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HomeMy WebLinkAboutPermit Signage 2010-10-11 225 FIrm STREET. SPRINGFIElD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 .~.' !;td.."'Ol'''- 0 (:) Lf 68 , City Job Number .... v ~: Job Location / h 3 ~ . ').f '- 1,,,-,,\ '" A M 170:5 ".3.S-u-, 'U ssessors ap_1 ' L- ~\ ~ ~: Owner of Prop ,~; Address \ l.:. ~ ~c~t\.. .~: ..9tY. ~~Lo bLJ ,.__...b ~; ContractorlInstaller SCtf'YL.e U ~::'I/ Address cSCt..rY4L. roo (j) City 00' ~. _.f ---- r:L1, Description' ~: Date of Installation 0' 0; ,_=i ,:..1 ~. fVt"o, I ~ ' ~' 00', ~ ~1 ~! e' ~j ';1'\: ~.J ~j ____ Date of Application I (J II 10 ~ fj,'._.; 1 Issued By i~'1 ,....., .~ 'l'_I~ ,.-.-.-11 ~l, . f ~ ~~- f):'~ < .. "'..~..."'4" ....."1', ,.,vr,.,. .'>'-~'. ,.'. " <'. ~~ '>;~", "'"';~'.@itY:\bE SRRThIGF]BL,1lJ:.OREGON: . ': '.\.:' : '~""i~ ..;:., ."". r'''~;;';.~.l.;,,:' _- .:1~.~~-i' k-"., -\,,~-~.. '_..:....~: ~~.-!tt~"~ '1 '" 'f' SPRINGFIELD C~ ",011)' ~: {, , 4"', .,' . ,.'!, .._, ...."'l...'... I ;.:oJ",' .......\,..., , l'~j:-:::,,<- .~~~il;j ,~l.:d%..(;J[:...'.t,,-~':f:"', ~11 ~ '=dL'~";":..l.......,~ "# r;+ Tax Lot o ~~06 ~ c:::::t. C',' e,. ~ -, ~+ lO'OQ '\..~ Phone(S- (j ('f7-'S~7t(.. Zipcr 7~ 7'7 State t;).,.. Phone State Zip Construction Contractors License # -Pc: K,vA-vv 4-.s 10 lit I ~'" 10 Expires Date of Removal II (11'/ Z-o I 0 'Yl~"\,, $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 time line specified, I will forfeit the $100.00 deposit. I also understand that this special permit can only be issued twice 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 of the display. This inspection will begin the process to return the $100.00 deposit if the display has been removed. Signature ~""D..&<\ I D I''; 'Lot <..I Date For Office Use Job# So/O.c) ~ I..{ a 8 Receipt# ZoIC) - 537 207-- !:::P Amount Collected Shared Drive(T:)lBuilding FormslBlimp_Penn.ants_Balloons 7-OB.doc www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00488 IVR Number: 811196019974 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726.3769 Fax: 541-726.3676 permitcenler@cLspringfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/11/2010 ISSUED: APPLIED: 10/11/10 EXPIRES: 4/9/2011 VALUE: $0.00 SITE ADDRESS: 163 S 9TH ST, Springfield, OR 97477-4736 ASSES OR'S PARCEL NO: 1703354209800 SCOPE: Blimp, etc. WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Pennants. install 101110 removal date 102510 OWNER: ADDRESS: CAR LIT OR SPRING LLC 360 E JACKSON ST MEDFORD OR 97501 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION I Lie Type Lic No Lic Exp Phone BUILDING INFORMATION I # of Units: I o # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: lot Size: Sq Ft1st Floor: Sq Ft 2nd Floor: Sq Fl Basement: Sq Fl Garage: Sq Fl Carport: Sq Fl Other: Occupancy Load: # of Bedrooms: Sprinkled Building: Fire Alarms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specially Code Edition: Municipal I Development Code: Plumbing Specially Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Energy Path: Site Infonnation I Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 10/11/201 2:01:41PM Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811.SPR2010-00488 IVR Number: 811196019974 225 Fifth St Springfield,OR 97477 Phone:'541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SP~N..G._.FIE~ ~~.. -- .... \tlW J{,,* OREGON permitcenter@ci,springfield.or.L1s PROJECT STATUS: Issued STATUS DATE: 10/11/2010 ISSUED: APPLIED: 10/11/10 EXPIRES: 4/9/2011 VALUE: $0.00 SITE ADDRESS: 163 S 9TH ST, Springfield, OR 97477-4736 ASSESOR'S PARCEL NO: 1703354209800 SCOPE: Blimp, etc. WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Pennants. install 101110 removal date 102510 DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Interior Setback:. Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value '-. .'~0 ~ ~~~:;"~*;,~~~-. ~r.:; ,~x5i~t~~~~~i~:'~t~'~]Lt~~slFi~}D~~E~1~~:J;:i~~;e-:. .:' , ~~~~ ;,~"~/: Amount Paid Date Paid $80.00 10/11/2010 $100.00 10/11/2010 $18.00 10/11/2010 $4.00 1011112010 $202.00 .(:d-":'~" -'-7'~~?; ~'_"'''-....;_.~' r_t' "l ,',; , ;-"~:.. ' Descriotion ReceiDt # 374561 374561 374561 374561 Blimp, Balloon, Searchlight Blimp, Balloon, Searchlight Deposit Admin fee (10% of applicable fees) Technology fee (5% of permit total) Total Amount Paid SprjngfjeJd Building Permit 101111201 2:01:41PM Page 2 of 3 SP,~INGFIE~... .. .'~ ,:c rt:fJ " OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: B11-SPR2010-004BB IVR Number: 811196019974 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/11/2010 ISSUED: APPLIED: 10/11/10 EXPIRES: 4/9/2011 VALUE: $0.00 SITE ADDRESS: 163 S 9TH ST, Springfield, OR 97477-4736 ASSESOR'S PARCEL NO: 1703354209800 SCOPE: Blimp, elc. WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Pennants - install 1 0111 0 removal dale 102510 [-~~~: '.-:;~-;-"~ ~~ ~';5f~:=-:,:--,T,~~.: -:,--- . ,~.:J:~J~rt~R~~~~..w,~C'$,;.:;.-e-'- -_7: ';-~-~s---~~:;?~~-- -.-:---~---~- ~-l Deoartment Sign Review Comments: Application Acceptance Comments: Permit Issuance Comments: Received Due Date Comoleted Result Reviewer 10/11/2010 10/11/2010 10/11/2010 Approved David Bowlsby 10/11/2010 10/11/2010 10/11/2010 Over the Counter David Bowlsby 10/11/2010 10/11/2010 10/11/2010 Issued David Bowlsby INSPECTIONS REQUIRED ~ Inspections 6971 Blimp, elc. 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 the State 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 on the site at all times during construction. Q~o~gn~~ / t/ -I ( - /'0 Date Springfield Building Permit 10/11/201 2:01:41PM Page 3 of 3 SP1:\N~..E~ L~~ ~.ORfGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00488 163 S 9TH ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield,or.us RECEIPT NO: 2010000537 RECORD NO: 811-SPR2010-00488 DATE: 10/11/2010 EDJ':_~CR!PTLON ~..;;~.,:"~~"::.:&; :;'~:l;l;:::,.~' :-'~';:~; ':Jt;~~::;~€C1>)TN:EC.oI5E:- "~'~~'0ie.MQUt{f_D..QEi', ./ Blimp, Balloon, Searchlight 224-00000-425602 $80.00 Blimp, Balloon, Searchlight Deposit 224-00000-425602 $100.00 Admin fee (10% of applicable fees) 224-00000-426605 $18:00 Technolo~x fee (5% of permit total) 100-00000-425605 $4.00 TOTAL DUE: $202.00 t,.:PAYIvlENTliXPE"7::'7pAvORj ':';c7\S8tERJDBO;NLSBY' *.::' d::rI'!lMgt.jfs~~::~~i,.:;..:-":'?-,h' >\':;AMOUI'ff;e8115<:-+,7,,:, ,~. "1 Check 53333 CAR LIT OR SPRING LLC refund to: Iithia auto stores 163 5, 9th, springfield or 97477 $202.00 $202.00