HomeMy WebLinkAboutPermit Signage 2010-6-9
225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(54J)726-3753 . FAX: (541)726-3689
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Date of Removal
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$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, 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 ofthe display, This inspection
will begin the process 9 return the $100,00 depo . if the display has been removed,
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Date
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Receipt# IZO(- b'fO
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Shared Drivc(T:)lBuilding FormslBlimp]cnnants_Balloons 7-08.doc
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00747
ISSUED: 06/09/2010
APPLIED: 06/09/2010
EXPIRES: 06/24/2010
VALUE:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3194 Gateway Lp
ASSESSOR'S PARCEL NO.: 1703222002501
Springfield TYPE OF WORK: Blimp, Portable Sign, Etc.
TYPE OF USE: New
PROJECT DESCRIPTION: Balloon - install 060910 removal date 062410
Commercial
Owner:
Address:
SYLMA COMPANY
2390 LARIAT DR
EUGENE OR 97401
I CON'fRACTORINFORMATION I
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Contractor Type
Sign
Contractor
OWNER
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 Bni,ldirig:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side] 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:
Special Instruction:
11''1, )~. "
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description ~
Description
Tvpe of Construction
$ Per Sq Ft
or multiplIer
':"Square Footage
':or Bid Amount
Value
Date Calculated
,l:
Page 1 of 2
'I."
225 Fifth Street, Springfield, OR
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: COM2010-00747
ISSUED: 06/09/2010
APPLIED: 06/09/2010
EXPIRES: 06/24/2010
VALUE:
Status
Issued
Total Valne of Project
Fees Paid I
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Blimp + Special Permit
Deposit
Amount Paid
Date Paid
"
Receipt Number
$18.00
$4.00
$80.00
$100.00
6/9/10
6/9/10
6/9/10
6/9/10
1201000000000000640
1201000000000000640
1201000000000000640
1201000000000000640
Total Amount Paid
$202.00
I Plan Reviews I
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To Request an inspection call the 24 hour ':e'~;;rdfiig at 7'26-3769. 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
workday.""
l Reauired InsDect~
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 completed application and do hereby certify that all
information hereon is true and correct, and I further certify that ~~y and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the,La,vs 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 co~r..~~tion.
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Owner or Contractors-Signature . ',.{,:h~i't. :t~':'''f.:,,:~~'~,, .:,
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Paee 2 of2
225 Fifth Street
Spri~gfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000640
Date: 06/09/2010
2:43:44PM
Job/Journal Number
COM20 I 0-00747
COM2010-00747
COM20 I 0-00747
COM20 I 0-00747
Payments:
Type of Payment
CreditCard
cReceintl
Description
Blimp + Special Permit
Deposit
***+ 10% Administrative Fee***
+ 5% Technology Fee
Paid By
MICHAEL SCHWARTZ
j ;,'";< . Check Number
Received By Batch Number
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Item Total:
Authorization
Number How Received
Amount Due
80.00
100.00
18.00
4.00
$202.00
Amount Paid
09560p In Person
Payment Total:
$202.00
$202.00
6/9/2010