HomeMy WebLinkAboutPermit Signage 2010-8-17 (2)
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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Phone
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Zip 'y7y77
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Construction Contractors License #
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Date of Removal
$2 ~ incl~ding $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 withfu 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 J'j!rify the removal of the display, This inspection
will begin the process to return the $100,00 posit if 's ray has been removed.
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Date of Application e -( 7 - I =
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Job# 5/0 .roc 6 g-
Receipt# ZO/O - b!'
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Amount Collected
Shared Drive(T:)lBuilding FoI'1IlS.lBlimp ]cnnants_ Balloons 7-08.doc
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www.cLspringfield.OLUS
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00068
IVR Number: 811169456976
225 Fifth SI
Springfield,OR 97477
Phone: 541.726.3753
Inspeclion Phone: 541.726.3769
Fax: 541-726.3676
pe rmitcenter@ci.springfleld,or.us
PROJECT STATUS: Issued
ISSUED: 8/17/10
APPLIED: 8/17/10
EXPIRES: 2/12/2011
VALUE: $0.00
SITE ADDRESS: 3192 GATEWAY Springfield
ASSESOR'S PARCEL NO: 1703222002502
SCOPE: Blimp, Portable Sign, elc.
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Blimp - install 081710 removal dale 083110
OWNER:
ADDRESS:
SHEILA S LLC
2390 LARIAT DR
EUGENE OR 97401
Phone Number:
Contractor Type
Contractor Name
CONTRACTOR INFORMATION'
Lie Type
Lie No
Lie Exp
Phone
BUILDING INFORMATION I
# of Units:
o
# of Stories:
I Height of,Structur~,: 'I.,
Typeof,tI,eat: '; '~i.:~l.,: '."
Water Type:.
Range ,Type:
Haz~atF
Lot Size:
Sq FI 1 sl Floor:
Sq FI 2nd Floor:
Sq Ft Basement:
Sq FI Garage:
Sq FI Carport:
Sq FIOlher:
Occupancy Load:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipa1'1 Development Code:
Plumbing, Specialty Code Edition:
Residential Specialty Code Edition:
Stru~;~~~~Sp'~~!.~~ty _~ode Edition:
Energy Path:
,,',
Site Infonnation
I
t; 1 ,:I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
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Springfield Building Permit
8/17/2010 10:45:24AM
Page 1 of3
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CITY q~~~~~~~GFIELD
BUildinif' Sign Permit
PERMIT NO: 811-SPR2010-00068
IVR Number: 811169456976
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541.726-3676
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,,' . OREGON
permitcenler@cLspringfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/17/10
ApPLIED: 8/17/10
EXPIRES: 2/12/2011
, VALUE: $0.00
SITE ADDRESS: 3192 GATEWAY Springfield
ASSES OR'S PARCEL NO: 1703222002502
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, ,~~,: SCOPE: Blimp, Portable Sign, etc.
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Blimp - install 081710 rem~~al date 083110
DEVELOPMENT INFORMA nON ~
REQUIRED PARKING
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
It Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lo.t.~,ov,erage:.v .,- ,
Highest poin~ o~s,tf./.;Ic.t!Jr~:!qr\
rth rlyl'." "f"l'
no prope :,~n~_:' i~ .;.:..:-.!~~;' .:'
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
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Valuation Description ~
Descrietion
Tvee of Construction
Unit Amount Unit Tvee
Unit Cost
Value
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.,jl~'iAmQu.nt Paid
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.::\~1?'~; ,._. ',: ,-.~j3,O.OO
.::;C .;, 0 '"$1"00.00
_.n $18.00
$9.00
$207.00
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DescriDtion
.!3limp, Balloon, Searchlight m'
Blimp, Balloon, Searchlight Deposit
Admin fee (10% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
'_.____.-:.;.....,.J
Date Paid
08/17/2010
"._~_._-
08/17/2010
08/17/2010
08/17/2010
Receipt #
299243
299243
299243
299243
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Department
Application Acceptance
Sign Review
Permit Issuance
Received
08/17/2010
08/17/2010
08/17/2010
Due Date
08/17/2010
08/17/2010
08/17/2010
Comolete
08/17/2010
08/17/2010
08/17/2010
Result
Over the Counter
Approved
Issued
Reviewer
David Bowtsby
David Bowlsby
David Bowlsby
Comments
Springfield Building Permit
.;,!,.:.... \: Bf17f2010 10:45:24AM
Page 2 of 3
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225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.spriogfield.or.us
CITY OF,SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2010-00068
IVR Number: 811169456976
pennitce nter@ci.springfield.or,us
PROJECT STATUS: Issued
ISSUED:iili1711IW'
APPL:i'EO': S}17i;o'
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EXPIRES: 2/1212011
VALUE: $0.00
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SITE ADDRESS: 3192 GATEWAY Springfield
ASSESOR'S PARCEL NO: 1703222002502
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SCOPE: Blimp, Portable Sign, etc.
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Blimp - install 081710 removal date 083110
INSPECTIONS REQUIRED ~
Inspections
6971 Blimp, etc. Removal
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,th~",~_iat~ or 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 ~n the site at all times during
construction,
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OWl1.@.!:..or~Contractor SIgnature
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Springfield Building Permit
8/17/2010 10:45:24AM
Page 3 of 3
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TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth S1
Springfield,OR 97477
541.726~3753
I
www.ci.springfield.or.us
permitcen1er@ci.springfield,or.us
RECEIPT NO: 2010000068
RECORD NO: 811-SPR20 10-00068
DATE: 08/17/2010
(OESCRII'TR:lN- ~ __ -! 'wZ~f":'~);:!C::'" ."1'
Blimp, Balloon, Searchlight
Blimp, Balloon, Searchlight Deposit
Admin fee (10% of applicable fees)
Technology fee (5% of permit total)
(:;z~J:::L~}'2u~: ";+-11;' . AC.CJ).iJNTlC.OOE!;t}&;::.Ctf ' ,~.-~- <~MOJ.lJ~I1PJ~J;'~'O\~:j~,~>,'; ,~c ..'--1
. 224-00000-425602 $80.00
224~00000-425602 $100.00
224-00000-426605 $18.00
100~00000-425605 $9.00
TOTAL DUE: $207,00
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$207,00
l~.p..ArM!;~J:;J..YI?J;~' "!-P~QB:;; --CASHIER.DBO~B~C.OMMENTS',; .{ --
Credit Card michael schwartz
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