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HomeMy WebLinkAboutPermit Signage 2005-9-28 . CITY OF SPRll'il>l'IELD Building/Combination Permit PERMIT NO: cOM2005-0133I ISSUED: 09/28/2005 APPLIED: 09/28/2005 EXPIRES: 03/28/2006 VALUE: . ,Status: Issued ; 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3032 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703220002200 Springfield TYPE OF Blimp, Portable Sign, Etc. TYPE OF USE: New PROJECT DESCRIPTION: Balloon for Carls Jr. Install 092905 removal date 101305 Total: Handicapped: Compact: r.::,~i- ~~ ....~'\ !PUBLIC IMPROVEMENTS I , ~\ l~~'(\ ~~,. ~.. ~~~~<;)\\~ f,' ~,\\".. ~~'\D~Io:-~\'I""'rams ~'(\\~ ~~~1.~~ ~~~~~. ~'U\t.,,~Y.,.~ ~'# ~~~~ \'Of;) \,;. I Valuation Descrintion I Owner: GATEWAYMALLPARfNERS Address: 110 N WACKER DR BSC 3~4 ATTN PROPERTY TAX ADMIN CHICAGO IL 60606 I CONTRACTOR INFORMATION I ; Contractor Type Sign Contractor OWNER LiclCPse oU~ . .....c. \I .\',~'\.1 I BUILDING INFOIiMA~16NI' ,0\\'(1 " ~\. Ole\,\v' Wl\\W eS'O.\OO ~ S?-Ov ~,,\\O~'lf.lffil'to'\les!,e IU\ Of>.?- 9 uWs '0'1 ",,,,,,,e \u\e<:J ~e~11t ~r~\ou9'(1 0\ \'(Ie \ '/;\o<;\e \o\\Ootl 'O.~O'" Cf~~Jt,~~e~-J?\e.S\'(Ie \e\e~\c'O.\\o<;\ \100\\\\0 9'f>'2:Wli~e\~0\e. '\'1 ~o~ . '" Of>.?- '{ou Ra"lJg~e~ 0'" '0\\\\ ?-,;/"I>..1' ~ ~90. titfe~~?: ~::,':)'2: o c~\\"'9 ~(III'I'\'Il. '\ .'00 n/a _'Qe _....\e \ "':0: \ t: 'DEVELOPMENT INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction _ # of Bedrooms: , Front yard Setback: Side 1 Setback: . Side 2 Setback: , : Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Street Storm Sewer A vaUabte: Special Instruction: Notes: " Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction , 1 of 2 Commercial Expiration Date Phone Lot Size: Sq Ft Ist 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' Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01331 ISSUED: 09/28/2005 APPLIED: 09/28/2005 EXPIRES: 03/28/2006 VALUE: Total Value of Project FI'p.s~ Fee Description + 10% Administrative Fee Blimp + Special Permit Deposit Amount Paid Date Paid $14.50 $45.00 $100.00 9/28/05 9/28/05 9/28/05 Receipt Number 1200500000000001422 1200500000000001422 1200500000000001422 Total Amount $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. ' 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 wnrk performed shall be done in accordance with the Ordinances of the City of Springfield aod 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 str et, that the permit card' cated at the front of the property, and the approved:t 'laos wiD remain on the site at all ti e;=nst t' t7jL8/ OS , o~ ~ntractors Sig~~e Date' 2 of 2 ,I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Joornal Number COM2005-0133I COM2005-0 1331 COM2005-0 I 33 I Payments: TWe of Payment CreditCard " :l '~4 - " " 'I l' - " '\, " 9/28/2005 . RECEIPT #: ~ 'i IiiJty of Springfield Official Receipt .velopment Services Department Public ,Works Department 1200500000000001422 Date: 09/28/2005 Description + 10% Administrative Fee Deposit Blimp + Special Permit Paid By DA WNA SMITH Recei ved By djb 1 of 1 Item Total: Check Number AuttlOlization Batch Number Number How Received 028493 In Person Payment Total: 1:53:09PM Amoont Due 14.50 100.00 45.00 $159.50 Amount Paid $159,50 ' $159.50 ZZ5 FIFTH STREET. SrRINGFlELl\ OR 97477 . rH:(54 ])726-3753 . FAX: (54 ])726-3G89 .~ CO'AA '700S- 0/>3 I ~~: City Job Number . ~, c- ~l Job Location 3032 64 JuA}ttlA 5.frt'&1:- ~ Assessors M,n I 70'3 22-60 j Tax Lot ~1 1:__'> Owner of Property. ~j ~j ~) .".__Ij City '. -Ij 'r~l ContractorlInstallp, ~ (, -, Address ";""1 ~J ~ ~ --. C(:.ll ~l ~ e?; '. It " Ij ~J ~l --. C(:.lJ 1..2> ~l ~j ~> ~j ~~1 ,-1 -I ~ ~j --. Date of Application ~ e~j ,- j Issued B:' ,-1 ~1 .,.~Il ',- II ~l SPRINGFIELD , . ~, 62z.o0 ~v1. o-t'L " GA-,kvV'/\-' IflAL( / Address ffO J! ~_ \\L c.h (c..A-., 0 / sta;-l8'f ~,oo,) ':>"~ . ~e<;" \)~\' ^~ r~\'\ _<\ HW" :>II '''-0' ~e~- '0 <;,e' ,,<;)' \'If.e 7>\ b'l: '0-..\ ~o~ ",~ .,,>~ .a.<:!i .DS Phonp 0''''' 6'" e\~ ur' e\V' ,,'0 ' O~. o~\e -<~o<;; .,,\({,~ ~ ~ ,,~o, 0<:> Cih. ,1'1 ",,(I t \ ..,C"tate 0 ,_\e~ ~'" , A'\:." ~e':> - ,,\'" \<;) ,. ~'-:<;>e ,- ~\'V ~':>II'~ 0'0 ,,<;) ,,,c,o 0','1 ~o Construction Contractors Lic~II.#o<:>, (\<;)" ;;,<,>\7>\ ~o\~,,,\~ "...I>~\" JOxpires ~\\c, <1l<:il- 'cl-~ :>,,'0\' 0<:> ~'l:" , ~o I>-~ :0} ~ c,e<:> o~eg ,,-'" Description . _ 0 -to X" ~ o.\J c;/z.;'r/.l~\<:>({,;\o"~~\\<;' , Date ofInstallatior ,,-,7 I ",,'{l r.e~ Date of Removal "v' ' c:::::;> L.-V NCvI' Phone Zip /-.0 r:, 0 b Zip (0,// r.; Permit Fee $45.00 + Required Deposit $100.00 + 10% Administrative Fee By signature, I state and agree that I have carefully completed this application and hereby certifY that all information herein is true and correct. I further agree and understand that the above described display will be removed within fourteen (14) days from the date listed as the date of installation above. If the display is not removed within the timeIine specified, I will forfeit the $ I 00,00 deposit. I also understand that this special permit can be issued only once per calendar year per development area. I also agree io call the inspection line at 726-3769 by the end of the 14th day to request an inspection to verifY the removal of the display. This inspection ::::&;;:reWm~"";fr;~;//;f:;:"~~6 ,.\\j~'f,. -'/(.~' ,f-:~ Job# CS-- () / 'J 'J~'il\~l.~~~~ ~ ~(\'\\C;,~~~ ~i.\\\\~~\)\)~ t5''7 \\\\';) ~ ~~\1.t'?J'I>\~~?$# / \'.'0\\\~ 'X.~"l.\) ~....~\\j\). c,\j~~ ~ \)~ \'.~" \~ For Office Use 12-8'{/6,\ ---;)(( ::'''' ~.: Shared Drive(T:)'Building Fonns1lllimp _Pennants _ Balloons8-05.doc