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HomeMy WebLinkAboutPermit Signage 2005-9-22 . . CITYOFSPRINGFlELD Building/Combination Permit PERMIT NO: cOM2005-01290 ISSUED: 09/22/2005 APPLIED: 09/22/2005 EXPIRES: 10/26/2005 VALUE: Status: Issued ,) 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ;' SITE ADDRESS: 3032 GATEWA"X ST ASSESSOR'S PARCEL NO.: 1703220002200 Springfield TYPE OF Banner TYPE OF USE: New PROJECT DESCRIPTION: Banners for Carls Jr - install 092705 removal date 102605 Commercial Owner: GATEWAY MALL PARTNERS Address: 110 N WACKER DR BSC 3~4 ATIN PROPERTY TAX ADMIN CHICAGO 1L 60606 1 CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER 0\)\0 ....oS 'J .~'.\\\'\I License Expiration Date Phone ^ l/a'BUI,"Ull..G INFORMA TI0NI ' g,0'" o ~. Ole 0.'0'1 'w \W'=' '<>';' 9<;''I.-Vv # of Units: ~~\O 0-0.0\,\e ,,,ose '# ~f'1?to~~~\}\eS '0'1 : Primary Occupancy G~~ IU\e~ e~\0I. \) \"IO\H':.~g~t'of'?o"o~e . Secondary Occupancy \o\\, 0-\\01' ~\),.()\)' '1' cO'iI"yl!e,of,Heat:'0-\\o(\ . Piimary Construction ~e\C 0. 9<;''1. ,,0'0\0-\ l~c.Wat),~TYii'eYv Op..p ""ll:, el' , '''I'' . ^, Secondary Construction,l\ -{OU \" Cel\~ . g,o~ange~1)ipe:' # of Bedrooms: C\)9\)~X\I\g, \,,6 \"e Ole ~c..lj;n--erl&"Patb: ell: :eel \01 'el \~ \- Sprinkled nla _, ,{(\ ,.. o{\~ Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: ., Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: CC;';'pact: Notes: f \ t'\ o.'f- IPUBL~MPROVEMENTSI \~t. \y ,~~ \':l ~Q' C~. 'O\\~\.\. t.$~~~~ \\0'\'\ ~t.~~\~ 'V~'U'i;.~ ~'i!tslDrabts \\\\'0 ~\1.'i;.'v Q~ \'0 \W'""- , I>-'V'\\\~'i;.~c.'t.\) ?'i;.~\Q\)'. ' \ c.Q~ \~\) '\)~ .' tN.'l I Valuation Descriotion I ..' - f Street Storm Sewer Available: Special Instruction: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated 1 of 2 " . . CITY OF SPRlNGFIELI): Building/Combination Permit. PERMIT NO: cOM2005-01290 ISSUED: 09/22/2005 APPLIED: 09/22/2005 EXPIRES: 10/26/2005 VALUE: Status: Issued 225 F1fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee Description + 10% Administrative Fee Banner Special Permit Deposit Amount Paid Date Paid $14.50 $45.00 $100.00 9/22/05 9122/05 9/22/05 Receipt Number 1200500000000001379 1200500000000001379 1200500000000001379 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. t 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 to 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 70\.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 apprnved set of plans wiD remain on the site atalltim during construction. ;()\ t1 /~d ~ Date / I 2 of 2 225 Fifth Street ~jiringfield, Oregon 97477 '541-726-3759 Phone Job/Journal Number COM2005-01290 COM2005-01290 COM2005-01290 Payments: Type of Payment CreditCard ,~ c " .;, '! 9/22/2005 . RECEIPT #: Description + 10% Administrative Fee Banner Special Permit Deposit Paid By JCK RESTAURANT aF~,'-~-..BMl._.._-- I Wir- ."...0 , j. ~ .' _.,"" .J JiIlty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000001379 Date: 09/22/2005 Item Total: Lbeck. Number Authortzation Received By Batch Number Number How Received djb 022426 In Person Payment Total: . 1 of 1 10:36:12AM Amou nt Due 14.50 45.00 100.00 $159.50 Amount Paid $159.50 $159.50 ZZ5 nFI1l STREET . SrRINGnELD, OR 97477 . PH:(541)72G-3753 . FAX: (541)726-3689 ......~ ~l e) -.. ........dt~ t:Ol -'~ -.. I~ Assessors Ma~ ~l ~J ~ ~) -.. ....=I~ ~ ~ ~ ~, ....r-Il ~~ ~, ~' ~~ ~l - ~ ,-I .=: ~ U IJ I~, -'~~l -. ,I -~ ~ ~'I~ ~J @D) -.. '..---14 ~ ~) . -Il .,.g)1'~ ~ . J ""., ~. ~ f't. lj -:-. ~~ Ql)) ~l ~1 ,,~ Ml .... . . CITY OF SPRINGFIELD, OREGON City Job Number CON! ZOO S- -0 I Z '0 Job Location f 0 J~ ft?a./-e'ANV r /70'3 Zzoo $..{ Tax Lot 02'"200 Owner P~-6t2--f ,- ~i Owner of Pn=ll3eFly J...{;Ait!)Altfri-- v1J I4-tl Address /IP__ JL-tJ~rt.,_ ~fxg... City cfd-:(J-~ State....l It:.. - .n Zip :_~-bO(;;o,6 · tdL. -;rC~ ~,LAn...t-Ktaw..,e~~ires ~u.'.;;t:-J ~ LI ContractorlIl/staltei' 1\:.~1\ON'.TJT{J'Jud b'l \~3gon e~r'f.Z - 6> s-S'7 "'7 f>,1 adop\e r\lles are s no-r=- Contractor_I"?lA/NnTL- \~lInW r\lles ,__ ihoSe ~^~ <\527" ~\;\i\ica\iOn vc;~':001 0 \hrO\lIJ" - , e [\lIes uy ,. " 952-00 \ " ~hnl"1e ,~ (\{>;", nhta\1"1 _ d. - "PHon/' , 90 '(AU ".~, 'Not", ..'- \ Ilea""" 00 . , er, \ \,l\i\\\'I No" City "all\1"1 ,hO (silit21"1 _n"'0~44), Zip ~e\\u," , 1_6l,u-v-- cel"1ter 's Construction Contractors Lice # Expir/'< y Phon" I - Addres< Description~ "...,; t> ~ -<(d.-vt AN J 11d7~I Id d~/O{' , . Date of Installation Date of Removal Banner 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 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 timelil}e 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 call 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~\~~\\Portable sign(s). This inspection will begin the process to r_ the $100.00 deposit ift~b\'illl~\~,~,\q~r portable sign(s has been removed. \C'i:, \\t>.\..\.. 't.'j..'r ~ 'r't.'r-w,\ G'r- ~ // ~O" 't.'r-w,\'\ S G't.'r- '\\-\\ ..\Q\\~'t.D t/ Signatur~ /L~ "(1-\\'2> 'r "",t:\l.\\~_ ,l'lllt?lt>:\'77 JI /() r - ;\\-\\J"'- \) \JrI ,e' . ~ / For Office ~W,'t.~C;:r>.i 'rt.'r-\GD' l'~~r 'ob# C':)+-V!!>(~'O Receipt # ~ Amount Collected / ~- 'J ~ Date of Application Issued By Shared Drive (T:YBuilding FonnslBanne2]atablc Sign Pcnnit CSD 8-OS.doc