The URL can be used to link to this page

Home My WebLink AboutPermit Signage 2010-7-26 ~/. :-ff... :/ : ... '~~1~5~__ 225 FIITH STREET 0 SPRINGI1ELD,OR97477 0 PH:(541)726-S75S o FAX: (541)726-S689 ~ o. ,~~ City Job Number t. 10 -0 c:,:) 9 t' J E Job Location Z 77 0 G A- fF"W v't-y ~ Assessors Map / 70 J Z ZOO Tax Lot c> Z. Je:> r ~ . ~ ownerofProperty-WuoJ) qYOwth '~~'eS Lnc... ',a Address d~30 _q~ Phone . ~~ City ,Spn ~ Stat~ nj2 Zip q74-77 ~ Contractor/Installer },j .~ y ~ Address . ~~ ,~ City ~ 7fIJJ -........ ~ Date of Installation o o :: ;: ~ ~l ~ ~ l~ ~i ~ = ~ ~\ ~ Date of Application 7 . ~~ ~; Issued By ~ o<~~ ~ ~1 SFRENGFiELO 1>"5~"'~~."")~ ~ J fi.! A". . .&.~", , = ~Q,-~.~~;~ --~ ~..~~ tate Phone f1::il....la Er& ,.c96lJ I o...r2.- Zip Cf7 40 / Construction Contractors License # Expires Description lS:'.Allo-.-.. ~h.. . 7/27/10 ~ , - Date of Removal Q/JO /10 $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 14lh day to request an inspection to verify the removal of the display. This inspection will begin th~the $100.00 deposit if the display has been removed. Signature ~ Date 7/;L(/fO For Office Use 't b- / (..) ~~ Job# C/O -00 9f' Receipt# 2W/. 0 ~i ~ Z 0"2 - Amount Collected Shared Drive(T:)IBuilding FonnsIBlimp]ennants_Balloons 7-OS.doc l;... :)~i" , - " , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00981 ISSUED: 07/26/2010 APPLIED: 07/26/2010 EXPIRES: 08/10/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54] -726-3676 Fax 54]-726-3769 Inspection Line . :.: ~ SITE ADDRESS: 2730 GA TEW A Y ST ASSESSOR'S PARCEL NO.: ]703220002305 Springfield TYPE OF WORK: TYPE OF USE: PROJECT DESCRIPTION: Balloons etc. - install 072710 removal date 08]010 Owner: GA TEW A Y MALL PARTNERS Address: PO BOX 6] 7905 CHICAGO IL 6066]-7905 I CONTRACTOR INFORMATION ~ 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 ""'. . H., Type of Heat: ,..water Type: "Ra'iige 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 ~ Frontyard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ',.,,, ,., .. ,,,,.L, REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downsponts/Drains: Notes: ~. , } ~ .,,' ' " " " ','"t, _" , ;:~~<:' ,." ., Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of2 " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00981 ISSUED: 07/26/2010 APPLIED: 07/26/2010 EXPJ.RES: 08/10/2010 VALUE: , Status Issued ..-..... 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ;'; ,. ,},lotal,V~.Ioe of Project ",,-,,'-' " U~e~P~id . <ii:?!''':'. ; Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Blimp + Special Permit Deposit Amount Paid Date Paid Receipt Number $18.00 7/26/[0 2201000000000000873 $4.00 7/26/10 2201000000000000873 $80.00 7/26/10 2201000000000000873 $100.00 7/26/10 2201000000000000873 Total Amount Paid $202.00 I flail. Revie.\ys. ~ 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. Reuu'iFed:lnsDections . :::l~~t ~:':::-l.,~;;l:~.'; .,'" '" .,f"'I' .1."'1' Banner Removal: To be requested the day fol~~'~irig;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 [ 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 Safet)'. [ further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. [ further agree to ensure that all required inspections are requested at the propel' time, that each address is readable from the street, that the permit card is located at the front of the property,.an'd the approved set of plans will remain on the site at all times during construction. "-...'t ~.." r h-\~~ " ",.:t.' r, ; .., I~ ~ 7 /CJto/ \0 I Date .,U;l:' ,l,r--i')ilh _ ~ . '''~~~' ~i;j;e'.L~.J\t.'~:'lj>;' i,l ,,\ 1_;.;~1:.t1' ,: l~.~ ~ ~ I~' . ~", , f1tWH, :,' ~j~~. .. ..-t:(J:', Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-72(r-3'759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000873 Date: 07/26/2010 10:49:48AM Job/Journal Number COM20 1 0-00981 COM20 I 0-00981 COM20 I 0-00981 COM20 I 0-00981 Description ***+ 10% Administrative Fee*** Blimp + Special Penn it Deposit + 5% Technology Fee ". ,':. Item Total: Amount Due 18.00 80.00 100,00 4,00 $202,00 Payments: Type of Payment Check Check Paid By L1THlA AUTO STORES L1THIA AUTO STORES Check Number Authorization Received By Batch Number Number How Received djb djb 51145 53112 Amount Paid In Person In Person Payment Total: $100,00 $102,00 $202.00 Job/Journal Number C0M2010-0098 I COM20 I 0-00981 COM2010-00981 COM20 I 0-00981 Payments: Type of Payment Check Check cReceintl Description ***+ 10% Administrative Fee*** Blimp + Special Permit Deposit + 5% Technology Fee Paid By L1THIA AUTO STORES L1THIA AUTO STORES , f i,"tl.~~~:i . ~';T~~ !~~~.~.. :' . m.H~' '..~ ," ~;j~~:.~~ ~i.:~iji;~ (~. . ';,}';t''J, Received By Check Number Batch Number djb djb ..~-~ " " .(~, J "~ ~:i(li J;~'j;;;" :1~}':'~\" ,!;'~. '}?;~r}~~~~;' , . i :~':~ J i" Page I of I 51145 53112 Item Total: Authorization Number How Received Amount Due 18.00 80.00 100.00 4.00 $202.00 Amount Paid In Person In Person Payment Total: $100.00 $102.00 $202.00 7/26/20 I 0