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Home My WebLink AboutPermit Signage 2010-1-20 Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line SITE ADDRESS: ]873 PIONEER PARKWAY EAST ASSESSOR'S PARCEL NO.: ]703262302301 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00079 ISSUED: 01/20/2010 APPLIED: 01/2012010 EXPIRES: 01/31/2010 VALVE: Springlield TYPE OF WORK: Blimp, Portable Sign, Etc. TYPE OF USE: New PROJECT DESCRIPTION: Balloon - install 0]23]0 removal date 013]]0 Owner: KRC PIONEER PLAZA LLC Address: 3333 NEW HYDE PARK RD NEW HYDE PARK NY ]]042 Contractor Type Sigu Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secoudary Construction Type: # of Bedrooms: I CONTRACTOR INFORMATION I BUILDING INFORMATION I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: License n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special-[ nstructiou: Notes: Description Type of Construction Overla~' Dist: # Street Trees Rqd: Paved Drive Rqd: :", of Lot Coverage: I PUBLIC IMPROVEMENTS I I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Paee I of 2 Commercial Expiration Date Phone 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: Sidewalk Type: Downspouts/Drains: Value Date Calculated . ~.: CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2010-00079 ISSVED: 01/20/2010 APPLIED: 01/20/2010 EXPIRES: 01/31/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fcc. Description ***+ 10%. Administrative Fee*** + 5% Technology Fee Blimp + Special Permit Deposit Amount Paid Date Paid $18.00 $4.00 $80.00 $100.00 1120/] 0 1120/10 1120/10 1120/10 Receipt Numher 220]000000000000048 220]000000000000048 220]000000000000048 220]000000000000048 'q \ '.. 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. I R~ollired Insoections I Banner Removal: To he requested the day following the expiration of the permit. If inspection is not requested. the applicant may forfiet the deposit. By signature, ] state and agree, that [ have carefully examined the completed application and do hereby certify that all information hereon is true and correct, ,and] 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 pertaiuing to the work described herein, and that NO OCCUPANCY will be made of any structure without permissiou of the Community Services Division, Building S..fet)', I further certify,that only contractors and employees who ~re,in compliance with ORS 701.005 will he 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 :J~gCO~l1ctJo- 1~:20-JO Ow~".ct"~",,"re , Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00079 COM20 I 0-00079 COM20 1 0-00079 COM20 1 0-00079 Payments: Type of Payment Cash cRcceinll RECEIPT #: ~-" City of Springfield Official Receipt ,Development Services Department Public Works Department 2201000000000000048 Date: 01/20/2010 Description Blimp + Special Penn it Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By FLIGHT OF THE PHOENIX INC Item Total: Check Number, Authorization Received By Batch Number Number How Receind djb ".'", "'," Page 1 of I 1207 In Person Payment Total: 10:55:42AM Amount Due 80,00 100,00 4,00 18,00 $202.00 Amount Paid $202,00 $202.00 1/20/20 I 0 I; \. CO""''l.O'O-ooo7~ ..~ Ci" '.",om,",; 'e 73 P/o n -a y- . Job Location ~ AssessorsM~r /705 ZbZ s. ~~ l~ ,.~j ~) "0 ,....I~ ~ ContractorlInstallp- ~ ~f ~J ~ City ~ ........... ~~ .-~ ....l e; e; ~ " Jj .,.,.. ~.lQJ ~\ ~ r:rtal I~ ;j ~l ~ ~ ~~ ~ Date of Application ~\~1 a Issued By ~ ".~j ~ ~l e' 'i+.~' ' I ' 'I i.. ~.'I" 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(54 ])726-3753 . FAX: (54 ])726-3689 SP~ - -.. .~~ . .. ;:~J'$~.:'~~~~_~;>~ ~~~ ~~ . ".'i~~.~ _~ . G rt' err C! hrs FILlA/V) Ertsi OZso( S pi-I r/ ~ Tax Lot Owner of Property J::.ICc:.. Po"",,=--- -=? U:H4 LL <'-- Addres.S5:S i ;/ ew l-/-v J~ ~ l- ~ J Phon.. City ;/cw f-L j e- ~J.;'" \.C State)l y I T('/h R ob-er-fs Address J t 7.3 p) '() n -(X.-;- P1L-Wv; S p-f / J 'ltate../ () IL Zip 11042- f Phon.. Q<?t-D3/0 Zip q 7 '-177 Construction Contractors License # lO"pires Description ;; t1\ / J cIP/1 o-n Date of Installatior / /J. 3// () roo-F Date of Removal / /31 / /0 $202.00 including $100,00 Deposit and applicable fees. 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 from the date listed as the date 'of installation above. lithe 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 verifY the removal of the display. This inspection :::~~AA~dI~ili,,"p]~~h=mmo~: /-20-10 For Office Use 1-20-/0 J:.g Job# CIO -0007"f Receipt# -z. 'Z..O' - 0 t> t( & 262- Amount Collected Shared Drive(f:YBuilding Forms/Blimp]ennants_Balloons 7-08.doc