HomeMy WebLinkAboutPermit Signage 2010-3-31
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L25 FInH STREET. SPRINGFIELD. OR 97477 . f'1-I:(5:11)7LG-:-H5:~ . fAX: (541)72G<H)8~)
City .Job Number COlN\ Z-O( 0 -c>C y4 b
Job I~oeatioo <? Ul t../ '6 f.-L..-7L.l AI e.
Assessors Map~ 7 D:5 IS- 3. 0
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Tax Lot
()0700
#: I...?'if <::t
OwnerofProperty [Cut_C-J..-e J< f'e.Gf"e.e.-'l<€>S) ("\;) U.l:Zf10S
Address .2::> /.A::>6cs.-r te. DJ4./(.. '5 r Su.rre.'cPhone
CityYc~S:A-C:.bLA- State r=l.
Zip
3;;1.60 '2....
Contractor/Installer At~ A-O ?Il-OMO'rCO A:l~
Address 1050'2.,
c..om",~.el!.e
K.0W 'S. 400
State T X
Phone Q3CD, 5"'6:.:2.. ",Cl ~o
Z. i73S(A
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City h?DUTb-ome.~
Construction Contractors License If-
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Expires
Description' 2.0 1C....3 0
l CR> c.,i! .4 LIe..:)
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I I
Date of Installation
r~F-~~.
l.f/sjlO
Date 6f Removal
S2n2.00 including $IOIUll) Depo.~it and applicahle fees.
By signature, I ShIh.' and agree that I have carefully completed this application and hereby certify tha(all
information herein is true and correct. I fLlliller 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. Irthe display is not
removed within the timelinc specified, I will fmfeit the $100.00 deposit. I also understand that this special
permit can be isslled only once per calendar year per development area. J also agree to call the inspection line at
726-3769 by the end of the ]41h 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.
SignatureO .. J..... ft~ D ~
Date
3(7.1(,,0
t For Office Use
Date or AP'Pli~::-::;/i>-D-------JObll C/O -DO\.(4 b
I f
Receiptll { 201 .0322-
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Issued By
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Amount Collected
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PARAPET ALL
--Baiioon installation and
Specs Diagram
Approx. 15 Ft.
..
.
AIR PRESSURE REGU TOR (ZIPPER)
AND ENTRANCE .'. '. '.'
AIR FILL SLEEVE' r;I;f'~)
.AIR BLOWER ~. I I
/TOPTETHER.STRAP
WE DO NOT
USE
INTERNAL
LIGHTING!
PEDESTAL
BASE TETHER STRAP
. We. lJ.se 'ffo IS
3/'6 II eyeBoc...rs.
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00446
ISSUED: 04/09/2010
APPLIED: 04/09/2010
EXPIRES: 04/19/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 864 BEL TLlNE RD
ASSESSOR'S PARCEL NO.: 1703153000900
Springfield TYPE OF WORK: Blimp, Portable Sign, Etc.
TYPE OF USE: New
PROJECT DESCRIPTION: Blimp - Qniznos.lnstall 040510 removal date 041910
Commercial
Owner: SYCAN B CORP
Address: 840 BEL TUNE RD STE 202
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BuiLDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secnndary Occnpancy Gronp:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strnctnre
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 Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Spedallnstrnction:
.l~,:-^.~
"ltI~
, ".
.,"'....,
." './.,
. ~~ 'r~". ...
Sidewalk Type:
Downsponts/Drains:
Notes:
I Valuation Description ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Value
Date Calculated
, ,
Page I of2
225 Fifth Street, Springfield, 0 R
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00446
ISSUED: 04/09/2010
APPLIED: 04/09/2010
EXPIRES: 04/19/2010
VALUE:
Status
Issued
Total Value of Project
Fees Paid ~
Fee Description
***+ ] 00/0 Administrative Fee***
+ 5% Technology Fee
Blimp + Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$18.00
$4.00
$80.00
$100.00
4/9/10
4/9/1 0
4/9/10
4/9/10
1201000000000000322
1201000000000000322
1201000000000000322
1201000000000000322
Total Amount Paid
$202.00
I Plan Reviews ~
To Request an inspection call the 24 hour r~djrdih~ilt 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, insp'ections requested after 7:00 a.m. will be made the following
work day.
Reouired Insuections .
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 c?mpleted 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 structure without permission of the Commuuity Services Divisiou, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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 lr'ated at the front of the property, and the approved set of plans will remain on the site at all
times during co~~uct;~'" r /
ft"V-'''''C\'!''" -.,I'- ~ A 4400
o u. J t;r- ~7 f
Owner or Contractors Signature i..~.:;';.~ . . Date
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Page 2 of2
225 fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
iiE-
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000322
Date: 04/09/2010
1O:07:18AM
Job/Journal Number
COM20 1 0-00446
COM20 1 0-00446
COM20 1 0-00446
COM2010-00446
Payments:
Type of Payment
Check
cReceintl
)",.'"
Amount Due
80.00
100.00
4.00
18.00
$202.00
Description
Blimp + Special Penn it
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee"'**
Paid By
KGR PROMOTIONS INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 7052 In Person
Payment Total:
Amount Paid
$202.00
$202.00
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Page 1 of 1
4/9/2010