HomeMy WebLinkAboutPermit Signage 2010-8-20 (2)
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225 FIITH STREET 0 SPRINGFIELD, OR 97477 0 PH:(541)726-3753 0 FAX: (541)726-3589
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City Job Number S~1Z.1 () - 0 0 J\ g'
GA-Te-wA-y
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Job Location
2776
Assessors Map_I 70 3 'ZOCl 0
02300
Tax Lot
City
Cil)<
tate
Phone
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Zip
Construction Contractors License #
Expires
Description
-
Date of Installation
212-~--1 0
Date of Removal
$202.00 including 5100.00 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 14"' day to request an inspection to verifY the removal of the display. This inspection
will "'g;' '~lOO.OO '-' ;filio,,",'''' ..b_=,"od
Signature , J Date J;7:2q),)
Date of Application
For Office Use
5(0 -00 (I g Receipt#ZOfOOOO Il5
Job#
Issued By
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Amount Collected ZO ?
Shared Drive(I':)!Build..ing FormsIBlimp]ennants_Balloons 7-08.doc
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CITY Q1:::;sPRiNGFIELD
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www.ci.springfield.or.us
BUildi'ilg I Sign Permit
PERMIT NO: 811-SPR2010-00118
IVR Number: 811106437879
225 fifth 51
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/24/10
APPLIED: 8/24/10
EXPIRES: 2/19/2011
VALUE: $0.00
SITE ADDRESS: 2770 GATEWAY Springfield
ASSESOR'S PARCEL NO: 1703220002300
SCOPE: Blimp, Portable Sign, elc.
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Balloons - install 082610 removal dale 082910
Phone Number:
OWNER:
ADDRESS:
GATEWAY MAll PARTNERS
110 N WACKER DR BSC 3-04
CHICAGO Il 60606
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
Lic Type
Lie No
Lic Exp
Phone
:,'
# of Units:
Buii:DINGINFORM'Al'ION ~
i(~q :" i
# of Stories:
I Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
o
# of Bedrooms:
Sprinkled Building:
, .
Fire Alarms:
Electrical Specialty..9?de Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal f Development Code:
Plumbing Specialty Code Edilion:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Site Information -I
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:
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Lot Size:
Sq FI 1 sl Floor:
Sq FI 2nd Floor:
Sq Ft Basement:
Sq FI Garage:
. Sq FI Carport:
Sq FIOlher:
Occupancy load:
Page 1 013
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CITY OF SPRINGFIELD
Buildi~~J~ign Permit
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
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PERMIT NO: '811'-Sp'R2010"00118
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IVR Numtler':' 811'106437879
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permitcenler@cLspringfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/24/10
APPLIED: 8/24/10
EXPIRES: 2/19/2011
VALUE: $0.00
SITE ADDRESS: 2770 GATEWAY Springfield
ASSESOR'S PARCEL NO: 1703220002300
SCOPE: Blimp, Portable Sign, etc.
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Balloons - install 082610 removal date 082910
DEVELOPMENT INFORMATioN I
;\1-
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
~ . r,: I .:',
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure to
north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
PUBt!IC IMPROVEMENTS I
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Sidewalk Type:
Downspout/Drains:
'Valuation !?es,cripti~n ~
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Unit Amount Unit Tvoe
Unit Cost
Value
Oescriotion
Tvpe of Construction~i:' ',-':'.'.
E
Descriotion
Blimp, Balloon, Searchlight
Blimp, Balloon, Searchlight Deposit
Admin fee (10% of applicable fees)
Permit Fee Adjustment - Tech Fee
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Amount Paid Date Paid Receiot #
$80.00 08/24/2010 299307
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$100.00 . 08/24/2010 299307
.:h'; .$)890 . 08/24/2010 299307
, "~'-"""~~$lI~OO ' 08/24/2010 299307
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Total Amount Paid .P))-~~~~ ~1"\$26iOO . -':'
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DeDartment
Sign Review
Permit Issuance
Application Acceptance
. ...~,.-
Received Due Date ComDlete Result
08/24/2010 08/24/2010 08/24/2010 Not Required
08/24/2010 06/24/2010 08/24/2010 Issued
08/24/2010 08/24/2010 08/24/2010 Over the Counter
. ~,
Reviewer
David Bowlsby
David Bowlsby
David Bowlsby
Comments
Springfield Building Permit
812412010 1:13:47PM
Page 2 of3
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CITY OF:SPRINGFIELD
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BuTlding I Sign Permit
PERMIT NO: 811-SPR2010-00118
IVR Number: 811106437879
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541~726.3769
Fax: 541-726-3676
pennitcenler@CLspringfield.or.us
PROJECT STATUS: Issued
ISSUED: 8124110
APPLIED: 8124110
EXPIRES: 2119/2011
. VALUE::$O.OO
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SITE ADDRESS: 2770 GATEWAY Springfield
ASSESOR'S PARCEL NO: 1703220002300
~:t}.ltt .~t;T~f:?~ '" " SCOPE: Blimp, Portable Sign, etc.
;iy&}E'~ .:".;'ii~;:i,~" WORK INVOLVED: New
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,".',", TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Balloons - install 082610 removal date 082910
INSPECTIONS REQUIRED ~
Inspections
6971 Blimp, etc. Removal
By signature, I state and agree, that I have carefully examined the complete~ 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 the S~,~~e"or 9r~Q~n~~,~.'1a.i~-i_ng to the work described herein, and that NO
OCCUPANCY will be made of any structure without permiss!on ot.the':CoMmLinity.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 '~'t th~'.p~oper 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.
Owner or Contractor Signature
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Date.
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Page 3of3
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TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541.726.3753
WWN ,ci.springfield.or,us
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permitcenter@ci,springfield.or.us
"PAYMENT,iTYPE.":;;.
Check
51228
RECORD No:jl I'] -sPRioI0-00118
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224-00000-425602 $80.00
----~-------,,_._'.-.._-
224-00000-425602 $100,00
224-00000-426605 $18,00
100-00000-425605 $4,00
TOTAL DUE: $202.00
PAYOR;{~CA&~iERDBo:wLSBy"--r';C9MM~Nls_...',"'U'::;:':;t.._::' ,'AI'v10.UNT'PAID ~. 0 .....:;)
Lithia refund to: Lithia 2060 Martin Luther . $202.00
King Jr.Blvd, Eugene OR 97401
DATE: 08/24/2010
RECEIPT NO: 2010000125
IDESCRIPTION:'" ;....,.f'
Blimp, Balloon, Searchljg~!
Blimp, Balloon, Searchlight Deposit
Admin fee (10% of applicable fees)
Permit Fee Adjustment - Tech Fee
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$202.00
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