HomeMy WebLinkAboutPermit Signage 2010-1-26
225 TIrnI STREET. SPRINGTIEW, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689
j~
'~ Job """<100
~ Assessors M"r
f,!lI\ "
~~
l~
~1
~;
~
..~~
>~l
.~
~~(1
~J
~
rtI11
~
e:
o
o
.,14
~
~
~l
~
~
,
;:
~~
~
~
~,
~
",(
e~. 1
r1
1
..~
~
M
'-
City Job Number COMZoc 0 - c)C) (t Z-
2-/70 G--An:w A-y
I/O~"ZZOO
OwnerofProp'ertY __ 66-P -60"ll'VJCA.V
~J~ i
Address MCO . ~y S-r
City~ SPR,'N<irJ'tc.d
ContractorlInstaller &( ~Ne Nt~__-;o..jJ
7V1l-/r (j<AJcrl
N;~Sa ~
Tax Lot
02-~OO
f'1CJL(
Ul-
Phone
State ~
Zip' <t7V77
Address ;;;1.06 (j
City €6f(;(lJJe
Phone
(')f(
9'7'1()!
State
Zip
Construction Contractors License #
F,ypires
Descriptior
Date of Installation
all'''7 !:;.a/tJ
2~olO
/0 .
Date of Removal
$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. Ifthe display is not
removed within the timeline specified, I wilr' 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
will begin the process to return the $100.00 deposit if the display has been removed.
---0-'...4 ,-
~~
___ L-- --
Signaturp
Date of Application
Issued By
nate /./2,1(" /.In
For Office Use
I/v.:./;O
, .
~~:
Job# CIO -00\\ 2-
Receipt# 'Z ZC, - 0 c 7 Z-
<\mount Collectp,l
ZC::iZ-
Shared Drive(T:y.Building Fo~limp ]ennants_Balloons 7-08.doc
Status
Issued
CITY OJ:< ~n{lNGFIELD
. Building/Combination Permit
PERMIT NO: COM2010-00112
ISSUED: 01126/2010
APPLIED: 0112612010
EXPIRES: 02/10/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2770 GATEWAY ST
ASSESSOR'S PARCEL NO.: 1703220002300
Springfield TYPE OF WORK: Blimp, Portable Sign, Etc. .
TYPE OF USE: New
PROJECT DESCRIPTION: Blimplballoons - install 012710 removal date 021010
Commercial
Owner: GATEWAY MALL PARTNERS
Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN
CHICAGO IL 60606
I C?NTRACTORINFORMAT~ON I
Contractor Type
Sign
Contractor
OWNER
License
E~pirati?n Date Phone
B~JILDlNG INFORMATION"
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heigbt of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
n/a
I DEVELOPMENTINFORMATION I
REQUIRED PARKING
Front yard. Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
r:
Paved Drive Rqd:
% of Lot Coverage:
Total:
c. Handicapped:
Compact:
I PU~LIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value.
Date Calculated
Page 1 of2
: ~'vi
'.;
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
***+ 100/u Administrative Fee***
+ 5% Technology Fee
Blimp + Special Permit
Deposit
Total Amonnt Paid
, ~.;.
'J."
Total Valne of Project
Fees Paid I
Amount Paid
$18.00
$4.00
$80.00
$100.00
$202.00
I Plan Reviews I
Date Paid
1/26/10
1/26/10
1/26/10
1/26/10
CITY OF ~rKll"lvl' U-LD
Building/Combination Permit
PERMIT NO: COM2010-001l2
ISSUED: 0l/26/2010
APPLIED: 01/26/2010
EXPIRES: 02/10/2010
VALUE:
Receipt Number
2201000000000000072
2201000000000000072
2201000000000000072
2201000000000000072
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 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 [ have carefully examined the completed application and do hereby certify th.tl all .
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinance.s of the City of Springfield and the Laws of the Stllte of Orcgon pertllining to the work described herein, and
that NO OCCUPANCY will be madc of any structure without permission of the Community Services Division, Building Safety.
I further ccrtify that only contractors and employees who are.in compliance with ORS 701.005 will bc used on this projcct.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, thllt the permit card is located at the front of the propcrty, and the approved set of plans will remain on the site at all
';mm'"~-A ) .
Owner ~tors Signature
Paee 2 01'2
~#O
Date
22~ Fif~h,Streei
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2010-00112
COM2010-00112
COM2010-00l12
COM2010-00112
Payments:
Type of Payment
Check
cRcceinl J
City of Springfield Official Receipt
Development Services Department
Public Works Department:
RECEIPT #:
2201000000000000072
Date: 01126/2010
Description
Blimp + Special Penn it
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
LlTHIA NISSAN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
50611
1n Person
Payment Total:
'."ze, ~ .';,
Page 1 of 1
11:18:23AM
Amount Due
80.00
100.00
4.00
18.00
$202.00
Amount-Paid.
$202.00
$202.00
1/26/20 I 0