HomeMy WebLinkAboutPermit Signage 2006-1-2
12-15-05;11:37AM;General Growth Mgmt.
;541 747 5897
# 1/
DEC-15-2005 12:01P FROM:LITHA --VOTA OFFICE 5417462848
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225 FIITH STREIT . SPRlNGflELD,OR'9747i e PH;(54l)726-3753 · FAX: (54-1)726~8689
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Construction Contractors License #
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Date of Removal
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Permit Fee $45.00 + Required Deposit $100.00 + 10% Administrative Fee
By signature) I stote aod ag."ee that I have carefully completed this application and hereby certify that aU
infonnation 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. 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. J also agree to call1he inspection tine at
726-3769 by the end of the 14'11 day to request an inspection to verify the removal of the display. This il1ape<;tion
will begin the pr cess to return the $100.00 deposit jf the display has been removed.
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Date
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For Office Use,
Date of Application I Z -/6 -0 J
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Tob# cS- - 0 (7q ~Receipt# J 71 (
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Issued By
Amount Collectec
Sllared Drlve(T;)ffllJilrtln~ F"nll"'Blimp]~'m""15_l'lnll"""'8.0S.tb:
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM200S-01746
ISSUED: 12/16/2005
APPLIED: 12/16/2005
EXPIRES: 01/02/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
, 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
TYPE OF WORK: Blimp, Portable Sign, Etc.
, SITE ADDRESS: 3000 G~t~way S~ ' ... _ ,;,,~ \ ' t
ASSESSOR'S PARCEL NO.: 1703220002219' -~ tOl, :0
, .: ,I -CI: L;tilitY TYPE OF USE:
PROJECT DESCRIPTION:, Balloons and pennant~ iit1iJfi~~'1122605 removal date 010206
" '. _.",.'" .1'.,1 v-'i::; 3S?-001-
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Owner:
Address:
i,~' "'Jlt.:': -";l}C.c~ UI U I':: I Ulc;~ uy
GATEWAY MAL, LIP,1\.RTNERShereiephone
PO BOX 617905 "I;:;, l....I, \' <V.~~.', ' " "
CHIC1\'(;0~'ILGI6ij6.~f279(f5n ULlllty Notification
r.~,niH i~ 1-ROO-332-2344)'
Contractor Type
Sign
Contractor
OWNER
I CONTRACTOR INFORMATION'
License
I BUILDING INFORMATION I
# of Units: " f Of\tSWo~
" Primary Occupa_~~: '{ S\-\~ll c'f.?\RE \~~ <t{~vucture ,
. Secondary OccuPfflfS 9~~ UNDER 1\-\\5 ?E.R .,' 'FAbHeat:
, Primary constru~m~~IED \5 I\BI\NDONi ftiP1'ype:
Secondary Const ~~t.O OR Range Type:
# of Bedrooms: ~~I" 180 O~'/ ?ER\OD. Energy Path:
, ~\'t , Sprinkled Building: n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
New
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:
Notes:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa2e 1 of2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM200S-01746
ISSUED: 12/16/2005
APPLIED: 12/16/2005
EXPIRES: 01/02/2006
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
'f Fee Description
+ 10% Administrative Fee
Blimp + Special Permit
Deposit
Amount Paid
Date Paid
$14.50
$45.00
$100.00
12/16/05
12/16/05
12/16/05
Receipt Number
2200500000000001711
2200500000000001711
2200500000000001711
Total Amount Paid
$159.50
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 InSDections I
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
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 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 will remain on the site at all
times during construction.
4)/(z-J ~
~er or Contractors Signature Date
'.
Pa2e 2 of2
225 Fifth Street
Springfi~ld, Oregon 97477
541-726-3759 Phone
,.(
Job/Journal Number
COM2005-0 1746
COM2005-01746
COM2005-01746
Payments:
Type of Payment
Check
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12/16/2005
RECEIPT #:
Description
+ 10% Administrative Fee
Deposit
Blimp + Special Permit
Paid By
LITHIA
~'ty of Springfield Official Receipt
.;velopment Services Department
Public Works Department
2200500000000001711
Date: 12/16/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
38975
In Person
Payment Total:
Page I of I
2:28:09PM
Amount Due
14.50
100.00
45.00
$159.50
Amount Paid
$159.50
$159.50