HomeMy WebLinkAboutPermit Signage 2003-5-19
.. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00383
ISSUED: 05/19/2003
APPLIED: 05/19/2003
EXPIRES: 11/19/2003
VALUE:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3198 GATEWAY LP
ASSESSOR'S PARCEL NO.: 1703222002700
Springfield TYPE OF WORK: Banner
I DEVELOPMENT,INFORMATION I
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" ,Xi 'Ovirla~'Dist:'~- >:- n..'l: Total:
'" * '0<::- f'..... ,.)\ o"'\" -0 ~~
V' ~o ~ flStreet Trees,Rqd:)'" Handicapped:
,,0 ,~,-v n.. ~ p.a~d.~ivrRqdf C ~J;..
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"" 0"" ..... ^~. ,'I ,V' ..... ,,-
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I PUB'LIC IMPROVEMENTS I \5't5,~S 'V.~~~x-\J
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TYPE OF USE:
PROJECT DESCRIPTION: Banner
Owner: GATEWAY RESTAURANT
Address: 3198 GATEWAY LOOP SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Owner
Sign
Contractor
GATEWAY RESTAURANT
OWNER
License
BUILDING INFORMATION I
# of Buildings:
Primary Oecupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure ,0
Type of Heat: :\0'> #:\ ~
Water Type: ,0'" >:-'5 ~"o~"
Range Typit 0~0 00.,0 f);<::J -0'
EnergYIP.rth:>~ ~ 'If> n.. o..~ ~0'" 0'
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oy. ,,'I ,~ 0" 1(\0 -:>:-0 ~o
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SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Sohir Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
,.
I Valuation Descriotion I
Description
$ Per Sq Ft
Square Footaee
Type of Construction
Paee 1 of2
New
Commercial
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Value
Date Calculated
~iii.
.
. CITY OF SPRIr\jt.l'1J!.LD
Building/Combination Permit
PERMIT NO: COM2003-00383
ISSUED: 05/19/2003
APPLIED: 05/19/2003
EXPIRES: 11/19/2003
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
~ F..... PaW
Fee Description
+ 10% Administrative Fee
Banner Special Permit
Deposit
Amount Paid
$16.00
$160.00
$100.00
Date Paid
5/19/03
5/19/03
5/19/03
Receipt Number
1200200000000001240
1200200000000001240
1200200000000001240
Total Amount Paid
$276.00
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.
IR..~
1 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 tbe 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 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
street, that the permit card Is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
fl~);; KG1,%, Jt1l{
Owner or Contractors Signature Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield ,
"
Development Services Department
Public Works Department
Official Receipt '
Receipt #: 1200200000000001240
Date: 05/19/2003
Job/Journal Number
COM2003-00383
COM2003-00383
COM2003-00383
Description
Deposit
Banner Special Permit
+ 10% Administrative Fee
Amount Paid
Item Total:
100.00
160.00
16.00
SZ76.0U
Payments:
Type of Payment
Check
Paid Hy
GATEWAY RESTAURANT
Received By
djb
Check Number Confirm No
ltow Received
In Person
Payment Total:
Amount Paid
276.00
SZ76,OO
.
.
5/19/2003
11 :56:00AM
Page 1 ofl
cReceipt.rpt
225 rIml STREET. SFRINGrIELD, OR 97477 . FI-I:(541)726<H53 . FAX: (541)726-3689
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CITY OF SPRINGFIELD, OREGON
City Job Number to VIII ZOO 3 - 00 383
31 '78' G-"Pt-tl!":wAr
17032Z2-0
LODf
Tax Lot
0'2760
Owner
VIA/vb,
Owner of Propert~'
Addreso ~(qg qATFiJA't
City ~r>I<.IIJGr fIHO.
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Contractor/Installer
Contractnr
ow Nf=.-{2.
Addre~.
City
_ Construction Contractors Registration #
'l<A-rlNt-(L (5 \
Date ofInstallatior rr-1t9/o J Date of Removr I (,/;6))
Banner Permit Fe4so.oo +"Ul~~inistJ'ative Fee - Deposit Required $100.00
'(t~'
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By signature, I state \."'lJ~1th\}~ve carefully completed this application and hereby certify that
all infon~tion ~~~'il . ~..ect. I further agree and understand that the above described
ba~ \'!lli>\~'th~JO~ quare feet, and will be removed within 14 days from the date listed
ab '.~{.jf ~~~n~~!lt removed within the timeline specified, I will forfeit the $100.00 deposit.
1 als :Wl~s't~~~'N~pecial permit can be issued only twice per calendar year per development
area. ~W~'b call the inspection line at 726-3769 by the end ofthe 14th day to request an
inspec ~it~ verify the removal of the banner(s). This inspection will begin the process to return the
$100.00 deposit if the banner)s) has been removed. '
Signaturp fr,.A. f'knt i'en;r DatI' 0;~ 3
Description'
,vJ <> P<<,-,od S
28 d,4y;
"f,o-I
1'>1'.
Date of Application
5(iJ
For Office Use
lob # CO..vl ZOO} - 00] 8'J Receipt #
27b~
I Z'-( 0
Issued By
Amount Collected
Shared Drive {T:)lBuilding FonnslB:mncr Pcnnit CSDI-03.doc