HomeMy WebLinkAboutPermit Signage 2011-1-31
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225 FIFTH STREET. SPRINGFIEW, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
City Job Number S (I - /4 L(
Job Location 8?>t1- DL.1tIMPU
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Assessors Map
Owner of Property DL- \.( f1^- \ J \ L S \
Address ~ B'v X. 2/tJ ( '2- S-
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c:J?t. Phone
City State Zip
ContractorlInstaller ~-\. ~ R... 2:> lo~ 11l\A~ t. . Lf:.J..,U kS
Address 3~D ~b()VC9 (d). 2>~ _~ PhoneS'-/ I 54'-1 :SLff1~
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Construction Contractors License # Expires
Descriptiou ~~ k '. q, ~\;- 'i,. . J ~t-
Date ofInstallation <:2.} / I / Date of Removal 211'-(,1 1(.
$202.00 including $100.00 Deposit and applicable fees.
By signature, I state and agree that I have carefully completed this application aod hereby certifY that all
information herein is true aod correct. I further agree and understaod 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 understaod that this special
permit cao 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 141h 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 -.:s-'-- -=> - d...~ Date ~
Date of Application / / f I / If
C-~
Issued By
For Office Use
Job# ') Ii - / r..; L-/ Receipt# 201 I DOc) /'10
Amount Collected ")...D 2-.00
Shared Drive(T:)IBuilding FormslBlimp]ennants_Balloons 7-OB.doc
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CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00144
IVR Number: 811126931055
www.ci.springfield.or.us
225 Fifth 5t
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield,or,us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
01/31/2011
01/31/2011
Issued
01/31/2011
EXPIRES:
VALUE:
--, __. I
$0.00
2 "--1' ·
SITE ADDRESS: 2317 OLYMPIC ST, Springfield, OR 97477.3465
ASSESOR'S PARCEL NO: 1703254101101
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Pennant - REMOVAL DATE 2114111
Phone Number:
OWNER:
ADDRESS:
OLYMPIC STREET PROPERTIES llC
PO BOX 26125
EUGENE OR 97402
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
Lie Type
Lie No
Lie Exp
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 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:
Lot Size:
Sq Ft 1 st Floor:
Sq Fl2nd Floor:
Sq Ft Basement: .
Sq Ft Garage:
Sq Fl Carport:
Sq Ft Other: 0
Occupancy Load:
Site Information
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
1/31f2011 11:27:45AM
Page 1 of 3
Wi
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00144
IVR Number: 811126931055
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
01/31/2011
ISSUED:
APPLIED:
01/31/2011
01/31/2011
EXPIRES:
VALUE:
07/30/2011
$0.00
SITE ADDRESS: 2317 OLYMPIC ST, Springfield, OR 97477-3465
ASSESOR'S PARCEL NO: 1703254101101
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Pennant - REMOVAL DATE 2/14111
DEVELOPMENT INFORMATION ~
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 Tvpe
Unit Cost
Value
FEES PAID
~
Descriotion
Technology fee (5% ;>f permit total)
Blimp,.~~~~on, Sea~~~light Deposit
Blimp, Balloon, Searchlight
Admin fee (10% of applicable fees)
Total Amount Paid
Amount Paid Date Paid ReciDt #
$4.00 01/31/2011 2011000190
.._._-_._-"------_.__..._.__._---_._-~~-_._-
$100.00 01/31/2011 2011000190
'" --""'-'"--,,---~,-,-,~ ...--..".--"'""---- -- -- - "..-..".. .--.." - -. - -.- "
$80.00 01/31/2011 2011000190
---..
$18.00 01/31/2011 2011000190
$202.00
Springfield Building Permit
1/31/2011 11:27:45AM
Page 2 of3
.
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b~
~bREGON
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Sign Permit
PERMIT NO: 811-SPR2011-00144
IVR Number: 811126931055
225 Fifth SI
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
01/31/2011
ISSUED:
APPLIED:
01/31/2011
01/31/2011
EXPIRES:
VALUE:
07/30/2011
$0.00
SITE ADDRESS: 2317 OLYMPIC ST, Springfield, OR 97477-3465
ASSESOR'S PARCEL NO: 1703254101101
SCOPE: Sign
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:.
Pennant. REMOVAL DATE 2114/11
Plan Review
I
Deoartment
Sign Review
Received
01/31/2011
Due Date
01/31/2011
Comoleted
01/3112011
Result
Approved
Reviewer
Chris Carpenter
Permit Issuance
01/31/2011
01/31/2011
01/31/2011
Issued
Chris Carpenter
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 ttiat 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.
Owner or Contractor Signature
Date
Springfield Building Permit
1/31/2011 11:27:45AM
Page 3of3
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TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
www.cLspringfield.OLUS
811-SPR2011-00144
2317 OLYMPIC ST
permilcenter@cLspringfield.or.us
RECEIPT NO: 2011000190 RECORD NO: 811-SPR2011-00144 DATE: 01/31/2011
fDESCRJRTION" c,'" 1~~~::~2i~,_ ;< ,::c~"-:'_Acc6\JNT~C,bDE.:.L ";;:;i'-;U' ~~AM6uNT_D\JE-,';'~~'_,,::_'j
Admin fee (10% of ".pplicable fees) 224-00000-426605 1~;OO,.__,_ __
Blimp, Balloon, Searchlight 224-00000-435602 ..__~o..92..-____
Blimp, Balloon, Searchlight Deposit 821-00000-215500 100,00
Technology fee (5% of permit total) 100-00000-425605 4,00
TOTAL DUE: 202,00
t1::.:eAYMENI n:e.E~-#;,~PAYOR~CASH1Ei\~Cc'ARPErjjiBH'+Y:;~;ltCQ.MMENf~',<', ,,'0' ",.- ; . AMPUNt, PAID' - ,
Credit Card Mark Lewis Refund to Mark Lewis 390 202,00
047971 Coburg Rd Ste B Eugene 97401
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1
TOTAL PAID:
202,00