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Home My WebLink AboutPermit Signage 2010-12-10 (2) 225 TIITH STREET. SPRINGTIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 .~':. S~(l'; t" roe ?$73 ,~ CIty Job Number ,- ,--C \oJ ' E' JObLocation~OO. V!\6I'C',Ao.. ro . ~('\~~P((Q c:fL (1) Assessors Map--.J 7 C 3 z S1 3. Tax Lot C D l..( ~ Q ~! J;~\' ~. ~, . .,-'1 ' 0..:-1 ~: U ;.;,;;j ~~ ~\i I"i>", \J,;J' r,.I!'\, \;J.,'-1.{ "- rJ!l' ~; If"!\. ~: ~) _.-.:1 ~~ ~,' ~~. f('f;'\ i ~~ -...... . ((ll) t.); ~. ~1 ~j ~, ~1 ~; ~J -...... f'l~L ~; ~~ .a~i .,....!! ~l .' ;~';~J'. -:~~~~"GI;[Y;:l)E'sRiUNGFmLID.: 0RE60N::'~ ".':' ~,,~':;"o~ '\'"''''-n"If.' :...._.)~~~,'';,j~..,....lC ';;:~',,'''<'1'--.' ("<'~,;'J' _~~,fo~"~-\:-.....~ r ~: .-}. ~ ~PRINGFIELD tk:~7.'~ 10'''-'1 ~. t f' 0 A:"'",.~t ; 'r.' ..,- -'._ ....'" ~, , .". ...J:', i},-;;"!~,~~:::::~~-,,:::~"..".;,,,'.';1., ~:'; -". !> :.>:..~ ':::~;:-~;:.:f::~~~; 'l~ .".~","_c"vJ'j"';,(l,_"...",,~.. ~ '-"~_'~'~"'~"~'_'''''''~w.:a. - ~I 411 0=" """-1" -v0 ~ \ Crr-;, l.: j Ie n1::> \DU, '::)~ ~. ~\ "'..:...., \ Address-" \, /() rv~l..~(' Phone"=' " City ~~. (\ ---D-N nQL\~ State Q(Z.. ContractorlInstaller DJ!.)(\ 0 oK '~~ "E3~ g " If , J _ . Zip '~--:' ~r Cf'l33- Address Phone City State Zip Construction Contractors License # DeSCriPtion~nJ('M\\-t V\.o rf Date of Installation \'1..... ~ \ CJ .' Expires d- '~\\[){) Date of Removal \'LI7'i fin I , $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. lithe 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 ofthe 14th day to request an inspection to verifY the removal of the display. This inspection will begin the. process tOj'etum the $100.00 deposit,\fthe display has been removed. Signature(i,(~-jC..;;J Vp_~(__//. Date~ \2/\0/1(') . ""-.../ ____ ( I For Office Use ) Job# S/b-oo ~7.3 Receipt# "Zcio- IDl z.. Date of Application I z. Issued By ~~ Amount Collected Zb7 Shared Drive(T:)IBuilding Forms!Blimp]ennants_Balloons 7-08.doc CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00873 IVR Number: 811145632353 www.ci.springfield.or.U5 PROJECT STATUS: STATUS DATE: Issued 12/10/2010 ISSUED: APPLIED: 12/10/2010 12/10/2010 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permltcenter@ci.springfield.or.us EXPIRES: VALUE: -~ $0,00 SITE ADDRESS: 1900 MARCO LA RD, Springfield, OR 97477.2560 ASSESOR'S PARCEL NO: 1703251300400 SCOPE: Blimp, etc. WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: balloon and pennants - installl121310 removal date 122710 Phone Number: OWNER: ADDRESS: TRI-W GROUP L TO PARTNERSHIP 100 SE CRYSTAL LAKE DR CORVALLIS OR 97333 1 Contractor Type Sign Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lie Type OWNER Lie No 0000000 Lie Exp 08/12/2025 Phone # of Units: BUILDING INFORMATION i # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # of Bedrooms: Sprinkled Building: Fire Alanns: 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: lot Size: Sq Fl1st Floor: Sq Fl 2nd Floor: Sq Ft Basement: Sq Fl Garage: Sq Fl Carport: Sq Ft Other:. . 0 Occupancy load: ,I Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 12/10/201 2:25:35PM Page 1 of 3 S~~:~~L~ .~~ " OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00873 IVR Number: 811145632353 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/10/2010 ISSUED: APPLIED: 12/10/2010 12/10/2010 EXPIRES: VALUE: $0.00 SITE ADDRESS: 1900 MARCOlA RD, Springfield, OR 97477.2560 ASSESOR'S PARCEL NO: 1703251300400 SCOPE: Blimp, etc. WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: balloon and pennants - installl121310 removal date 122710 DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Valuation Description Descriotibn TVDe of Construction Unit Amount Unit Tvoe Sidewalk Type: Downspout/Drains: , Unit Cost Value DescriDtion Blimp, Balloon, Searc~light Admin fee (10% of applicable fees) Technology fee (5% of permit total) Blimp, Balloon, Searchlight Deposit Total Amount Paid FEES PAID Amount Paid $80.00 $18.00 $4.00 $100.00 $202.00 Date Paid 12/10/2010 12/10/2010 12/10/2010 12/10/2010 Springfield Building Permit 12/10/201 2:25:35PM I Receiot # 375107 375107 375107 375107 Page 2 of3 S.P~I.HGFIE~ D. .. .\ ,~- .~ ::~: .~EGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00873 IVR Number: 811145632353 www.ci.springfield.or.uS 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfjeld,or,us u, O-.:'J{:l;\". ' PROJECT STATUS: STATUS DATE: Issued 12/10/2010 ISSUED: APPLIED: 12/10/2010 12/10/2010 EXPIRES: VALUE: $0.00 SITE ADDRESS: 1900 MARCOlA RD, Springfield. OR 97477-2560 ASSESOR'S PARCEL NO: 1703251300400 SCOPE: Blimp, etc, WORK INVOLVED: New TYPE OF STRUCTURE: Commercial balloon and pennants - In5lalll121310 removal date 122710 PROJECT DESCRIPTION: -I Plan Review ~ Deoartment Application Acceptance Received 12/10/2010 Comoleted 12/10/2010 Result Over the Counter Due Date 12/10/2010 Sign Review 12/10/2010 12/10/2010 12/10/2010 Approved Reviewer David Bowlsby David Bowlsby 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 propert, nd t e pproved set of plans will remain on the site at all times during construction. O.--j9:;J I (~ Date Owner or Contractor Signature Springfield Building Permit 12/10/201 2:25:35PM Page 3 of 3 SP~I~~::~ ~ ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00873 1900 MARCOlA RD CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 permitcenler@ci.splingfield.or.us RECEIPT NO: 20 I 000 I 022 RECORD NO: 81 I-SPR20 I 0-00873 DATE: 12/10/2010 -:;:",; ;~~-; :'- -~-~C_CPUNT~J;_O]J,E -~;;: "':.c '-,~1'!l0_U_~J DUE -_ ' . _., '/:-1 224-00000-425602 $80.00 224-00000-426605 $18.00 100-00000-425605 $4.00 821-00000-215500 $100.00 TOTAL DUE: $202.00 L..Pl~YJ,!,IENLT:YEE ;' :-"PA;-(OR i -'cAsHIER,DSdwj'sSY'. -:: C9MMENJ,s'f:<::" :-;,-. ~~:. _: ~1~t0.U_~L~~!P~;-,':"":'_::'J I DESCRIP'rION",..: .,;'ii"if-f '. f;~:3~-:' - ': ~~ . ,.,' ~""" ...~ Blimp, Balloon, Searchlight Admin fee (10% of applicable fees) Technology fee (5% of permit total) Blimp, Balloon, Searchlight Deposit Credit Card 010231 jck restaurants inc refund deposit to:carls jr 875 country club rd, eugene, or 97401 $202.00 $202.00 /