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Home My WebLink AboutPermit Signage 2011-8-3 .zZ5 FIrm STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ~ City Job Number '~ ~ Assessors Map ~ ~ ~j ~ .. ''-~ ~ ~ ~ ~ ~ rtDJ1 ~ ~ ~ Date ofInstallation ~ ~ ~ ~ M '" ~ ~ ~ i ~ ~1 ........... Date of Application '6 :5 (( ~ ~ Issued By ..~ ~ M . ~,..."".~,.I'<.':"::'-3{1\'"~'t "".,> "'-._'~~,....,;-i\.{-:l,"..:,....-&.", ::'-:;;:;l"\"""-<-.~1 ,"-L\~~:'t~i!*-;:;€"""-l..~ '{'k:~ ,;;~;'~'j;#'!!;IJ~c~1,~_::\{;:€FEM",@ Fr.sRRillN @F:IEr:f)'':C>'R,EG6)N~ ~i~: "-~:';"~,'i -'~ ';~:1J-.:l::";.At 7= ['s-,'!~~-4e;"'~~::~ ~t~.-t.;: _~~l;~..;"t';;'~*,,"..~7~~..l0t.f "?-~:;"""~i.:$~~W~)I<. ~~!?, ~ ,""~t-iP'~ sr(-Q ( '883 Job Location 'fJICfL/ (?deu)~ Lf (70'32zzo Sifflrll CJ12- <174 77 . 02 SO ( Tax Lot Owner of Property ~; 10.- S0l-tlV'l/I-z.. Address 61'1 L/ GdeuJOA.-, '-to City t1pflA J ContractorlInstaller . ~ ~ Address 0 i"1L( (;c..../ e u.J i'M'J- city-5pPid Phone (ljLII) 7 Urv 2-2/ / Zip q 7477 State tJ12- Phone (i;L/1)12tJ1 /,1 2Z i '- / tn2- Zip Q7t.-/77 [,I) ( State Construction Contractors License # Description (~,'CV\"-t 610w '6/~) /I , ( Expires Up (s'Mif <6~/7-f( Date ofRemovaI $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 be issued only once 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 &, ~ '~fi 7 ~ j/ Date If/f)! I For Office Use Job# $f(-rggs Receipt# ZOf( - 21 , '7 207 0':1 Amount Collected Shared Drive(T:)lBwlding Forms/Blimp]ennants_Balloons 7-o8.doc SPR.ING. f IE~ .~~. jif,~ ",:\ OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01883 IVR Number: 811121228874 www.ci.springfield.or.U5 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 08/03/2011 ISSUED: APPLIED: 08/03/2011 08/03/2011 EXPIRES: VALUE: 08/17/2011 $0.00 SITE ADDRESS: 3194 GATEWAY LOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703222002501 SCOPE: Blimp, etc. WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Blimp/balloon - install 080311 removal date 081711 PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: SYLMA COMPANY 2390 LARIAT DR EUGENE OR 97401 Contractor Type Sign Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lic Type OWNER BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Speciarty 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: Lic No 0000000 Lic Exp 08/12/2025 Phone Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Fl Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o Site Infonnation ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 8/3f2011 10:18:30AM Page 1 of3 SPj~NG.. ~E~~ ~~ ~.OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01883 IVR Number: 811121228874 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 08/03/2011 ISSUED: APPLIED: 08/03/2011 08/03/2011 EXPIRES: VALUE: 08/17/2011 $0.00 SITE ADDRESS: 3194 GATEWAY LOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703222002501 PROJECT DESCRIPTION: SCOPE: Blimp, etc. WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Blimp/balloon. install 080311 removal date 081711 Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ Overlay Cist: # 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 Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Desc r;ot;on Technology fee (5% of permit total) BlimEo~"~a!loon, Sec:~~~!i,~~t Deposit Blimp, Balloon, Searchlight Admin fee (10% of applicable fees) Total Amount Paid Amount Paid $4.00 $100.00 $80.00 $18.00 $202.00 Date Paid 08/03/2011 08/03/2011 08/03/2011 08/03/2011 Recio! # 2011002177 2011002177 2011002177 2011002177 Springfield Building Permit 8/3/2011 10:18:30AM Page 2 of3 s.p. RI.NG..F1EL:iiI ~ij-. ;~ {'~""OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01883 IVR Number: 811121228874 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.U5 PROJECT STATUS: STATUS DATE: Issued 08/03/2011 ISSUED: APPLIED: 08/03/2011 08/03/2011 EXPIRES: VALUE: 08/17/2011 $0.00 SITE ADDRESS: 3194 GATEWAY LOOP. Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703222002501 SCOPE: Blimp, etc. WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Blimp/balloon - install 080311 removal date 081711 PROJECT DESCRIPTION: Plan Review ~ Department Application Acceptance Received Due Date Completed Result 08/0312011 08/03/2011 08/03/2011 Over the Counter Sign Review 08/03/2011 08/03/2011 08/03/2011 Approved Reviewer David Bowlsby INSPECTIONS REQUIRED ~ David Bowlsby 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. ?t~~~~ Owner or Contractor Signature ~)~i\, Date I' Springfield Building Permit 8/3/2011 10:18:30AM Page 3 of 3 SPRING.FIE~ .'~ iet; ~'. " OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01883 3194 GATEWAY LOOP CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2011002177 lDESCRIe.TION' ., Admin fee (10% of applicable fees) Blimp, Balloon, Searchlight Blimp, Balloon, Searchlight Deposit Technology fee (5% of permit total) RECORD NO: 811.SPR2011.01883 . " '.:.~ACC.OUNLC.O[)E . 224-00000-426605 224-00000-425602 821-00000-215500 100-00000-425605 TOTAL DUE: DATE: 08/03/2011 AMOUNT"DUE 18.00 80.00 100.00 4.00 202.00 .AMOUNT PAID 202.00 LP.~YI\'IENI IYPE Credit Card 05334p _PAY9R CASHIER: DBOWLsav- michael schwartz . C9MMENT.S. refund to: michael schwartz 3194 gateway Ip, springfield or 97477 TOTAL PAID: 202.00