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Home My WebLink AboutPermit Signage 2004-5-26 (2) . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-00627 ISSUED: OS/26/2004 APPLIED: OS/2612004 EXPIRES: 06/07/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 2800 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703220002300 Springfield TYPE OF WORK: Blimp, Portable Sign, Etc. TYPE OF USE: PROJECT DESCRIPTION: Balloons - install 052604 removal date 060704 New Commercial Owner: GATEWAY MALL PARTNERS Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN CHICAGO 1L I CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: ' Lot Size: ~'l\!!.!~f Structure Sq Ft 1st Floor: T I~ bf;Ueli{lN' Ore Sq Ft 2nd Floor: ,~.~~~~:s adO t gon law reqUlres~Ft Basement: tRange<fmf~ent P ed by the Orego i~(~arage/carport 11E~~gyg>jl.!bJO er. Those rUles ar 1j!mther: QSprln~.<j 1fflj1Jf~.ql0 throug/f'OARe9~ lGp\lbt Load: --\" "Y oBb," ~__, i5'2_nn. I DIC ~ IC1J";t;~IENrINFORM(A1I'IONJ"tcnl e rUles by . '1'1"_1 Il'eepho C .-: ~"::lJOn Utility N " ne REQUIRED PARKING enter IS 1-80 otlflcalio Overlay Dist: 0-332-2344). n. Total: , # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: ' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Notes: NOTICE: DownspoutslDrains: THIS PERMIT SHALL EXPIRE IF THE WORK . AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR A~IY 1R~ nAY ot:olnn I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee10f2 . . CITY OF ~1"K11~tJt<mLU Building/Combination Permit Status Issued PERMIT NO: COM2004-00627 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 I FI'I'~ Paid I Fee Description + 10% Administrative Fee Blimp + Special Permit Deposit Amount Paid Date Paid Receipt Number $18.00 $80.00 $100.00 5/26/04 5/26/04 5/26/04 2200400000000000666 2200400000000000666 2200400000000000666 Total Amount Paid $198.00 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Reouirl'd Tn~nedion~ I 1 Sign Final: After all required inspections are conducted and approved and the sign installation is completed. By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during constru 'on. V$~ ~-2L -0'-/ / Ow~ /C;m~ors Sig~a(.;'re Date Pa2e 2 of2 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-00627 COM2004-00627 COM2004-00627 Payments: Type of Payment Check 5/26/2004 RECEIPT #: Description + 10% Administrative Fee Blimp + Special Permit Deposit Paid By LITHIA TOYOTA ii\M "ity of Springfield Official Receipt ~evelopment Services Department Public Works Department 2200400000000000666 Date: OS/26/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 29349 In Person Payment Total: Pagd of I 2:06:20PM Amount Due 18,00 80,00 100.00 $198.00 Amount Paid $198,00 $198.00 225 FIrTH STREET. SrRINGFIELD, OR 97477 . I'H:(541)726-3753 . FAX: (541)726-3689 I~ "~j ~ ~'I\ I.--'y ;,...I; ~~ ~J -.. .....-14 " I. . ...,....; Address ~~ ~ ,. 14 City apJ ~ ContractorlInstaller ~ --- ~i Address ~1 ~ Cit:' ~ '. I~ .,...--____1. ~J ___~1 Date of Installation ~j 1_'. ~l _ ,I ~4 ~l ~. ~ ~~ ri(i) l ~. ~, ~~J .~ 'Y-'.J~ ~ ~) " '-"14 ..JQ) .~. ~~ -; el.\ '"" Date of Application ~'j~ ---. Issued B:" e?:I; ~: ~~ ....1'-14 ',- 14 ~l ,/ . . . CITY OF SPRINGFIELD, OREGON City Job Number LOVf.o1 ZOO l\ -0 0 6 Z7 Job Location .2f30 C'!A!e aA., .5./. r Assessors Map---D? Q~.__?;7("5C) Tax Lot ~~_ -::OZ3:0P Owner of Property ?, I:I#..,/-i ~grlre.!. ,/C~ .tJ..l/ ..4.// 70oT> CA-H' ~ ,.~.,.- , Phon~/- ?~;. -t::.J~y ~~ {' A ' ATTENTION,: Orego~1 ,,~ulresyouto C;....-'''' ~__ J' ,. ",.lr- ,_C"'te l.~r.'''''Jnn IIt!jih' "." ~ ". / jUilVU .....,"-'...' ,....}lljY' ... l}.l .,. ~ ., -' A Notification Center. Those rules are set forth A~/ ;, I :l'.r: J{:2 ,:;r~ ':0-t ':' thrru ,~h ('\AB..f!B?..001.. 0090. You may obtain copies of the rules by ". - .. 11- - ~""~"'rJ '~lgt~. tn4>tuie""h"nO \.Io.lI11'::::! ,.... ...e:....... \ r number for the Oregon Utility Notification - ,C,btR' 3"" ^"'^ ':l."AAL Zip VOllI....;ih:S' ,- ..r... ow_ -~ Construction Contractors Registration # Description &dbt')A),J ~.2k....^4' - f Expires Date of Removal c.. - '). -6 Y U:;T1GE: , . n~I!;'j)~\t &I;\~.LL EJ<f\RE IF THE WORK Permit Fee $80.00 + Required Dcpo~tll~~R1LtD lJ1\Iij~ifffiff,"PI:~MiY'fr.'OT . I"ml.!lI.~IIH~W$.0I\1~u01'l.~iJ iJIi . By sIgnature, I state and agree that I have >earerulili 1:iA'{,lete<l s appllcalton and hereby certify that all information herein is true and correct. I furtil~Yai!~ lrlili u~8 'd that the above described display will be removed within fourteen (14) days from the date listed as the date of installation above, If the display 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 once per calendar year per development area. I also agree to call the inspection line at 726-3769 by the end of the 14fh day to request an inspection to verify the removal of the display. This inspection will beg~roce\ ~ the $100.00 deposit ifthe display has been removed. :s: Signatlr~ ~ ' . Date Z<... \O'f For Office Use 5/Z b/O 4.. ""br> Job# {oM ~"< -DOb '2-7 Receiptl'! - Amount Collected ,. /,?g- Shared Drive(T:)/Building FonnslBlimp _ Portable~ib'TlS _Balloons 1-03.doc