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Home My WebLink AboutPermit Signage 2011-9-8 22511ITH STREET. SPRINGFIEID, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 l~ '@ @ ~~ ~ ~ ~ .,,~ ~~.-- Contractor!Installer ~ ~ ~ @ rtI1J --.... ~ Date ofInstaIlation o o :: I) ~ ~ . -...... ~ I~ 5 6 @ ~. ___1 ~ Date of Application a Issued By ~ ..~ ~j m . ,. ,_. ~.".~ -,-,-' . "" ,. ~; ;.0 ...."',;:' -"""--~I ~ '" -1'-' '~~', ,'~'- . ~ ./,~.'-"'" ~ t"""'-"'''"''...-_....~'~'~~..,.~.v,'''%'<;.;r._--~-"'''''' ~-~."'-'.. <:-:;."'-.r-:#.... .'1'-?~""_~."-~~}!I'-"r.. .". ';;';,; J~ '1"1~'f;;;.':;.."':: :<Blill..Y~.0E'1Sp,.RJl!$TGRffi)niID~0R'IE@0NT' ; :;ii:: i'.j"c':::,{t: . "":~~:,::- "'~:"':~\;~~,~f'f';;:.~~.b.7i!f.k~~~<3i"'--,.-t,;;;;-t~ '";':'-:';;r-':.'::- .',"'. " f.- ....#':; ~- .f!> .:~;;.. ~.y...., '.:q;"'<i?,r,,,4.:" co",..."~~I- ?-Db '- J.b~ ~~;))IP Assessors Map ~ ~fU OJL ql!i) 1 . I Tax Lot (jt.'CO\ I Owner of Property f) Irt. ',10.. 0Ja u)a[ +! L Address :0 r1 q ~cJ wJ tA~~ I City ~flJ, . I SJ( ! Address ?J,/iL./' ~ Gdew(J Lp City 'SO n Y1j!:-E' !J . . I 5tate OP- I I Construction Contractors License # I Description G,.mJ Ske~ I CJ/X,I/I I I I $202.00 including $100.00 Deposit and applicable fees. I State Phone (64~)~f '7::?&-(P22 ( CfJL- Zip 1/471 Phone~'9zt!) 12& -& 2zf qFl71 Zip Expires Date of Removal "7/ 2- 2.. / I ( ( { By signature, I state and agree that 1 have carefully completed this application and hereby certify that all information herein is true and correct. I further agr~e and understand that the above described display will be removed within fourteen (14) days from the date lidted as the date of installation above. lithe display is not removed within the timeline specified, I will forfeit!the $100.00 deposit. 1 also understand that this special permit can be Issued only once per calendar year p~r development area. I also agree to call the inspection line at 726-3769 by the end of the 14th day to request an in1spection 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 0 ~ 6~/ Date ~~j( I For Office Use , '7/ ~/ II ~ I Job# I Amount Collected 2'l "2-- 5"1/- 2()3"2... Receipt# (201'\> 0<> 2.'f."'1 Shared Drive(T:)fBuilding FonnsIBlimp ]ennants_Balloons 7-08.doc I CITY OF SPRINGFIELD Building I sibn Permit I PERMIT NO: 811-SPR2011-02082 I IVR Number: 811141153238 , ISSUED:l APPLIED: www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 09/08/2011 09/08/2011 09/08/2011 SITE ADDRESS: 3194 GATEWAY LOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703222002501 225 Fifth SI Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax'. 541-726-3676 permilcenter@ci.springfieJd,oLus EXPIRES: . VALUE: 03/05/2012 $0,00 SCOPE: Blimp, etc. WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Temp Balloon REMOVAL DATE 9/22/11 - REFUND TO MICHEAL SCHWARTZ PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: SYLMA COMPANY 2390 LARIAT DR EUGENE OR 97401 CONTRACTOR INFORMATION ~ Contractor Type Sign Contractor Contractor Name OWNER Lie Type eeB BUILDING INFORMATION ~ # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire C~de Edition: Mechanical Speci11ty Code Edition: Municipal I DevelJpment Code: I Plumbing Specialty Code Edition: Residential Speci~lty Code Edition: I Structural Specialty Code Edition: I I Site In,ormation Engineered Fill: Fill Volume: Fiood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 9f8/2011 9:53:19AM . Lic No 000000 Lie Exp 08/01/2025 Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o ~ Page 1 of 3 PROJECT STATUS: STATUS DATE: Issued I CITY OF SPRINGFIELD Building I Si~n Permit I PERMIT NO: 811-SPR2011-02082 I IVR Number: 811141153238 , ISSUED:I APPlIEq: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SP~~~.EL~ ~~ ~OR.EGON www.ci.springfield.or.us permilcenter@ci.springfield.or.us 09/08/2011 09/08/2011 09/08/2011 EXPIRES: VALUE: 03/05/2012 $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 Temp Balloon REMOVAL DATE9/2~/11 . REFUND TO MICHEAL SCHWARTZ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ Overlay Dist: I # Street Trees Reqd: Paved Drive Reqd! I % of Lot Coverage: H.. \ rghest pOInt on structure to north property line: I PUBLIC IMPROVEMENTS REQUIRED PARKING Total: Handicapped: Compact: ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: I Valuatiorl Description ~ Descriotion Tvee of Construction I IUnit Amount Unit Tvpe I Unit Cost Value I Amount Paid $i8.00 I Technology fee (5% of permit total) $4.00 -- ----~.--,.--~.- -_. --.-.-..----- --..~-,...-.- -----1 Blimp, Balloon, Searchlight $80.00 --'---.__.,._-----~---~-"--..._~.,-I-- Blimp, Balloon, Searchlight Deposit . $100.00 ..- ----. Total Amount Paid $202.00 FEES PAID , Descriotion Admin fee (10% of applicable fees) Date Paid Reciot # 09/06/2011 2011002407 09/06/2011 2011002407 09/06/2011-' --'--2Oi"11i02407 -6970'812011 2011002407 Springfield Building Permit 9/8/2011 9:53:19AM Page2of3 PROJECT STATUS: STATUS DATE: Issued I CITY OF SPRINGFIELD Building I Si~n Permit I PERMIT NO: 811-SPR2011-02082 I IVR Number: 811141153238 , ISSUED:I APPLIED: , 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax'. 541-726-3676 S:Pt:~EL~ ~~ ~OREGON www.cLspringfield.or.us permitce nter@ci.springfield.or.us 0910812011 0910812011 0910812011 EXPIRES: VALUE: 0310512012 $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 Temp Balloon REMOVAL DATE 912~/11 - REFUND TO MICHEAL SCHWARTZ Plan Review I Department Application Acceptance Received 0910812011 Due Date 09/08/2011 Completed 09/0812011 Result Over the Counter Reviewer Chris Carpenter Sign Review 09108/2011 09/08/2011 I Not Required INSPECTIONS RE.QUIRED ~ 09/0812011 Chris Carpenter Inspections I 6971 Blimp, etc. Removal I By signature, I state and agree, that J 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 compJiance.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 ro"~~7 9/?) Owner or Contractor Signature Date Springfield Building Permit I I 9f8f2011 9:53:19AM Page 3 of 3 www.ci.springfield.or.us I TRANSACTION RECEIPT 811-SPR2011i-02082 3194 GATEWtY LOOP CITY OF SPRINGFIELD 225 Fifth S1 Springfield,OR 97477 541-726-3753 permilcenter@ci.springfield.or.us RECEIPT NO: 2011002407 RECORD NO:: 811-SPR2011-02082 DATE: 09/08/2011 lDES.CRIP.IioN' ", ;~;j',':, ~Vf?y,.;c_:r,:_>I:'t#Ir;.",~;;~:-'?<J~.l:J~' AC'C0UNT~CODE:" ,.~-i<: A. " 'AMO\JNT"DUE';~-+ - ~ Admin fee (10% of applicable fees) I 224.00000-426605 18.00 Blimp, Balloon, Searchlight I 224-00000-425602 80.00 Blimp, Balloon, Searchlight Deposit ~21-00000-215500 100.00 Technolo~~ fee (5% of permit total) ~__I 100-00000-425605 4.00 ! TOTAL DUE: 202,00 L:P'!'.YM.ENJ"TXeF .- .' ,.p'!'.Y:OR.I':,f~HIER: CcA'!P~l!-iER"::- ,:"::;~C:.()MMEI'.jISt:< ; ", ,,",-'f.. 'or ," A~qUI'!TyPAtD_ ;P;J":~c.-::..:l __ __ __....__.____,,__ ..._ _l__~____.w._._.__ Credit Card Micheal Schwartz 202.00 01277p TOTAL PAID: 202.00