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Home My WebLink AboutPermit Signage 2006-7-31 ZZ" rIml STREET. SrRlNGFIELD, OR 97477 . rH:(541)726-3753 . FAX: (54 1)726-:~689 ~l <0; .->~( q')l e. .~14 Job Location ~ e'~4 Assessors Ma~' ~l c:.ol <1;).) Owner of Propert:' ~) .~~ ~l ~ ~ COl/tractor/ll/staller ..i~> Contractor -oJ ....._l~ ~4 ~I ~~~ 1 ,-4 . '.- ~ ~\ . - i e) rt-J; Il I..--~ e.~j ~ fl'll ~4 ~i ~.f9) ....y-14 ~ <1;)) " -l~ .~ . I t~ @; ~'.I~ --:-. T. Ii ~l e::: Dl cf5;$J ~l , , SPRINGFIELD :.~~=~_-~; r f L /__ I i J l~' /-""'1 I " \{ '----'-- -.-........,-/ , .-1:____",_ I ~-~-= - \=-. I~,- City Job Number r..,aM. ~G_CTO 9 b 0 ,2. 7 90 GAlE /.dAl/ ;. 17032ZOO 5"1- Tax Lot ()Z soe Owner .61A-u '~~a...LNb2-S. bfL - / /L Zi p.:.- b,~6.Qf>-,,- C-A-n:::fIV A-I " . IA~ Address _ / ( () c.. ~'-c.A-e,() Ity__y . 'v' / - '_ Phone.......c ~ } State,. Addrp<< \1t 1/110\-\\\ Ow NR",r'-,. .'i"II'.~'. .., ~,<V\\-\t In.... ,c MOl '.'''' . . RMI I ':>f'''~- . s'Pt\\i,.,... .~ 1\1\S pI'. \JI'IOr.R ,iiI ANtD fOR .. ,...uI\RlltO _ _ ,<, ~Ri\l'I[Pliorp CO~\Mr.I'IC,\:~ ~E~\O\). . ,,,/ -\f.:. 1 \''>'State JY , Cit:, Zip Construction Contractors License # . Expirp< Description _ <) L/ ~ J.vl P. r _ <) /A./,lJr""",- ;(]An/ ./1/[/2 - LA 1M. t'! (,(..4 /S.4.Nk Date ofInstallation .s? - .2 ~ 06 c9 - ~ / - 06 Date of Removal Banner Permit Fee $45.00 + Required Deposit $100.00 + 10% Administrative Fee 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 banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days from the date listed above. If the banner(s) and/or portable sign is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that this special permit can be issued only twice per calendar year per development area. I also agree to call the inspection line at 726-3769 by the end of the 30th day to request an inspection to verify the removal of the banner(s) and/or portable sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(~\and/or . ull"J , . 1'\lI{' portable sign(s) has been removed. \I),'o/J 1130; 1139,0'" u \01\'(\ '. <..-../ ./ ~~ ,.4# , , O~'. Ole<;lO~ '0"'1 \'(\~,~e'J ~'~ ~~~))()\' Slgnaturp ~-s::::- , -',.4:/~---::::;.c:~\1 .AnOW., ,f<)a,..l ;;z.'f-.~7~'6' 6. t' ',\~'o/J luI6ce",WI. \ '\~Iou<;l\' ;\ \'(\13 1"'- ",13 For o.[fi&'1Usel),\\o'" 00\000\0 co?leS \e1e?'(\0 110'" ~O~\~~ 9"'~- " ' . 0'0\'31'" ~o\e'. \~e ~O\\\IC\). Job # C6 -.o.O/i.:{; O.on\e\. ~ _Reg~i\p:'lt,#~\. \l"J-. III" - 01""- ?,?;t:...- CI),\\I"'~, \01 \\\13 . \-'COO- Fo AmountIGollected'\ IS '157 ,. v.... Date of Application 7/;1/(, I hit f Issued By Shared Drive (f:)/Building FonnslBanner_POl1llble Sign Permit CSD g-OS.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line . .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00960 ISSUED: 07/3112006 APPLIED: 07/3112006 EXPIRES: 08/31/2006 VALUE: SITE ADDRESS: 2790 GA TEW A Y ST ASSESSOR'S PARCEL NO.: 1703220002300 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner. Install 080206 removal date 083106 for Umpqua hank Commercial Owner: GATEWA Y MALL PARTNERS Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN CHICAGO IL 60606 I CONTRACTOR INFORMATION I License Contractor Type Sign Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secoudary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Total: Handicapped: ~*- Compact: &,.~\S ~\J'\ '\~ f.:> ,o...x., ~Q...~;" '<.\J~ ~' '<" ~v , '<,; ,'>.f.:> ",\S ~v "\ y. ~'V Sidewalk Type't~x.,~ {!>-y: -'i. ,,~-.~ 6 '" ~O,W~~!lu~GDr~~s: 'f:l'V' ,~\:) S <<. ~"I;. ~\J <<.x.,~ '\'<:-~"\'<:-~~x.,~" '\)'i~ \",-,\J~.\''<J'\) \.....~ BUILDING INFORMATION I # of Stories: Height of Structurea Type of Heat:. ,\0.0 ~\\'\ '.,~'" \j\\ 'X\ Water Type: 0.0 \0." ,v, ,~'" el.. \_ Range Tyne:''''' '" <,\\) " ,. ,." 'Q.,e c..'/--v " ,egEr~r~Y'~i'J~:_ ~\'- S)'" '/.,e'" '01 O~o ,,\Spri't,~en~~ilding; ,V: 0e n/a ,o{~ _,,0.,- '\'("i .,\'^ .\ \\. _",a ^ ~'\~~ ,\)I-I)EV'E'LOPMEN:f~iNF.ORM'AT-ioN I \0\\0. '0-\$, _$v' 'S:J\O-' :;;'0.'. '~\\'1' 1,\' :i.\\\V S)":J'/- NO., I(! ,\j\\ 7-'01, :;;'0. O\>-\'- "0.0 '0''0- ,Ove~l;,y(Jjiit:,'O'2-' . "' e"'''' ()\.J-('\\v.;.J \" ",S)\l'. Q, \'0 '#I.~tr~!'t\Trees Rqd: (:J ri-\\'-' e' \o.Paved'Drive Rqd: v iO 0..".... ,,0~ G% of Lot Coverage: I PUBLIC IMPROVEMENTS I I Valuation Descriotion , $ Per Sq Ft or multiplier Square Footage or Bid Amouut Descriptiou Type of Construction Paee 1 of 2 Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Value Date Calculated . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00960 ISSUED: 07/31/2006 APPLIED: 07/31/2006 EXPIRES: 08/31/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541.726-3769 Inspection Line Total Value of Project Fees ~ Fee Description + 100/0 Administrative Fee Banner Special Permit Deposit Amount Paid Date Paid $14.50 $45.00 $100.00 7/31106 7/31106 7/31/06 Receipt Number 1200600000000001164 1200600000000001164 1200600000000001164 Total Amount Paid $159.50 I Plan Reviews I 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. [..ReoIJire<l uections 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. ~ 5???&7~ \. - -_.- - . - -.- Owner or Contractors Signature ?-- J'./- d 6" Date Paee 2 of2 225 Fifth Street Spr~ngfleld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00960 COM2006.00960 COM2006-00960 Payments: Type of Payment Check " cReceintl I . RECEIPT #: Description Deposit Banner Special Permit + 10% Administrative Fee Paid By UMPQUA BANK "'~J!IN'"o".I'IlILO.".__, " ' ...'... IJIL., , ; .... "-' . "" ~....... '. <.& of Springfield Official Receipt _Iopment Services Department Public Works Department 1200600000000001164 Date: 07/31/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received d'b , J 144196 In Person Payment Total: Page I of I 11:18:24AM Amount Due 100.00 45.00 14.50 $159.50 Amount Paid $159.50 $159.50 7/31/2006