HomeMy WebLinkAboutPermit Signage 2004-5-26
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CITY OF SPRI1'l'-ot<lJi.L1J
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00626
ISSUED: OS/26/2004
APPLIED: OS/26/2004
EXPIRES: 06/07/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 052604 removal date 060704
New
Commercial
Owner: GATEWAY MALL PARTNERS
Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN CmCAGO 1L
, CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: uires ~\HiJlasement:
RaAn~fffry,~DN: Oregon law re6rego~q!.,!i~arage/carport
Energyl'ath:s adopted by the Sg,Ft&tI!er:
s~R'nkt~d'B~i1ding:'r Thoseri'J8\es AarReac~Je';;;tLoad:
t\.lntif\catIUII v~, ,; ~ \'" .......""".nh () $J"'~ v.
I DEVEL0PMENT ;;;~.:.;~:.,A'ir.j~'I- s of the rUle:; uy
- . V.V h ne
UV~V. ,- -, (NOte: the telep 0, REQUIRED PARKING
calling the center. Utility Notilicat\On --
Overlay, Dist:'or the Oregon 2344) Total:
nu, iID<-' , 00 332- .
# Street Trel:l~!I!1; is 1-8 - . Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
OT I CE' Downspouts/Drains:
N . ALL EXPIRE IF THt Wunh
THIS PERMIT S~DER THIS PERMIT IS NOT
AUTHORIZED UOR IS ABANDONED FOR
COMMENCED __,M
I Valuati~~'h~;~r~~~;o~' r-'
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paee 1 of2
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CITY OF ~nuNGFIELD
Building/Combination Permit
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2004-00626
ISSUED: OS/26/2004
APPLIED: OS/26/2004
EXPIRES: 06/07/2004
VALUE:
I Fpp" P~W
Fee Description
+ 10% Administrative Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$18.00
$80.00
$100.00
5/26/04
5/26/04
5/26/04
2200400000000000665
2200400000000000665
2200400000000000665
Total Amount Paid
$198.00
I Plan Reviews ,
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
L.Rp.ouirp.d InsnectionsJ
1 Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon Is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Sprin'gfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspections are requested at tbe proper time, tbat each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
""'.'"'"$ ~ ..2;.{.-OY
/7'tr~ Sig~at;re~ Date ...... I
Paee 2 of2
225 Fifth Street
I
SpringfieJd, Oregon 97477
54f.726-3759 Phone
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Job/Journal Number
COM2004-00626
COM2004-00626
COM2004-00626
Payments:
Type of Payment
Check
5/26/2004
RECEIPT #:
iiirIi
Aty of Springfield Official Receipt
'velopment Services Department
Public Works Department
2200400000000000665
Date: OS/26/2004
Description
+ 10% Administrative Fee
Deposit
Banner Special Permit
Paid By
LlTH'A TOYOTA
Received By
djb
Page I of I
Item Total:
Check Number Authorization
Batch Number Number How Received
29350
In Person
Payment Total:
2:05:55PM
Amount Due
18.00
100.00
80.00
$198.00
Amount Paid
$198,00
$198.00
225 FIITI-I STREET. SI'RINGI1ELD, OR 97477 . 1'1-1:(541)726-:'153 . FAX: (541)726-3689
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CITY OF SPRINGFIELD, OREGON
City Job Number C.OWl Zoo If- 0662--b
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Banner Location :>>rOO GATeWA.. '-1ST --
~- '.
,--~-- ---- -- 0 ,-- ..J
Assessors Mar' 170~ 4.-7...0 ' - ---
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-- -7-{OO'L-
Tax Lot-! Qc.-.:;;, _ __ _ \..
Owner
OwnerofProperty cet.JeRA.l.. 6RowtH f1<OFt?RTi.I'e~i;J(j-IfJfWA.YJYJA('L
Add=, ~ u:'IfW&( ST .' ':000 S'1/-7</u,;:EJ</
City S-d<l 1J6FJ eLf) Statp oR- Zir 97'-17 J
,
Contractor/Installer
Contra~t"- 1\..) / ~
I
..--
"f Ie," r IUI~: uregon law requires you to
,f~:I,OW ,~ule~ adopteE b'Ph~eni?regon Utility
r '_""vu"v" V"" "'". " luse rUles are set forth
i~:J~,~'~~1~~~ :o~~~ o. t~~ough ~~~95~-OO 1-
..:.i.} __~_... .......,...........J v. th~ ,un:;;,:) uy
calling the center. (Note: the telephone
nllmhc,. fn,. thn n..,....,.......... 11..:1:,,", --,ExpIres
- _._~_.. .........J ,"VLI.ll,;ClllUII
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..-. .- . --.... ........L.-G-V"'T'J.
Addre.<<
City
Construction Contractors Registration #
Description. 5'A-/~ ~"A}f'r
Date ofInstallation ( - ;J.;::, - 6 L./
Date of Remov"l
r:, - 1-(5 ty
Banner Permit Fce $80.00 + Required Dcposit $100.00 + 10% Administrative Fee
By signature, I state and agree that I ha~PIW~Ftill~lco1UPletedJthis~ap.Plicationoand hereby certify that
. , . . I H ::> ~tHIV,' ::>H"l ,_ t,"IH _,t I Hr WI Hi\ .
all mfonnatlOn herem IS true and correct. IUfiirtl\er_agreeNand:unders and,that me above descnbed
A n~UH".U U UtH 'HI" t:'t!'!o:'II' I::> I"U I
banner(s) is not larger than 60 square feeF,ana ~il~~~{~1Uo~edl<'Yit~inrJtrflao~lrom the date listed
above. If the banner(s) is not removed wllIi~~htt~~litreJl1e~i'fi~"ii~~witl foifeit the $100.00 deposit.
I also understand that this special pennit d1 b1~~s~~d bMylY~ice per calendar year per development
area. I also agree to call the inspection line at 726-3769 by the end of the 14'h day to request an
inspection to verify the removal of the banner(s), This ins ctlO will begi~he ~rocess to return the
$100.00depositifth~ner(s)hasbeen~,'""v" '.... :::. \1.l.\':t.
Signaturf' d/. M?~ Oat" <:; ,..~-oL /
// { _--;P7~....., _ /'
For Office Use
Date of Application Iz~~"\. Job # Co,wZoo'( -0 o~ Receipt #
/ 78~
Amount Collected
Issued By
7::,~
Shared Drive {T: )'Building FonnslBanncr Pennil CSDI-03.doc
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IAddress I~ http://www.co.lane.or.us/lcimage/ViewTiff.asp?Type=TaxMap&ID=9S9 E1II/!'Go' [I Links .:J
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