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HomeMy WebLinkAboutPermit Signage 2005-3-29 225 FlITH STREET. SPRINGFIELD, OR 97477 . PH:(54 ])726,3753 . fAX: (54 ])726-:-\689 ~1 ~; ~ ..)~i ~l .'~l Assessors Mar /70"3 22- 2- 0 .~ .",,_Ii Q\ ~J ~ ~ .,~j ~ $:..i I ~) ~ ~J City Lo .J~l ~t ~; ~ El e:=l ,-l ~i .~ U IJ l"j; ..)~-l ,- , ~l .-1 ~ ~~ botl ~) ~4 ~l eJ ro' . !.l ~l , .. . . .. r CITY OF SPRlNGFIELD, OREGON City Job Number COwl ZOO~ -oC=::> 3> 5 Z- Banner Location 3360 (5 CFfe wau e)-, I Tax Lot Owner Owner ofProperty.Sh; (0 In f) Addrf'OO 33SCl (1~+ A.0 &Li' sf Phonf' City SPr" VIet!:: (, 1r.L:~NilON:6regon 1C'~Mfll1UiQ~to I ..j , '''_''''1 rule~ adopted by theUregon Utility Contractor/Installer .c;l,I'~ation Center. Those fules are set forth in OAR-%2-001-001 0 through OAR 952-001. ~ WMrbt,Q..m:'~1 nhl:.in Mn;.." 'f calling the center. ,e telephone numbef for t eaon Utilitv Nolificati41.nor po ~ter is 1-800-332-2344). ~ State ~ Contractor _ Addreso Construction Contractors Registration # ---- ~ SPRINGFIELD ::: .' ...y"'~'.. / ..... /' ."" 0/ bo () '0(1- J L{i -G332- ZiJ: ~ llJlJ Zip Fxpirf'< Description_ f) X ':) F"'CXJ-t. DNn n~ <:., Date ofInstallation ...5 r 2--'7/ Q \'" I I .It I->~w\'i rem<Jdele..cL /I ,. 1, ~. - 1\ r n u.1 . t - .. I ~ I I ~ ,_..'-J-"';"I~' 1 "'4... Lf / I Z /0 .:;- f ( Date of Removal Banner Permit Fee $80000 + Required Deposit $100000 + 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 rtrid TdJ'rr~ct. I further agree and understand that the above described . banner(s) is not larger than 6o~l[ua'rerfe'ef\ anll\%ltll!lIr~IP"Ffl!:\\\jSNg~4 days from the date listed above. If the banner(s) is noA!eti\o1reil'Mthiii[tl:i!i;fjJil!mip~tm\1qif!f?~dlWill forfeit the $100.00 deposit. I also understand that this spCc'i'~llp,{rTili(Ca6IQti9~~Y~lh~IV>li!1Yi,call?er calendar year per development area. I also agree to call the ih"speHi(\rillilic:F<itK1g~.3769 by the e~a of the 14th day to request an inspection to verify the remov banner(s). This inspection will begin the process to return the $100.00 deposit i he'b~ s been removed. Sig~~ t:/ Date of Applicatior J - 2- '7 -0 \" lob #(:0"'" zoO~-00"3S-~eceipt # Amount Collected 1; / <] B ~ , For Office Use Issued By ~~ Date S/Z7/d ~ , 3g3 Shared Drive (T:)/Building FonnsfBanner Permit CSDI-OJ.doc . CITY OF SPRlNG"l~L1J Building/Combination Permit PERMIT NO: cOM2005-00352 ISSUED: 03/29/2005 APPLIED: 03/29/2005 EXPIRES: 09/29/2005 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3350 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703222001600 ~ Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner permit 032905 removal date 041205 Owner: SHILO INN SPRINGFIELD LLC Address: 11600 SW SHILO LN PORTLAND OR 97225 Contractor Type SIgn I CONTRACTOR INFORMA nON I License Contractor OWNER I BUILDING INFORl)1A.TrION I ,,\ ,r.j\equn -' n U\i\i~ # of Units: ION', 0le991' o~I:iB!e9~ set lono Primary Occupancy Group: p,:f'(EN' les ado?teii~!l~~C!!i~U~~l!o2.001' Secondary Occupancy Group: \0110'11 lU cellter. iiY~rl\'ll'il{>'P< les b'l Primary Construction Type Noti\iCat\OIl -001 _OO~.ID!r '~ol toe rU alia Secondary Construction Type: ill Op-P< 952 a.'1 ob'lUlft~~1 pe\e tele'?~Ol\ # of Bedrooms: (}O900 '{ou!t\ celltltln~ ~1j, ~~:\I\ . ca.llill9 \\'Ia ."'a ~prU)I11e '!~ nla '. _.fnl \I' \ onn . p....- ,..>>riki:OPMENTlNFORMA nON I Frontyard Setback: Side 1 Setback: SIde 2 Setback: Rearyard Setback: Solar Sethacks: Overlay tilst: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Commercial Expiration Date Phone Lot Size: . Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQillRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I NOTICE' Sidewalk Type: . L EXPIRE IF THE WORK THIS PERMIT SHAL prRMIT ISDownspoutsmrains: AUTHORIZED UNDER THIS c I~U I COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Street Improvements: Storm Sewer Available: SpecIal Instruction: Notes: I Valuation DescriDtion I Description S Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction PalZe 1 on Value Date Calculated ~ . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2005-00352 ISSUED: 03/29/2005 APPLIED: 03/29/2005 EXPIRES: 09/29/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee~ Pllirll Fee Description + 10% AdminIstrative Fee Banner Special Permit Deposit Amount Paid Date Paid $18000 $80000 $100.00 3/29/05 3/29/05 3/29/05 Receipt Number 1200500000000000383 1200500000000000383 1200500000000000383 Total Amount Paid $198000 I Plan Reviews , To Request an inspection call the 24 hour recording at 726-3769. Ail 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. I Re~rl In~ne~tion. I 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 to the work described herein, and , that NO OCCUPANCY will be made of any structure wIthout permission of the Community Services Division, Building Safetyo I further certify tbat only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure tbat all required ins ections are requested at the proper time, that each address Is readable from the street, that the permit card is located e f nt of the property, and the approved set of plans will remain on the site at all times during construction. 0------ Date 3,/z9jar Pa2e 2 of2 225 Fifth Street Springfiel<J, Oregon 97477 541-726-37059 Phone Job/Journal Number COM2005-00352 COM2005-00352 COM2005-00352 Payments: Type of Payment Cash 3/29/2005 . RECEIPT #: Description Deposit + 10% Administrative Fee Banner Special Permit Paid By SHILO INN / STEVE FEEZOR ~.~; ~~~ JiJ.ty of Springfield Official Receipt .veIopment Services Department Public Works Department 1200500000000000383 Date: 03/29/2005 Item Total: Check Number Authorization Received By Batch Numher Number How Received djb In Person Payment Total: Page 1 of! 1:06:48PM Amount Due 100.00 18.00 80.00 $198000 Amount Paid $198.00 $198000