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HomeMy WebLinkAboutPermit Signage 2010-5-24 ~ Om .,..-1\ ~ ~ ~ ~ ,J~j ~ ..")!!!i~ ::~ ,~ ~~ ~ ~ ~ ~ ~ el: o o \\. 14 ~ ~l ~ ~ ~ ;~ al =.-1 .-\ 1 ~ ~ Dll ..~1 ~ ~ . " " {}/().~&,/ "'Mi~ ""rs"'"" 1::1 -t~~ "'-Jot;;.. -t' .., ',}. ".~ ,~".'":\~',~ ~0_."~i1~~~~~~';,~ '1\ r!:. ~.,-,.",;at'-~...r J~'?t'; 't,'?~""3: &, ;\~~~;;;".' f~.@I:T:Y em SB.RiIN:GPIE'gO '''@&EG(JU''l,''I', ci';: ':':';i'~:r'~i';: .tt'~~ "'~{; ~"'~ ~.i': j~li""~">>\T..;)?!\,,~' _/(f'~7.t:r).J{"~!:fir",J":::,]i,;!\4 l' _ Jd~l_ '!'> ~":r-l-'f\411: -fk.:'tf"*'<<:;."".k^"',,- (j}'S . 225 FIITH STREET. SPRINGFIElD, OR 97477 . PH:(54I)726.3753 . FAX: (541)726.3689 llfO -&~/ City Job Number Job Location .111[/ (7'N .LLJRj \tt03t'2.:2o $tLLn)h~jd Tax Lot 0'2-.-\0\ .bu J<2 , c}1-' Assessors Map Owner of Property ,;:'SJu j)c- Sltu~') Address /!;/1L/ 14TU-<-JAy ,(IJ})fJ City ~It>) ,~J/ (~ ::?1-3/ /2: Phone (9I/,~ ">>~ -b "d- 2. / D/A.- Zip 9"7<./ 77 , State ContractorlInstaller Address Phone City State Zip Expires Construction Contractors License # , / c::::::: Description /0 .s ~ c-~.1 ~ !rr, Date of Installation ~ /,.;( t/ / / u ' Date of Removal I I &/j/;U , I $202.00 including $100.00 Deposit and applicable fees. By signature, I state and agree that I have carefully completed this application and hereby certif'y 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. 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. 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 turn the $100,00 deposit if the display has been removed. ' Date ;9"/ d- C;;iJ u - Signature For Office Use Date of Application s,/ ;2 L( / I U C-<:,.-Z- Issued By Job# f2J tJ - c//'" / Receipt# ') , ''2-c!J7 Amount Collected L-U --.- Shared Drive(T:}fBuilding FonnsIBlimp]ennants_Balloons 7-08.doc 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ ; " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00661 ISSUED: OS/24/2010 APPLIED: OS/24/2010 EXPIRES: 06/07/2010 VALUE: Status Issued ~.~; SITE ADDRESS: 1174 Gateway Lp ASSESSOR'S PARCEL NO.: 1703222002410 Springfield TYPE OF WORK: Blimp, Portable Sign, Etc. TYPE OF USE: New Commercial PROJECT DESCRIPTION: Balloon permit Remo<:ar'date'june 6: 1', l ~ ~.\~ ; ~ Ii- :: .: ....'a....c.. -:'1 Owner: Address: SHEILA S LLC 3194 GATEWAY LP SPRINGFIELD OR 97477 , ,.11", Contractor Type Contractor I CONTRACTOR INFORMATION ~ License Expiration Date Phone BUILDING INFORMATION ~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 'Height 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 Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ Fron!yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: :_:~~;. !~r~ ~~ ",:' ," ,'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: Special Instruction: Sidewalk Type: Downspouts/Drains: , ;, 1-" '~ ,~~ . \'; .' Notes: . .J I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated t~. ' . ,~.:",u . ,,I, ,.~ ,. .~,~;.1...-..\(.,'.,;'.~1\'~",,,~,,..:., i' .' .-:\.~~~.. ;:.l! Paee 1 of 2 ~ n,;~ ;" .' tf, H . '/d';:: '1;.~';~,..' I ' t:.: ' f CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00661 ISSUED: OS/24/2010 APPLIED: OS/24/2010 EXPIRES: 06/07/2010 VALUE: . .';"~ "; ......~ ~..' .....~..., t,' . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value Of Project : I Fees Paid . Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Blimp + Special Permit Deposit Amount Paid Date Paid Receipt Number Total Amount Paid $18.00 $4.00 $80.00 $100.00.. _,,; I ~ ., .,,;:;":t,'iY ,~! . '....') , 5/24/10 5/24/10 5/24/10 5/24/10 2201000000000000560 2201000000000000560 2201000000000000560 2201000000000000560 $202.00 i!..i",.. ,<t Plan Reviews ~ 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.' Reauired InsDectio~s ~ Banner Removal: To be requested the day following the expiration ofthe permit. If inspection is not requested, the applicant may forfiet the deposit. 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] 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 structu~.e'Yithout permissi~n of the Community Services Division, Building Safety. I further certify that only contractors and employees,vl](; Jre in compliilllce with ORS 701.005 will be used on this project. ] further agree to ensure that all required inspections are reque'sted 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 ::;;r; F~ ~/~~lLo Owner or Contractors Signature Date ...11 . , ':.~-' ,:, ;:,;. " ~ ..,. Pa2e 2 of 2 .'i ~ ( 225.Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Publie Works Department RECEIPT #: 2201000000000000560 Date: OS/24/2010 9:53:25AM Job/Journal Number COM2010-00661 COM20 I 0-00661 COM2010-00661 COM20 1 0-00661 Description Deposit Blimp + Special Penn it + 5% Technology Fee ***+ 10% Administrative Fee1:*' Payments: Type of Payment CreditCard P. id By MICHEAL SCHWARTZ Item Total: Check N umber Authorization Received By Batch Number Number How Received Amount Due 100,00 80,00 4,00 18,00 $202.00 Amount Paid cjc 09096p In Person Payment Total: $202,00 $202.00 .'.I~'~;~T '.!t-. .~..l. . l:i'~~ J c.{I;;' ~I' 1"'; . ;:~.tj, '!I;;, i . j.:' . ~:. ' cReccintl Pal',e I of I 5/24/2010