/2009
1:2J:07PM
Item Total:
Check Number Authorization
Received By Batch Number Number How 'Received
Amount Due
80,00
100,00
4.00'
18.00
$202.00
Description
Blimp + Special Permit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
CROSSFIRE WORLD
OUTREACH
Amount Paid
djb
$202.00
8152
In Person
payme'nt Total:
1;
$202.00
Page I of 1
6/29/2009