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Home My WebLink AboutPermit Signage 2005-10-25 ZZ5 FIFTH STREET. SrRINGFIELD, OR 97477 . rH:(541)726-3753 . FAX: (541)726-3689 ~; (0) .v~l 0, ',_, Job Location ~ .,......, Assessors Ma~ Q\ ~l OJ Owner of Property ~) .~~.; ........ Addrpe~ ~ ~j 0::>) City ~ .' ~, ~) -.. .:'-,11 ~l ~~ ~l ~! --_.C e>; U 13 I " "~,=Il \- ~ -- ~ ~ ~ .--1 ~i ~; ~.m) .':>~l ~ ~) ....-=I~ .~ . j ~,~ ~ ~\ll ---- ~j ~) .,;;;.l, ~j 5: GPJ ~l SPRINGFIELD :: =,.-::,"" ' r: /\ -::"- '- ~ / ., ~- ."~"., l'!II,r/ <: .-.-----"' \,--..- COM~C>O ~- c 1.F06 City Job Number 3032.. G-,4 Tc=wA-.. ] 70 -:s 2:2_00 sr Tax Lot 02-Z00 OWller ~n ks. C-l+lt"'tNA-.., &AA ,A-l ( . tJ Ac..kr ~ 1,0 N C- ~.. c...'-r / Phonp C> State.....T'f Zip bo6ob Contractor/lllstallel' Contractor r") ( yA/F"t/ t?:~:~ ~;:~~~: ~};:;.::;-; :':':: ;::,:.;;;.:.: ,':::' ~.: Addr('<< follow rule~ adopted by the Oregon Utility ~1......tif;.....~ti""'R.honA" :1...,:,,:,: ~,_.I'.:',: :'.":- ':'.:'~ f:~h City in OAR 952-001-0010 through OAR 952-001- "taCeD90. You mav obt<Zip~ooies of the rules bv calling the center. (Note: the telephone number for the Or'Expire~i1itv Notification Center is 1-BOO.332-2344\. Construction Contractors License # Description ho,V\Y\€1" I/Zrr Banner Pcrmit Fce $45.00 + Rcquircd Dcposit $100.00 + 10% Administrative Fee Date ofInstalIation IDlt-x / D~ Date of Removal 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 ah'l'ee and understand that the above described banner(s) andlor portable sign(s) is not larger than 60 square feet, and will be removed within 30 days from the date listed above. If the banner(s) andlor portable sign is not removed within the timeJine specified, I will forfeit the $ I 00.00 deposit. I also understand that this special permit can be issued only twice per calendar year per development area. I also agree to calI the inspection line at 726-3769 by the end of the 30th day to request an inspection to verify the removal of the banner(s) and/or portable sign(s). This~'nspection will begin the process 0 return the $100.00 deposit if the banner(s) and/or portable sign / has been removed. . ')( 10 0 Signatur~ /Ydfl,r J"} n Dat- / () c?5 6 '--.Y' ' <:....+- For Office Use lob # LotMZOO r -01 ~-ob Receipt # I S-? S~ {O -Z}-O~ Date of Applicatior Ibos Issued By J:>~ Amount Collected Shared Drive (T:)IBuilding FonnslBanner _Portable Sign Pennit CSD S-05.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-01506 ISSUED: 10/2512005 APPLIED: 10/25/2005 EXPIRES: 11128/2005 VALUE: St;1tus: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 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 Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner - install 102805 removal date 112805 Commercial Owner: GATEWAYMALLPARTNERS Address: 110 N WACKER DR BSC 3~4 A TI'N PROPERTY TAX ADMIN CHICAGO IL 60606 Contractor Type Sign Contractor OWNER I CONTRACTOR INFORMATION I License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy P'rlmary Construction Type Secondary Constructinn # of Bedrooms: I BUILDING INFORMATlONI ' ... ,~.. ,,~,,: Oregon law reqUires you to # of Stories: follow rules adopted byUofsiZe,gon Utility Height of Notification Center, Tho:SqrFiaWFlnor: forth Type of Heat: OAR 952-001-0010 thrSq!ft 2i1i1fFlooi::001- Water Type:'J090, You may obtain C(~qEF:t<BaSf!ll,e.nts by Range Type: calling the center, (Nc~f:t,P!\r.'!Ill'!~~jlort Energy Path: number for the Oregonltq.!1!Jqt~~ffication Sprinkled Center'ILal-800.9sEULI!!l-P.llAlad: 'DEVELOPMENT INFORMATION' REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: !pUBLIC IMPROVEMENTS' Street Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or muItlpHer Square Fnotage or Bid Amnunt Value Date Calculated 1 of 2 . . 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: cOM2005-01506 ISSUED: 10/25/2005 APPLIED: 10/25/2005 EXPIRES: 11/2812005 VALUE: Total Value of Prnject Fel's Paid' Fee Description + 10% Administrative Fee Banner Special Permit Deposit Amount Paid $14.50 $45.00 $100.00 Date Paid 10/25/05 10/25/05 10/25/05 Receipt Number 1200500000000001605 1200500000000001605 1200500000000001605 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. IRl'r~ 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 Springfield and the Laws of the State of Oregon pertaining tn the work described herein" and that NO OCCUPANCY wiD 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 stt')et, that the permit card is loca ont of the property, and the approved set of plans wiD remain on the site at (1 ~~::n:;;structio~ . .J ~ " r (J k6~ Owner or Contractors Signature Date 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1506 COM2005-0 1506 COM2005-0 1506 P!,yments: Type of Pa)'1lent CreditCard " :' 'U " u .' 10/25/2005 . RECEIPT #: ...~'~C!~~ ,__ !.' Ilk".'. ! " , .. ~ " ~'-"""-. " ....ity of Springfield Official Receipt .evelopment Services Department Public Works Department 1200500000000001605 Date: 10/2512005 Description + 10% Administrative Fee Deposit Banner Special Permit Paid By DA WNA SMITH Received By djb 1 of 1 Item Total: (.;beck Number Authorization Batcb Number Number How Received 025267 In Person Payment Total: 1:57:31PM Amount Due 14.50 100.00 45.00 $159.50 Amount Paid $159.50 $159.50