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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 c /LtL,-9%'1( '" ~1:,'~_'u~_,~::~__ . . . . ~,~~..- .-:=1b~=' 225 FIITH STREIT . SPRlNGflELD,OR'9747i e PH;(54l)726-3753 · FAX: (54-1)726~8689 ~! /,/"'o,dA~OO- O/7l{~ Ii, ~ City Job Number l.,..LoI~1 ~ ~ - S"':' . 3'DOO C~"A-k?v~-? , ,., Job Locallon . , ,.., 17 03 Z:ZG~ ~,:, Assessors Mar 1 ~ 1 f; ~ 'J' oS ~; ~o ~,. '{f'C,",: . 1":"j;"""J: ~I'\. ~1 Ii~,.' 1f"';="~7~~'-..1; ~, ''''''",J, 'f<..,\. ~... ~" ~, V:~ ,.r ri:"\'; ~' 00 ~: ~. Q} ~ ~; 1" ,..,':1~ 1 ..,';'. ,i ~~ f'V!"'t: ~. '-....... r.Ll' ~; F='4-, ;a.....{. "f a W1 ~. ",--, ~ d.'-':; - ~. ~}~-,,'l ~""( -- , , . ~ Tr):97475897 P.i $1PlFi:OIMGI?D::;l.L~ ;1, , , ~,:~~.. <"~1n ::0'. ~~1 ~f Tax Loo-d..-- -"2-, q OU \0 , ~C" __ ) --' --- ~~o.\)'i'--0\Jt\i\\:i---- ~ , ,/' .I i . (T) . ,L( o@\N :L~'-,~eo.o ,~o~\\I OwnerofPl'operty ~Py\ era-A f..S)V'fHul{)I\__\FV'f)(>"-'rr ~.e.-n''''o. t.l3'*S-Jr.),1ffey('1jf~,(t. . ~\\O~~OO?\eo D'j r.,e ~u\e;,,~9t 9S2.'~r- 'O'l Address ~ r, f> (",\ iE>a Jp fA ~ s;t- r:>-\\€.. ,\p.S Plio~, \t:P 'IJj,?.'fi ~- 9'.\\1;y.; - -l \0\\0\l'J ,~\\ ee.l ,. 00". 0 \x\~-~,-;,s 0'1. \" \~ 0'00\\e. City Sfri V\,~c:ire.Ld Staten\@Tr~,Oo".' u'::\iip Gt),Z,fe'-{{? r,3-\\O\\ o Q" _ (l \....l -=-lo ~\\?,f". '{oU 0\3-'l e\\\e~' ~~ \\ 0\\\\\'l ~ AA), Contractorllnstaller~ Jt \ ~e-,\O.. \.1u ~'30, .. \ne C 0-<'?-0..0 _n0-~?; '...-J. ca\\\\ ,';::) \O~ \X\\J.-:- ~ Y..OU'V- N.A Address &'0 'E. f\\li.\ n "U0\'oe~6n~e~-q~'l '35l ,~ Cit:' ,"~~\rl.- State OtL Zip Qi4'l'l Construction Contractors License # DcscriptiOD~ lo o....~ I P~""A- ~ Date of Installation 17 - 2- b -0 ~ r;: ~s 6tb\T Date of Removal L 1{;;4 S~ /_02._Clb 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. (A)~ Date '2~L5{)5 For Office Use, Date of Application I Z -/6 -0 J 'he? Tob# cS- - 0 (7q ~Receipt# J 71 ( I))~ 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- I.... . ~ 1 j --~ '':: 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 ~ 'h './' ':~ .~ :i. l ~. ,( , . '" ;, 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