HomeMy WebLinkAboutPermit Signage 2004-5-27
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CITY OF ~rK11'\iuJ<1~LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00628
ISSUED: OS/27/2004
APPLIED: OS/27/2004
EXPIRES: 06/10/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 2800 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703220002300
Springfield TYPE OF WORK: Banner
TYPE OF USE:
PROJECT DESCRIPTION: Banner - install 052704 removal date 053104
New
Commercial
Owner: GATEWAY MALL PARTNERS
Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN CHICAGO IL
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
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# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type w~~-ou1O
Secondary Construction TA~'i'ENTION: Ot'egotI \ail~~E~UtiII\Y
# of Bedrooms: \ IN rules adopted by ~~ tat forth
10\ 0 . n Centey, lhOfSlJ1'riR . i@1.
"'nlilicatiO ......; S,}. n ....." 10 _ _ "' I ...._ 'L),"
In ot>.R ~::l" may JWtiNEI!l'lPMi?NfhNli~RMATION I
0090. lUU t8f \I'luul.l/I,., '_+1'
calling the ceo . Q. Utility Notif\Wl>>'OR
umber10r the orego.piY:l~;
n center Is 1-80'l'Srreet Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
(0
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
N01\CE: EXPIRE If lHE 'ti~pouts/Drains:
1\'\IS PERMI'\' S\'\t>.i~ '\'\'\IS PERM\'\' IS NO'\'
t>.U1\,\ORIZEO U~~ IS t>.Bt>.NDONED fOR
COMMEN~~~ COjn!).
~'i ~~;~~~;~: De~criDtion I
Notes:
Description
Type of Construction
$ PerSq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paee 1 of2
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CITY OF SPRIl'i\Jt<lJl.LU
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00628
ISSUED: OS/27/2004
APPLIED: OS/2712004
EXPIRES: 06/10/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fp.p.s tiWU
Fee Description
+ 10% Administrative Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$18.00
$80.00
$100.00
5/27/04
5/27/04
5/27/04
1200400000000000815
1200400000000000815
1200400000000000815
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Total Amount Paid
$198.00
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.
I Rp'llUirp.d InSDp.r.tions I
1 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 aU
information hereon is true and correct, and 1 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 ofany structure without permission ofthe 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 agr e tn ensure that II required inspections are requested at the proper time, that each address is readable from the
strep" tha e perm~ard' cated at the front of the property, and tbe approved set of pia us will remain on the site at all
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Pa2e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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Job/Journal Number
COM2004-00628
COM2004-00628
COM2004-00628
.'" Payments:
"Type of Payment
CreditCard
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512712004
RECEIPT #:
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.ty of Springfield Official Receipt
Wevelopment Services Department
Public Works Department
1200400000000000815
Date: OS/27/2004
Description
+ 10% Administrative Fee
Deposit
Banner Special Permit
Paid By
V ANCE NEELY
Received By
djb
Page I of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
000396
027648 In Person
Payment Total:
,.
10:29:09AM
Amount Due
18.00
100,00
80.00
$198.00
Amount Paid
$198,00
$198.00
ZZ5'FIFI1Ht"j'","LI"'.~SPR1NGFIELD, OR 97477 . PH:(541)126-3753 . FAX: (541)126-3689
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CITY OF SPRINGFIELD, OREGON
City Job Numberc.at-1-a::>04 - oc(;, c.. g
Banner Location -bdk (1'~ tJ\o. \ \ - 1&0 (;oJ.e..~
AssessorsM!'r' ~'\~ O~~l..,~ Tax Lot '2-300c&-
\b~ C;~ ~O~~'L-n.J(
PhoTP '1l.\l-612..3
Zir C\I.!:DJ
~ ~ ~A-er~~
Owner of Propert:'
Address '?N:-n 6-a.\:l.tXl\
Cit: ~ \X'1 \J~: pi, >..
Statp
(')'\2..
Contractor/Installer
Contractor 9.mp )V\..DA \r,o\ ~ \b.. ~
Address~9.'S \Mill 0,0, \\ '. _" fl-12 Phonp GJ''tt-b - \ -z.. S'4
. rev \Ii;;
City f D0.s2:nR.. THIS PERMIT<:SHtll~IR5IF_THtWO~Ih'lL..\07 >
u AUTHUHILtU UIIJ~ rE~,,1ffLt!fTk,j1
C 'C R' -. ,"OMMENCED OR IS ABANDONED FOR.
onstructlOn ontractors eglstranon ~ exporpo
ANY 18U UAY t'tKIUU.
Description L-\ 't.Z(J ,L.-\ 1. \0 y.~~\A. t'1')(')\ ~e. 'rxlrme.r
Date ofInstallation ffi()t~Z-t' _, 2atj--\ Date of Removal tJv.., ~ ~\";7~
Banner Permit Fee $80.00 + Required Deposit $100.00 + 10% Administrative Fee
By signature, 1 state and agree that I have carefully completed this application and hereby certifY that
all infonnation herein is true and correct. I further agree and understand that the above described
banner(s) is not larger than 60 square feet, and will be removed within 14 days from the date listed
above. If the banner(s) is not removed within the timeline specified, I will forfeit the $100.00 deposit.
I also understand that this s ecial permit can be issued only twice per calendar year per development
area. 0 a 0 call the i pecti~n line a 26-3769 by the end of the 141h day t) requfst an
insp tion t erifY (dl:ltI' ~. This inspection will begin the pr< cess t J return the
:::aO~.I. . P, d'~:~~' Da~ i oj
0Il1i- 952-0 1-00111 ""':~ oHne l\II8l; UJ ' I I
In O{>.I\ ~ou ma: n ~~: the teI8.ptUf'gffice Use
0090. 1h8~ . Qn,\ltilitVNOtiflcaUO 8' . ~/ ..;-
Date of A~!~<t. ~ o~-2;a4~) Job # (J)I41ZOoi.{ -0062- ReceIpt #
nil center Is -eo r? $ :::-
Issued By D ~ Amount Collected ( '7
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