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Home My WebLink AboutPermit Signage 2010-11-9 ZZ5 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 . ~. City Job Number 9{LZotc - ~ b 9/ ~.= ~ Job Location / / & .:L. ~(Vl='''-, AJlJ /J C . j' (t). Assessors Map_/7 0"3 L Z Z 0 ~, . , ,~- "'". " "-,'''''..' .-. .'~"..j_~~'~'j.\j'.f "'. ""- ," " ' - . :. 0ITY'OF SPRINGFIELD OREGON . -', , .. -',. ~". - ; f.... - '. ',- . ~ l~PRj~,~\G~.~E.LD '~. .~~.~~ij ( ~~.~. "-=:--.:.. ... ---~ .' I . :<~, ~~.i '~;:..J~j:';;~ ~I ~ Tax Lot 6 Z 40~( ...j.".) ~: ~1} . ~~ ..1 ~, ~: U ~~='h a"j, ~;, TV", 'J,I-l ." _.1 -........... r;J;J ~: OJ d.t ::.J aPe t:"'I!'t ~o 00, LS ~; ~i ~j ~j <nll'~ ~, -...........' f;"I \ ~~ fal .~~; .~. Ii f1'fI'\ ~J Owner of Properly ::::;~ u' 1<. . /' S,~~h is-f1 - '7~(o -h ';::, ';)j 97t/77 Zip Address Phone .t<7'Tt1r V ~ . Date of Removal /1 ,!!2tJfu $202.00 including $100.00 Deposit and applicable.fees. Address f / c,: <I ~I L.lI1-) City~;CQ/'1 '7 'tLR-4-.cL Contractor/Installer :;;;;s- / F /~u .0 , Phone State t.-/>t - City State Zip 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 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. Sign~. ,.--~~~ For Office Use Date of Application Amount Collected Construction Contractors License # Expires ~/l;//u , / / Description I I ~~t (] ~ 9)/0 I , . < #-'''U'7? Date ofInstaUation Date Job# SIt:> -00 b ~ I Receipt# 20,0' 0'7 f&. Issued By '? e:. 7 ~ Shared Drive(T:YBwlding FonnsIBlimp]ennants_ Balloons 7-08.doc SPR..~ .'\HG.F.'E~.D-. ~Cl'_ ..-L if1; ,- . .., OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00691 IVR Number: 811124267777 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/09/2010 ISSUED: APPLIED: 11/09/2010 11/09/2010 EXPIRES: VALUE: 05/08/2011 $0.00 SITE ADDRESS: 1162 GATEWAY lOOP, Springfield. OR 97477-1115 ASSESOR'S PARCEL NO: 1703222002404 SCOPE: Blimp. etc. WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Balloon - install 110910 removal date 112410 Phone Number: OWNER: ADDRESS: SHEILA S llC 3190 GATEWAY lOOP SPRINGFIELD OR 97477 Contractor Type Sign Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ lic Type OWNER BUilDING INFORMA TION ~ # 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 I 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 Ft1 st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 11/912010 9:59:44AM Page1of3 . . SPRINGFIE. ~O. . Wf-- .,-,~- 'c""-~ .>. ~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00691 IVR Number: 811124267777 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfieJd.or.us PROJECT STATUS: STATUS DATE: Issued 11/09/2010 ISSUED: APPLIED: 11/09/2010 11/09/2010 EXPIRES: VALUE: 05/08/2011 $0.00 SITE ADDRESS: 1162 GATEWAY LOOP, Springfield, OR 97477-1115 ASSESOR'S PARCEL NO: 1703222002404 SCOPE: Blimp, etc. WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Balloon. install 110910 removal date 112410 DEVELOPMENT INFORMA TION ~ Overlay Dist: # 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 ~ Descriotion Tvee of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ Descriotion Blimp, Balloon, Searchli9ht Blimp, Balloon, Searchlight Deposit Admin ree (10% of applicable fees) Technology ree (5% or permit total) Total Amount Paid Amount Paid '$80.00 $100.00 $18.00 $4.00 $202.00 Date Paid 11/09/2010 11/09/2010 11/09/2010 11/09/2010 ReceiDt # 374844 374844 374844 -- -------- 374844 Springfield Building Permit 11/9/2010 9:59:44AM Page 2 of3 . . SPRIH~G FIE. LD- , ~'i\'\ ", ~ --~ ~. .~ ,\ OREGON www.cLspringfield.or.us , CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00691 IVR Number: 811124267777 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541,726-3676 permitce nter@ci.springfield , or. us PROJECT STATUS: STATUS DATE: Issued 11/09/2010 ISSUED: APPLIED: 11/09/2010 11/09/2010 EXPIRES: VALUE: 05/08/2011 $0.00 SITE ADDRESS: 1162 GATEWAY LOOP. Springfield, OR 97477-1115 ASSESOR'S PARCEL NO: 1703222002404 SCOPE: Blimp, etc, WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Balloon - install 110910 removal date 112410 Plan Review ~ Received Due Date ComDleted Result Reviewer 11/09/2010 11/09/2010 11/09/2010 Over the Counter David Bowlsby '11/09/2010 ',Approve,d .'- ~:.'Daviq ~.gwlsijy - .""~ ,- -,.. " - - , '-' 11/09/2010 11/09/2010 11/09/2010 Issued David Bowlsby DeDartment Application Acceptance Permit Issuance 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 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 t~e site at all times during c~n;r,J7~__ Owner or Contractor Signature III Jj/D Date/ Springfield Building Permit 11f9/2010 9:59:44AM Page 3 of 3 . . s~~~~_ ~ ~L~_ . ~~,~ , '::D -,.--- -\ OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00691 1162 GATEWAY LOOP CITY Of SPRINGfIELD 225 Fifth 5t Springfield, OR 97477 541-726-3753 permitcenter@cLspringfield.or.us RECEIPT NO: 2010000796 lQ!:~C!.BlPJ!Q.tf . ., ~ Blimp, Balloon, Searchlight Blimp, Balloon, Searchlight Deposit Admin fee (10% of applicable fees) Technology fee (5% of permit total) LEA YMENT TYPE RECORD NO: 811-SPR2010-00691 ,- , ::; :A.,C,C9UNJi,C.oOE"::;' 224-00000-425602 821-00000-215500 224-00000-426605 1 00-00000-425605 TOTAL DUE: '.",1- N ft.. PAYOR " .CASHIER:DBOwlSBY - COMMENTS Credit Card 03037p michael schwartz DATE: 11/09/2010 j : P.M9_UllU)J..I~' $80.00 $100.00 $18.00 $4.00 $202.00 AMOUNT PAID $202.00 $202.00 -'.. -j