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
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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
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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
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9/22/2005
.
RECEIPT #:
Description
+ 10% Administrative Fee
Banner Special Permit
Deposit
Paid By
JCK RESTAURANT
aF~,'-~-..BMl._.._-- I
Wir-
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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
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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=-
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cel"1ter 's
Construction Contractors Lice # Expir/'<
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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
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