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Home My WebLink AboutPermit Signage 2010-6-28 225 FIfTH STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689 l~ . 'a C'" ',".m,", C. \ Q · \<'\ -, C I.bLocruoo ~.<, )"7 ~ Assessors Map ~ ~ 'iJ "~i ~ iJ ~, Address ~ City ~ rtIJJ ~ D" Cl escnption e; Date ofInstallation ~ ~4 ~ ~ ~ ~ =: I ~ ~ ~ ~ a ..~ ~ M ,,z_'. MG~_.:;,~>> ~tr' SfL- ~ I "~~ "'.v-"f"....' "~\a~ji'o.6J '1""~~"t-.7 ""."':''f'''""4''':''~q..;;~~,,,,~.;::'" ,,":.- te- if<r'~i;)," ,', '0 '""Ar.T'X~!AE'.. $,nn.H.:TQJI7.TE'.Hm" AD"J:'.RANT,,'~';"'G/ ,--- -"',," "'~:~t:j[~. J;'~.jf;,:\;;1'~':"I~j-!jt'~7trI~~~~.{'~R~2J""9~~W~3?!?~. 1 ~4 .~:b:~';~~ ~/O .. .$~LO 01.501 t:J~ Tax Lot Owner, of Property to ~": ( ~ Address .. -<(.,q-/'L-< r City ,,:/5 jJ/,' (15 j}(L..-/J'. Contractor/Installer ,~~~J /;;2 ,S;JH ~r-z Phone ()7C Zip 97 V-'?i State Phone State Zip Construction Contractors License # Expires / , g'7 ~qd~~ /J ; &/8--?5kc::r ~ ( Date of Removal ;/-l,/-7-'?/(1).V . ~//~//'0 $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 ofthe 14th 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. Signature4 #-/ ft ?P Date t?hzio I .; For Office Use ::~::~ '~~1\J-e1 Qt\)~::=',"d -!\~~~~l . . lli . Shared Drive(T:YBuilding FormsIBlimp_Pennants ~ Balloons 7-08.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , ;~'.. \; ii ,', \ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00747 ISSUED: 06/28/2010 APPLIED: 06/09/2010 EXPIRES: 07/24/2010 VALUE: SITE ADDRESS: 3194 Gateway Lp Springfield TYPE OF WORK: Blimp, Portable Sign, Etc. ASSESSOR'S PARCEL NO.: 1703222002501 , TYPE OF USE: New Commercial . PROJECT DESCRIPTION: Balloon - install 060910 femo~al date~~ ' . ..~~,(r~-, (v . "~, ....:" ' Owner: Address: . :'.'" ~ 'I' . ~ : ; .,. SYLMA COMPANY 2390 LARIAT DR EUGENE OR 97401 ," ~.~; ...~. ;:....: I CONTRACTOR INFORMATION ~ Contractor Type Sign Contractor OWNER BUILDING INFORMATION ~ # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: WofStories: " '. 'Height of Structure .. ': Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: License n/a I DEVELOPMENTlNFORMATION ~ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ~,.i~'" t ,,:~'"', . 'Overla)i"Dist: ..,.. ",- .~'" . # Street Trees Rqd: f.'il';l," " ' , Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: 'I; Notes: . \"'" I V a'lu~tion Description ~ Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutsiDrains: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction jt!' ,~ ":.,," Page.J of 2 "'OYi '?i~'t.'- n Yil... l'n Value Date Calculated ,". ;-" I"! .. '~~.:I. .: _:~~~~,:: , '. i,'" .,',.j' it-;, '.. ':"; CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00747 ISSUED: 06/28/2010 APPLIED: 06/09/2010 EXPIRES: 07/24/2010 VALUE: . ''It Status Issued 225 Fifth Street, Springfield, OR ' 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , , Total Valne of Project I Fees Paidj Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Blimp + Special Permit Deposit ***+ 100/0 Administrative Fee*** + 5% Technology Fee. Blimp + Special Permit Amonnt Paid Date Paid Receipt Nnmber $18.00 $4.00 $80.00 $100.09:::.:" $8.00.:""'" $4.00i: ! .' . $80.00'" . ~" "'" t '." i~-' T'~' ;" ... ,....."~ ~. 6/9/10 6/9/10 6/9/10 ...6/9/10 6/28/1 0 6/28/10 6/28/10 . 1201000000000000640 1201000000000000640 1201000000000000640 1201000000000000640 1201000000000000767 1201000000000000767 1201000000000000767 Total Amonnt Paid $294.00 I Plan Reviews I 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 r,equested after 7:00 a.m. will be made the following work day..,'" ., LReouired Inspections ~ Banner Removal: To be reqnested the day following the expiration of the permit. If inspection is not reqnested, , the applicant may forfiet the deposit. By signature, I state and agree, that I have carefully"e.~_aJl),i~~d,,!h~ completed application and do hereby certify that all information hereon is true and correct, and I further.,'certity tliat any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the La";s 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 Safely. 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 located at the front of the property, and the approved set of plans will remain on the site at all - times during construction. ~~/4CJ - wner Or" ontractors Signature ./ ~/sJ ~!rc? ' Date .;:;" 11"/' .l, . Page 2 01'2 225' Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ..!;:u,i.: ,:,.. e~::~ tit... City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000767 Date: 06/28/2010 J J:34:57AM Job/Journal Number COM20 I 0-00747 COM2010-00747 COM20 10-00747 Payments: Type of Payment CreditCard cReceiotJ Description Blimp + Special Permit ***+ 100/0 Administrative Fee*** + 5% Technology Fee Paid By RICHARD SCHWARTZ Received By cjc Check Number Batch Number :':1' l' ~', "1:"':11"' ,.. -', ... :... ,,} :_i:,~. t'"-<44"t ;<'~. . ;.:;, Page I of I Item Total: Authorization Number How Received Amount Due 80.00 8.00 4.00 $92.00. Amount Paid 02779p In Person Payment Total: $92.00 $92.00 6/28/20 I 0