HomeMy WebLinkAboutPermit Signage 2005-3-29
225 FlITH STREET. SPRINGFIELD, OR 97477 . PH:(54 ])726,3753 . fAX: (54 ])726-:-\689
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.. 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 :::
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'0(1- J L{i -G332-
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Zip
Fxpirf'<
Description_ f) X ':) F"'CXJ-t. DNn n~ <:.,
Date ofInstallation ...5 r 2--'7/ Q \'"
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.It I->~w\'i rem<Jdele..cL /I ,.
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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~~
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Date of Applicatior J - 2- '7 -0 \"
lob #(:0"'" zoO~-00"3S-~eceipt #
Amount Collected 1; / <] B ~
,
For Office Use
Issued By
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Date
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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
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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