HomeMy WebLinkAboutPermit Signage 2010-10-11
225 FIrm STREET. SPRINGFIElD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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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
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$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
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Date
For Office Use
Job# So/O.c) ~ I..{ a 8
Receipt# ZoIC) - 537
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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~
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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
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Amount Paid Date Paid
$80.00 10/11/2010
$100.00 10/11/2010
$18.00 10/11/2010
$4.00 1011112010
$202.00
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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~... ..
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" 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