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Home My WebLink AboutPermit Signage 2010-10-26 ~. ~. . iE'" e~ ~, ~, ~. ~; ~.n., ~," . ,..,j' ..,~L f,!'!'ll ~i ~, ~., ro: 11;'\ ~\ 7::0""'. " \ IJU __' ,I ---... 00, ~.;. ~' If"'\, ~': V~' '_u~J ,:..L, cP' ~i ~' "leo, \J!.J.' l;=~: ~~ ~i e~ ~,.- : ,...--.1 ~..- ~ ~!, ~j ---... ~, e~1 ;._~ ,; '(-1 .~~~ ',- -h ~l ~~"!!i!P ~-." ~"j "1.,)' <",'w ,_ ...'::> _"'" i/;"~..~~1~-:~t'~, "'~" ~ <:P, (' ~ .."1?,.If, .. .~~- T..> '~"'-~ h .'.'-;C>'.",QI;ry.r.'0E-Si?RlNGlFlEED- 0RE@0N. ,,,: ,"'/.' ,~~ tJ"'~~,;' ~:~ lii." ~_"".; 'p"":"~-'::..;:'l-~ d ~, .r .l;_,"",:j'"~":.~~':: '.. i;," "'~ ':c. ,'''":'- ~~ ~,..~. . SPRINGFIELD ~1 ~~ t t. " ,:<1i't,w1 ., 'I..'''' '. " ..,~ .. _.,.J,,"'~'-'''l'''--'' ' .,,' .._,. .,,' ',<>.p; ,..,r-'i.' , '_~~-':7;:,~: L";'L~~~~_]~;:~~ l",,:;,,,,,,,,,,r!l');~ 41'>~ ~,., b,llil.::J...lI::l~~::!l!4. ~" , 225 FIrm STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 . .. 58' City Job Number Sf>L z.cIO-CO ~ Job Location / b '3 S' -It.. ~ ) 7033 5l{'L Tax Lot () ?tF60 Assessors Map Owner of Property j j-rlAia ;16l-10-1N Ebtm t;f Sprirerhe/d Address f G 3 9k q1l1 8J-v.-ed Phone city~t1d . State oR. Zip q7471 Contractor/Installer t') W d 6.. Address ~ Phone City State Zip l Expires Description J 10 Date ofInstallation Date of Removal $202.00 including $100.00 Deposit and applicable fees. By signature, I state and agree that I have carefully completed this application and hereby certity 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 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 verity the removal of the display. This inspection will begin th ocess to return the $\00.00 deposit if the display has been removed. Date 1672&//0 I Signature For Office Use Date of Application /0 ~Z6 .(0 "'ha' Job#S1o .06 5g, Receipt# Issued By Amount Collected 7.C) 2 Shared Drive(T:)IBuilding FormslBlimp_Peonants_Balloons 7-08.doc CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00589 IVR Number: 811167148573 www.ci.springfield.or.U5 PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 10/26/2010 10/26/2010 155 ued 10/26/2010 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: 04/24/2011 $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 Pennants and balloons. install 102610 removal date 110910. PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: CAR LIT OR SPRING llC 360 E JACKSON ST MEDFORD OR 97501 Contractor Type Sign Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lic Type OWNER BUilDING INFORMATION ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal/Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lie No 0000000 Lie Exp 08/12/2025 Phone Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 10/26/201 1:37:04PM Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00589 IVR Number: 811167148573 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 10/26/2010 ISSUED: APPLIED: 10/26/2010 1 0/26/2010 EXPIRES: VALUE: 04/24/2011 $0.00 SITE ADDRESS: 163 S 9TH ST, Springfield, OR 974774736 ASSES OR'S PARCEL NO: 1703354209800 SCOPE: Blimp, etc. WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Pennants and balloons. install 102610 removal date 110910. PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMA TION ~ Overlay Dis!: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ 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 DescriDtion Blimp, Balloon, Searchlight Blimp, Balloon, Searchlight Deposit Admin fee (10% of applicable fees) Technology fee (5~/o of permit total) Total Amount Paid FEES PAID Amount Paid $80.00 $100.00 $18.00 $4.00 $202.00 ~ Date Paid 10/26/2010 10/26/2010 10/26/2010 10/26/2010 Receiot # 374705 374705 374705 . 374705 Springfield Building Permit 10/26/201 1:37:04PM Page 2 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00589 IVR Number: 811167148573 225 Fifth SI Springfield,OR 97477 Phone: 541,-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.OLuS PROJECT STATUS: STATUS DATE: Issued 10/26/2010 ISSUED: APPLIED: 10/26/2010 10/26/2010 EXPIRES: VALUE: 04/24/2011 $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 Pennants and balloons. install 102610 removal date 110910. PROJECT DESCRIPTION: Plan Review I DeDartment Sign Review Received Due Date ComDleted 10/26/2010 10/26/2010 10/26/2010 Result Approved Reviewer David Bowlsby Application Acceptance 10/26/2010 10/26/2010 10/26/2010 Over the Counter David Bowlsby INSPECTIONS REQUIRED I 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 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. ~~ -- ,(C).,20 ~/ (:) Owner or Contractor Signature Date Springfield Building Permit 10/26/201 1 :37:04PM Page 3 of3 SC.i~N. .~~.~. ~-~ ,~~ OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00589 163 S 9TH ST CITY OF SPRINGFIELD 225 Fifth $1 Springfield,OR 97477 541-726-3753 permitcenter@cLspringfield.or.us RECEIPT NO: 2010000669 RECORD NO: 81 I-SPR2010-00589 DATE: 10/26/2010 . WiiJ::.!'C:'~< ?'Mg;:o1Ji{f~GQi:lE,C, : :~~, },'. ,AMQ!J~j~[tUE' '"'' iii, "', 'I 224-00000-425602 $80.00 821-00000-215500 $100.00 224-00000-426605 $18.00 100-00000-425605 $4.00 - ------------ TOTAL DUE: $202.00 ;;'...~,.....:,,!'.::.~'dAM()UNtJ>AID '""fC;, , :.1 -_.~~.__._~--~~,-~-~ - !DESCRIJ>TI()N~,: ::+'-;.: ,- -.'''''';.:;''' 'S';'e'\~t:p, Blimp, Balloon, Searchlight Blimp, Balloon, Searchlight Deposit Admin fee (10% of applicable fees) TechnolOgY fee (5% of permit total) l; {J>A YI'IIENL.TYJ>E~ :;j>A 'lOR: ~,-.c.AsHTERD80~S8.i_L_tr G.o'MrJLE~JSi:~' Check 53399 lithia auto stores refund to: lithia auto stores 163 south 9th st, springfield or 97477 $202.00 $202.00 .,~