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Home My WebLink AboutPermit Signage 2007-6-19 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ <1 '. .,-'l City Job Number LCIIV\ "ZO'L:> 7 - c:..::.'0 g 7 ~c . ~C 70-:/---' r I c--w-ee / Fe Job Location .-:0., .Jc../ tc"tA "-fAjjt:lj \....;> t ~ Assessors Ma~ ) I () '] 2. 2c- ~ ~~ ~ l~ ~C ~l ~) ...~I~ " I~ ~~ ~C ~ ~C ~. IO;.;JJ ~ ftI11 ~ ~~. r-C ~C e; e; " I, ~C ~ ~l .............. ~J l~ 5) a @J ~ ~~ ~ a~ ..'I'ioolc ~c ~l ~? >'f< .. ~ Tax Lot 0'22...0 C \V .,ov",\.--I I?"=' . '0'" '!o."~' /' I ;P' ,,<::0 ,\0 \' Owner of Property (")Jev\fA(Cl <eO:.@if,OJ,D~.\ \1>....... e v 1>" ~")...- S y . Po 0 J_,]I.'}~ l-"e"":r0 ,s,e e Address coY- LP, j,~I.(/,'\.:.A\l' () ..P.' __,,<::< ~ _\.'J' ,,\.ev-<'0o"'- ,:,'0,. 0'" "e~~ ~v' ( j, '/' ~ A'l'- ?p" , :<0,0 \e"" \.e ,~\() Cit... . \ I ttJ r }'K'( _ 'I> .0\' ,,'I ;..,0 .",e .,0State . " ~'\V/ ,..}"'. CP'\,<;)'J '-ii' ~~o\.e' ~<:,.,\ ~t>.t>.\' Contractor/Installp~ _",,-o'N:.iJt' ('\ SJ\l . 0'0" .<. ~ ~0 -00.'1..'1.. ,- ~'v ~'J' ~v I e'0....- ~e'0 !0~-' {II ft-~':. O~: -l,Ov 'S'-e () \'0e O~ ,-,CO'" ' " Rl'- ';;-.'" \U' e" tv Ill- "'~' e' 0'1 n () ",,'0 (;e \'- -PClt-+ V\'€--V S Phone 9-I}-jLJl-&ZCfL/. Zip 1t70(PLD1-10~ ::t:L jJhone Nfl-- /A/t4- NA- A/4 Address ' Zip ~~ '!'1'nires .,C'\~ e ~'~\,) /2 \1 "-,~~~ YCl;t 00 Vl .<.- ,,"-, -<;('l . ~'~:~~I DateofRe~9~&~~~~~~ ()! ~' "-,'\'~"V L . c~'A~~ T .,'.Jv~' ~~ ~'V ~. $161.75 including $100.(/O'Dep~sjt<..)lnd~nrilii:able fees. ~v r_' <'\.'v \,V r<!:- "'-- ,'-~ . C"\."'... .C', \<< By signature, 1 state and agree that I have carefullY.~~~p'I<<<.i~d'-i~lS~pplication and hereby certify that all information herein is true and correct. I further agree ahd liiider!ltand that the above described display will be removed within fourteen (14) days from the date listed aslli~~te 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 14th day to request an inspection to verify the removal of the display. This inspection will begin the;~s ,t~ return the $1 sit if the display has been removed. SignatuTf' b~- U Date LP&1lo-f Cit:" ~tate Construction Contractors License # _ Ni4- Description ~ot -+0 P [p l8hJ Date of Installation For Office Use Date of Application 6jr'S~"" " I Issued B:' D <7 Job#.t: 7 -c> C> 5< ., 7 Receipt# /6/ ?L- Amount Collectpn Shared Drive(T: )'Building FormslBlimp ]ermams _ BalloonsS-06.doc . . CITY OF SPRIl'lt.d'H..LD Building/Combination Permit PERMIT NO: COM2007-00897 ISSUED: 06/19/2007 APPLIED: 06/19/2007 EXPIRES: 07/05/2007 VALUE: Status Issued 225 Fifth Street. Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3032 GA TEW A Y ST ASSESSOR'S PARCEL NO.: 1703220002200 Springfield TYPE OF WORK: Blimp, Portable Sign, Etc. TYPE OF USE: New Commercial PROJECT DESCRIPTION: Balloon - install 061907 removal date 070507 Owner: GATEWAY MALL PARTNERS Address: PO BOX 617905 . CHICAGO IL 60661-7905 I CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height or Strnctnre: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/ll I DEVELOPMENT INFORMATION I 9--~ Overl~ilJi~, Total: 0 # S~ei ;rr~s Rqd: Handicap~ed: '"\' :\.-;'1 ~'- '~\\.1 ~~v~~~Dri~It-Rqd: Co,~pa~:)~ \O~~ . ~~%Jf'L~Coverage: \eo.'-> \e({,O ",e' ~I,J\ ~ S~ ~~ \'Ij~ eO '/J;e 9J<)/: ",,<>,\ , " ,,,"-' ,,<:::; ~0- . ,,<:,,,,~,~ .I!.e _ <.' ~ S~\l:PUIJl~ic'IMPROVEMENTS I' _,.O,e~eO ~~",e ~~ vo' ~~\~,<~0~,00- <N'" ~ ~~ '\-' -,-,0'- ,,0\ '\ ~\o . e'" ,e .~,c, Street Improvements: "':\" k,,~ x,<::::> \::,~ ~<::::>. X:.-~Side~lk~Typ'e:)'" 0'<'. >>"e ~O~ ~v ~ ~ ~ k,,~ -:,.'\ ,oS-'" Cp' ",<:l' ..,,0 :<"e' .':<",\ ~. Storm Sewer Available: ~S x-.\::'~ ~'\;~ :-\ ~ ~ '\0~D~~i1SP8.uts/8jains~-\0 \)-0' 7,.~~ Special Instruction: ~ ~~ ~~ <::::>~ \0'.~,c,'Ii g'0'l: ",'Ii'\ 10\'0\' 0,0" ;o~'l.- ~,,~ <<:,<;::, ~o'.$:- ,., C,e O\e :o1,J1,J '\;" .\" . 0' -4,0 ~'O ;;s-e. \. ~,.... ,,, B~' R> \ ,,,, ~' I,JIJ ;i;.,0 \\0 :<"e' r~ ,^e "...o~ '0\)" . REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: I Valuation Descriotion J Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 -IIILS.~R'!'I~'~~' f . -,' , . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00897 ISSUED: 06/19/2007 APPLIED: 06/19/2007 EXPIRES: 07/05/2007 VALUE: Status Issued 225 Fifth Street, SpriDgfield, OR 541-726-3753 PhoDe 541-726-3676 Fax 541-726-3769 IDspectioD LiDe Total ValDe of Project Ff'f'SW Fee Description + 100/0 Administrative Fee + 5% Technology Fee Blimp + Special Permit Deposit Amount Paid Date Paid $14.S0 $2.25 $45.00 $100.00 6119/07 6/19/07 6119/07 6119/07 Receipt Number 1200700000000000784 1200700000000000784 1200700000000000784 1200700000000000784 Total AmouDt Paid $161.75 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. IRf'?~ Sign Final: After all required inspectioDs are conducted aDd approved and tbe sign installation is completed. By signature, I state and agree, tbat I bave carefully examined tbe completed applicatioD aDd do bereby certiry tbat all information bereon is true and correct, and I rurther certify tbat llDY aDd all work perrormed shall be done iD accordllnce with tbe Ordinances of the City of Springfield and the Laws of the State of OregoD pertaining to the work described hereiD, aDd that NO OCCUPANCY will be made or any structure without permission of the Community Services Division, Building Safety. I further certify tbat oDly contractors and employees who are iD compliance with ORS 701.005 will be used OD this project. I further agree to ensure that all required inspections are requested at tbe proper time, that each address is readable from the street. that the permit card ifuate ;;Wh froDt of the roperty, and the approved set of plaDs will remain on the site at all ti s during construction, \ 'j m).l) r or contracto;;Sig~ ( () IICt I ni -l,--- Date Pa~e 2 of 2 225 Fifth Street . toO-" Bpringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00897 COM2007-00897 COM2007-00897 COM2007-00897 Payments: Type of Payment Cred itCard cReceinl1 . RECEIPT #: Description + 5% Technology Fee + 10% Administrative Fee Deposit Blimp + Special Permit Paid By JCK RESTAURANTS ~ lM..._ _ .... ~ of Springfield Official Receipt .elopment Services Department Public Works Department 1200700000000000784 Date: 06/19/2007 Item Total: {;heck Number Authorization Received By Batch Number Number How Received djb 019874 In Person Payment Total: Page I of I 10:42:37AM Amount Due' 2.25 14.50 100.00 45.00 $161.75 Amount Paid $161.75 $161.75 6/1 9/2007