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HomeMy WebLinkAboutPermit Signage 2009-8-7 R~CEIVED 08/04/2009 14:27 CITY OF SPRINGFIELD PAGE B2 ".. 08(04/2009 13: 34 7253575 2Z5 FIFIlI5I'IlEIrr . Sl'\IINGnELO, OR 97477 . FH:(54I)72S-S758 . FAX: (541)726-'689 ~ . /"-"~A"''''''oC-Oll'i7 . ..~ CltyJob!(UIDbeJ' LL-"'""I......... r , ~ JobLocatiOll~~ ~~'{ Met! ~" st-. ~~~ ,d~ ~ Oo~~' . ~ As~SOl'$ Map /703. 2 Z z.o . Tal[ Lot '" - 'T c:> 080 l.{ ~ i ..~ .,--~ ~ eAddress I Cit ~ . a D_ oflDsblllatlOD 0) o .~---h ~ Q ~ ~ ; ~ t = ~.* M C)\ ~ ~rw&o ~ SfI'"'''OPtlE,LD ,,,.,'~~'.......~... ('IT", OF sPRI'\J(,F1r:LLJ. OR'E(jO)\i - - -. - - ~ Ownc:rotf........J 'IlZ. ~ A~ ~ . ~ .~-~ .-\-\4'asc,;; Phone 54 \ ... SId ....aqr;'t> "'IENtD v City tv'W.~/fo~v r"/~ )N: Or"nn_ . 'O~ lip _ t1:tSV r . , \ . 'U/",C~"~ - qUOPled' .qw req . CorItractorllnstall..J ~~~A~~~r. rh~Y Ihe o;~:e_s Yov in . -u. Yov . -. -UOl 0 -vco rVles ~ V" utilil n:aJling Ih::~Y Oblain 1~~OVgh O};": sel for~ PhODe -'''<Jer fa 'V",er (N c","s oflh -uc-UO/ rthe 0 - . ole' Ih e rVI . C"M. re"no. " 'stall:, es ':u. '. ,~ 7 -800' V"I/fy N ;""ol1e . -3322 Ollflc I' C~......u_jon~Li_# - 34<11 a'an "'~lres Deserlptio1- ~~ --1Jl.J &~.t2:l- DakofReIDOV1ll ~~ ~ '0'1 / '. \j 12- . Zip 5202.00 including S100_00 DepOlllt and applicable fees. By ,:""..,,, re, htale a~... L.~~carefullycompletedthjS application and hereby certify that all iDtbrmation herein i~h _.J 0QmlCt. I agree and understllDd 1IIBt the above described display will be mnoved within ~. _ .... (14) days from)b dllIe listed as the date of installation above. If the display is not . ~ withi~ the . eline ~ will forfeit the $100.00 deposit I abq _..d...;.,.nd lfIat ~hls ~ia1. penni1: can be ISSUed on . 'Jl1'I'~~r year per development area. I also &gnl8 to call the mspec1Jon hf!C at ~/i.-376? by the end 'J,t"'~ tn"""lUClSt an i.nspecl~ to verify the removal of the display. This in........;~~ WIll begin tbe ,." .._ trJ I ~q;qyl~tlftbedlSplay has been removed. ~HORIZED UNDE~ T~PIRE IF THE WORK . Signature .I ~',nMF~'I'r:n ~~ '_ IS PERMIT'~ .",.,: "",.~ 8-4'-0'7 VI'~ ffl~PER;~;liANDONEDFOR'-' . For Office Use DateOfAPPlicaliOD~/ D i Isaued 11;' h ~ C? -Df 14LR<<eipt# ~2- ~) ]00# Ammmt Colleo1ir ~1-51c1 .. 8100 - LAUa..L lO: ......DItoo('r'yJIm'loJ;n.F_.-_""''-.a.... ~ - ltP~- ,g ~ ,., - 2o&:-'s CITY OF ~n~ll~'-"I'IELD Building/Combination Permit PERMIT NO: COM2009-01147 ISSUED: 08/07/2009 APPLIED: 08/07/2009 EXPIRES: 08/12/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3491 HUTTON ST ASSESSOR'S PARCEL NO.: 1703222000804 Springfield TYPE OF WORK: Blimp, Portable Sign, Etc. TYPE OF USE: New PROJECT DESCRIPTION: Blimp/pennants/balloons - 072909 removal date 081209 Commercial ,lit: 'NO\'l~ __.,..t;. ., c'l?\\'It: "'_.,,1' IS ~O\ I PUf!Liie'WPROV'F:.MJiN:rs ~\\S ;~~ED to\'. 'I'<tj\\-\O\}MC.~O-O\'. IS ",\)I'<~ Sidewalk Type: t1l\lJ\t.~C\.. "\'.100. CO, QCl 01'<'/ pc. Downspouts/Drains: . I'<'M'/ '\ 0 Owner: Address: SYCAN B CORPORATION 9330 BALBOA AVE SAN DIEGO CA 92123 Contractor Type Sign 1 CONTRACTOR INFORMATION I eC\'-III8S )VD>i\'I~ . ,r": I ^ 01e90(\ IJ,.lcense ",r. . l~ \\:1... alese 00'1' _ (\ \\eS _ "r:..?~ . .- .. .....,. . -')'J . _ , , I. BUlIoDlNG INFORMAiFION. , '. c ",_Oil' -v- ,,,1(\ OOI"";'\\e le\".~'" \10(\ '. \"~. .P~ ~a~Ii'~fStorieS:".. '1" NO\\\loa \1\. "aU \1' ......"...\.,. \ \\\\\ 'J \ 0090.. '<;) \\\e O\I-!,e~~JJ'f~~g~!!!retl'J' 03.\\\(\ 1 \01 jI'TYJle'of,Heat: ",'08 \_. ,> . (\1.1'" ce(\ Water Type: Range Type: Energy Patb: Sprinkled Building: Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descrintion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Coostruction Page 1 of 2 Expiration Date Phone n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2009-01147 ISSUED: 08/07/2009 APPLIED: 08/07/2009 EXPIRES: 08/12/2009 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 I 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 8/7/09 8/7/09 8/7/09 8/7/09 2200900000000000893 2200900000000000893 2200900000000000893 2200900000000000893 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. \ , Relluired Insnections I 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, 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 described herein, and that NO OCCUPANCY will be made of any strncture witbont 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 tbis project. I further agree to ensnre that all required inspections are requested at the proper time, that each address is readable from tbe 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 Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone a5~~ .........,.. City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-0 1147 COM2009-01147 COM2009-01147 COM2009-01147 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Date: 08/07/2009 2200900000000000893 Description Blimp + Special Permit . Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By VINOD MEHTA Item Totat: Check Number Authorization Received By Batch Number Number How Received djb 09187c In Person Payment Total: Page I of 1 9:09:13AM Amount Due 80.00 100.00 4.00 18.00 $202.00 Amount Paid $202.00 $202.00 8/7/2009