HomeMy WebLinkAboutPermit Signage 2003-10-16
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1008 HARLOW RD
ASSESSOR'S PARCEL NO.: 1703220002305
.- Lii}' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01033
ISSUED: 10/1612003
APPLIED: 10/1312003
EXPIRES: 04/1612004
VALUE: $ 0.00
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner - date of installation 10/14/03, date of removal 1 0/27/03
Commercial
Owner: GATEWAY MALL PARTNERS
Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN CHICAGO IL
Contractor Type
Contractor
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer A vaUable:
Special Instruction:
Notes:
Description
Type of Construction
I CONTRACTOR INFORMATION I
License
Expiration Date Phone
VN
BUILDING INFORMA TION ~(0S 'lo~~\\'l '.
00-v 0(\ \ \O(\.,
# of Stories: \-a.-l'I~ O~0QJ ~0'O0 ~.nl>t,Size:
Height of S\~'{,'l 'S'0 u\0S ~l>-~ g~ ~Ft 1st Floor:
Typ~ o~t: \00 0'00 ~ :1\0 \'(\0 ~\l~.,I!t 2nd Floor:
~-l!:t~IYJ!e?9 ~,"\~ 'S'~ou~0S 0' 0\0Q~%{\tlflasement:
~Ra~ge"T~:,\\0 C\~ c,oQ', \'(\0 \!~o\\lSq Ft Garage/Carport
,0\\IEl!er:gfpaut:VO :0\'2>\(\ ~O\0' ,~\\'l (l,b.1q Ft Other:
~\~\c,'().',,':J'2;\J -a.'l 0 '0~,1:l o~ '0\',,-,'1-'0 Impervious Surface Area:
. \0 ~~ '" \ ~ .,,{\' ~O: ",':0"
,
.'" ~..- "\"
I DEVEL62MEJII"'11'.J':vn.,.1Al'ION I
- Co.' 0\ ,- \~. REQUIRED PARKING
~~'O Ce"'- .
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compac~
% of Lot Coverage: \>It. \r ,\\t. '-N~,
j~l\1\~~~'..:i!. c.l-lr>.\.\. t.~~~ ?t.\>IWI~ ~~~
I PUBLIC IMPROV~l\1BN'rSJI,\) \.I~\)\:~ r>.~r>.~\)G~t.
r>.\) 1.':~~~Ct.\) ~~~1J< Type:
COI" \)r>.'/ ~\:. .
r>.~'/ i 'O() DownspoutsIDralOs:
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Page 1 of2
.
. . Lit l' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01033
ISSUED: 10/16/2003
APPLIED: 10/1312003
EXPIRES: 04/16/2004
VALUE: $ 0.00
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I F~~~, P~irl I
Fee Description
+ 10% Administrative Fee
+ 10% Administrative Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$8.00
$10.00
$80.00
$100.00
10/16/03
10/16/03
10/16/03
10/16/03
1200200000000002328
1200200000000002328
1200200000000002328
1200200000000002328
Total Amount Paid
$198.00
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.
I .~\r\7\1;,~r~d In~?~ctionsJ
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 the completed application and do hereby certify that all
information hereon is true and correct, and I further certify tbat any and all work performed sbaIl 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 ofany 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 fro the property, and the approved set of plans will remain on the site at all
times during construction.
)~4
- y
Owner or Contractors Signature
14-, e~ fc!)-ol. 6"W ""'-"L
.....
tJd.
14/ ~~
Date
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477 .
541-726-3759 Phooe
Job/Journal Number
COM2003-01033
COM2003-01033
COM2003-0 I 033
COM2003-01033
Payments:
Type or Payment
Check
Cash
Job/Journal Number
COM2003-01033
COM2003-0 1033
COM2003-0 1 033
COM2003-01033
Payments:
Type or Payment
Check
Cash
61
-""'".......--. .
<'
Receipt #: 1200200000000002328
Description
Banner Special Pennit
Deposit
+ 10% Administrative Fee
+ 10% Administrative Fee
Paid By
LmERTY BANK
LmERTY BANK
Received By
djb
djb
Description
Banner Special Pennit
Deposit
+ 10% Administrative Fee
+ 10% Administrative Fee
Paid By
LmERTY BANK
LmERTY BANK
Received By
djb
djb
Check Number
Batch Number Authorization Number
Check Number
Batch Number Authorization Number
City of Spriogfield Official Receipt
Developmeot Services DepartmentC
Public Works Departmeot
Date: 10/16/2003
10:00:S7AM
Amount Paid
80.00
100,00
10.00
8.00
Item Total:
.).."6.,,iJ
How Received
In Person
In Person
Payment Total:
Amount Paid
$188,00
$10,00
$198.00
Amount Paid
Item Total:
80.00
100,00
10,00
8.00
$198.00
How Received
In Person
In Person
Payment Total:
Amount Paid
$ I 88.00
$10.00
$198.00
.
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CITY OF SPRINGFIELD, OREGON
22" FlnH STRI:LI' . SI'RINGFIELO, OR 97477 . I'H:("4] )72G-g7":, . I'AX: ("4] )72G-%89
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~l City Job Number(Ov\1 '2.003--:- 0 103:3-
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."r-I, B . 1008 Harlow Road, Springfield, OR 97477
Qt)l anner Location
.,~~ Assessors Map f70377riO Tax Lot
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-" ..-J~ Owner
~\ LibertyBank
~1 Owner of Property
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Adclr"oo
355 Goodpasture Is. Rd. Suite 200
Phon"
541-681-4832
City
Eugene
State
OR
Zir
97401
Contractor/Installer
~ $IA / S/6,v6f2-0v\. P
. I
Contractor
N/A (Installe~ hv ~ign maker)
Addwoo
Phonp
City
Zip
'>tate
fl1 ~7)\
Expirf'<
Construction Contractors Registration #
Descriptior
!.e' 'I '3)
6 d.. n /I.JA -
I--U- I\J.}jf- IJa.. <,/'
be./ -
;)-7, ;;}-iJ1J 3>
Date of Installation () c-f- I 'f.
;r~i) ~
Date of Remov~1
.. Banner Permit Fee $80.00 + 10% Administrative Fee - Deposit Required $100.00
By signature, I state and agree that I have carefully completed this application and hereby certify that
all infonnation herein is true and correct. I further agree and understand that the above described ..
banner(s) is not larger than 60 square feet, and will be removed within 14 days from the date listed
above, If the banner(s) is not removed within the timeline specified, I will forfeit the $100.00 deposit.
I also understand that Ihis special permit can be issued only twice per calendar year per development,
area. I also agree to call the inspection line t 726-3769 by the end of the 14th day to request an
inspection to verify the removal of the ba er(s). This inspection will begin the process to ~~l P1~ uf<...
$100.00 oSitifth)'banner(s) e removed. 11<;,. i'f-N ~7 <!:IP 7 ~
"-
Si A {tu....c.<. Oat" / lJ ..0& -~ :!>
Date of Application
10/'/03
::Orb.
For o.ffice Use
Job # COVV'ZC03 -01 033.
. 2327
ReceIpt #
/70~
Issued By
Amount Collected
Shared Drive (T:l_'Building FomtslBanner Pcnnit CSOI-03.doc