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Home My WebLink AboutPermit Signage 2004-9-2 Status Issued ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01099 ISSUED: 09/02/2004 APPLIED: 09/02/2004 EXPIRES: 03/02/2005 VALUE: 225 Fifth Street, Springfield, OR 541-7,26-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection "Line SITE ADDRESS: 555 W CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703274305805 Springfield TYPE OF. WORK: Banner TYPE OF USE: PROJECT DESCRIPTION: Banner - 090204 remove no later than 091604 New Commercial Owner: CENTENNIAL SHOPPING CNTR LLC Address: 7831 SE STARK ST STE 103 PORTLAND OR 97215 I CONTRACTOR INFORMATION. Contractor s ,!O~ \~'J License OWNER .1 ~eo.\}\~~nf\ \J~~",~\'t\ ~ . \'u~ _")'~ . Ote~o. - it,ili) iieI~FORMATION I ~"'\O~.. 609\e '(\ose ,J- O~\'\ id-~\~~ 9' # of Units: ,,~ {\l\eS 8! ~\e<' '" \'(\~'(j~t~i~S-~ ~ ~Qf\@ Primary Occupancy Grou\O\\~..,a ~O{\ Ce :\.OO\~ 1'git1; ol~~t~J~@\l Secon~a!'Y. Occupancy Gr~~\\ca; flPZ,OO 0'0\'0.$\ ~'~M~~tii,.\\\~ Primary'Construction Typ((\ O~ ~o$ t<\'O.'! 0(\\et. ~ (\~J"\~)j~:'~)' Secondary Construction Ty~Q.. 9\'(\0 c e 010 ~'Fype: # of Bedrooms: G~\\~et \01 \'(\ t \S \'~nergy Path: ~ Ce{\\0 Sprinkled Building: Contractor Type Sign Expiration Date. Phone Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: . n/a I DEVELOPMENT INFORMATION .' REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: , - , . \)~~ '. - \\~~ ~\ '" if" Ie. ~ I PUBLIC IMPROVEMENT6-f'~~\:.~~~ ~\j~ {... \\,S A~~'v ~\rv'Y;. ~\\ S~~\)~~ "\ ~~~\l\!Walk Type: ~~ ~S \>~" ~1.'\:.\) \) \j~ ,S ~ Downspouts/Drains: '\~\)\\\\)" ~~\:.\> ~\:.~,r:J . ~ ~~~ \>~ . :' ~<J ~ \lQ~ ~~ Notes: I Valuation Description I Description Type of Construction $ Per ~q Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01099 ISSUED: 09/02/2004 APPLIED: 09/02/2004 EXPIRES: 03/02/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I Fee Description + 10% Administrative Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $18.00 $80.00 $100.00 9/2/04 9/2/04 9/2/04 1200400000000001303 1200400000000001303 1200400000000001303 Total Amount Paid $198.00 I Plan Reviews, ' ,To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Reouired Insoections I Sign Final: After all required inspections are conducted and approved and the sign installation is completed. 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 of 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. J2A~~/'-- Owner or Co~'~t;rs Signature ~frY Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 , 541-726-3759 Phone Job/Journal Number COM2004-0 1099 COM2004-0 1099 COM2004-0 1 099 RECEIPT #: Description + 10% Administrative Fee Deposit Banner Special Permit Payments: Type of Payment Paid By Cash VALUE VILLAGE 9/2/2004 ~.~y of Springfield Official Receipt .;velopment Services Department Public Works Department 1200400000000001303 Date: 09/02/2004 2:08:18PM Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person Payment Total: Amount Due 18.00 100.00 80.00 $198.00 Amount Paid $198.00 $198.00 Page 1 of 1 ~ o .. ,.......( rJJ. . ,.......( > .. ,.......( o rJJ. (1) u .. ,.......( > ~ (1) r:/1 ~ ~ . ,.......( ~ ~ s s o U I ~ .. ,.......( 5 (1) ~ ~ tj) ~ ~ C\1. co 225 FIfTH STREET.. SPRINGFIELD, OR 97477 .. PII:(541)726-3753 .. FAX: (541)726-3689 City Job Number Corvl zo-oLf ~ 0/07 '7 Banner Location ~S--\ l J~/J Ce:/f~?/y1~:'~ p-.~ Tax Lot 0 ~ &0 ~ Assessors M(lp !703Z'7Y'3 Owner Owner of Property tZ1..l.,LA.-L.- VJlA'~l'C Addres'< 2)3 S [,().e~t- C'~-fllk>}U}<~.~1' p~~ . ~u'ttlV' U\\\ \\'~ /). /'. '.t 'a~ te e~o,fI ,o~~- /7 City ~'-IJ-.lA/'1 -S~L- ~G(~ot\ \'r.Q Ot ",,~Q)~~t. I rf:-- U \O~. .&, 1\\00 'O'J e tu\e9 II.~ ~f/t . b\J euoy 4"t\OS '" Or . u\a~ Y''l Contractorllnstallet\ ~cU'- (\\et. ''" ~tOU~\\ ~ \ne ~ f\@ \9~'L\Of\ ce J.)O'\O \1 \as 0 a\e?~G. ft Contractor C;. ~~~.n f\0\ _" ,,,,)1\ co~ ,\\'\0 \: , f,r.a\)Q ~..:...~.... ~ o'0'i.'-' \.~O\\:l.,. v;u"( - c-..- --- $\0 '(OU t<\ r-,\et. (\ \J\\\\\'~ ~I\I$' Addres~ ~90. _ ~e va ~(eQP.. _?",'2,-Z c~\\\ \'t/J - \ot \ntll. v~\)v'''' C\u({\'Oet cer-,\et \S Zip Cl'1!'77 / Phonf' Zip City State Construction Contractors Registration # F.xpirei' Description .~n/,,"'<-- 2 ..."""" f <, c./ Date ofIru;tallation ;~/6 'f Date of RemovaJ f~ 't Banner Permit Fee $80.00 + Required Deposit $100.00 + 10% Administrative Fee ~C)"", By signature, I state and agree that I have careful.IY c. ompleted th~' s a \wafi~~~(\f31~\y certify that all infonnation herein is true and correct. I further ~.and ~F: $~\t ~~described banner(s) is not larger t~an 60 square fee~, a~d ~~~~~:ru ~~Jvi~~<\}~~ ~. om the date listed . above. If the banner(s) IS not removed wIthm the,tn.~ ~\~~CI~~'l ~II forfeIt the $100.00 depOSIt. I also understand that this special permit can be iS~LtR~~~~\~endar year per development area. I also agree to call the inspection line at 726-~'ffl~i~t)\l~no of the 14th day to request an inspection to verifY the removal ofthe banner(s). TJIn~1nspection will begin the process to return the $ ~ 00.00 d, epOSj; if the bann:r( s) has ~een removed. . SIgnature" ,:x/ t,./!--)cL ,..J Id-c~c/;'} L. //1 / I Date 9 L./;)/ I // / ' For Office Use Date 0 f Application :7. ~;0', Job # :..",," "'-""'I ' 0 I () ~ 'i Recei pt # I "3 0 "3 Issued By 1'; 06 Amount Collected $/7,fc:::.- Shared Olive (T:)/BuiJding Fonns/Banner Pennit CSDJ -03.doc