HomeMy WebLinkAboutPermit Signage 2008-10-17
225 flITH STREET . S~NGflELD, OR.97477 . PH:(541)726-3753 . FAX: (541)726-3689
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Description
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Date of Removo 1
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Date of Installatior
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!IPermit Fee: $.225.00 including $100.00 Deposit and applicable fees.
By signature, I ~tate and agree that I have carefully completed this application and hereby certify, that'
all information ~,:erein is true and correct. I further agree and understand th~tffi~,~'i)~'6eSCribed
banner(s) and/or,;portablesign(s) is,not larger m(!,'Squarel1.~\\lHF1J ~wqsddO.tthin 30 days
from the date lis~ed above. lfthe banner(s) an W\gJ~~is \WJ~m\ie'tn~ :~m~ the timeline
specified, I will forfeit the $lqO,OO deposit. I ~e~&\StIiRt ,~~ila~peimit can be issued
only twice per c~lendar year per development are~~~~8lU1 the inspection line at 726-3769
by the end of the 30th day to request an inspectio}l.AA'~~me removal of the banner(s) and/or portable
sign(s). This in~pection will begin the process to return the $100.00 deposit if the banner(s) and/or
portable sign( pas been removed.
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Date of APPlicaLn~7~)1~~~
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Job #, (,'3 - 01 )t( I
Receipt #
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Amount Collecterl
Issued By
Shared Drive (T:)JBuilwng FonnslBaruler]ortable Sign Permit CSD 7-08.doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01S41
ISSUED: 10/16/2008
APPLIED: 10/16/2008
EXPIRES: 11/15/2008
VALUE:
Status Issued :!
:1
225 Fifth Street, Springfield; OR
541-726-3753 Phone i,
541-726-3676 Fax II
541-726-3769 Inspection Line
SITE ADDRESS: 3032 GA TEW A Y ST
'I
ASSESSOR'S PARCEL NO.: 1703220002200
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Banner - 101708 removal date 111508
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Owner:
Address:
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GA TEW A Y MALL PARTNERS
PO BOX 617905
CHICAGO ILi160661-7905
II
I CONTRACTOR INFORMATION I
Contractor Type
Sign
I
Contractor
"
O~NER
License
I BUILDING INFORMATION I
;i 'lo\).tU
# of Units: 'II # O$.~I9lij~S\'SOl\ '0\\\\\\
Primary Occupancy Group: o\'ertO,"~igh!l6li'S't9uC5~l:~01~.
II '\' '" I'" ~a\'" QQ,-
Secon dary Occupancy Group: ',\"'\~\\O'" "o~N) ~Qfl'Reatb 9'0'2.- ....."
. . III ,', t:- ' \ c au '\ "",Op..ro \eS v,
Primary ConstructIOn Typ~: ''', ',rJ(I) eo l\\el'~f!'}:l'~~p"~\ne III
Secondary'Constrnction Type:\(J\~'\Ga'(\OI\ ~~~_ooWi '/*,ii'I'i'p~l \e\e?nOl\~n
# of Bedrooms: il \",0 ~p..", 9'0'2.- a'l O'o\~~l;g)Bpa~:NO\\\\Ca\\ ,
ii' 11'090. '<01.1 ~ cel\\es~ ~hllf.\i3~aiilg: 'nla
, ()y_rtln 1-(\( _"",2-
1i ~:~'oel~~O~MENTINFORMATION ,
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Q/o of Lot Coverage:
/
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
, SqFt GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I E ,f i\\c \NO"'~
"Ol\\.~~~\i S\\~\.\.~~~~~\~:O
,\-lIS ?O~\ltO u~Ot" R81\~~Jbrains:
~U\\-I to Q~ \v
CO~tJlt~C ({ ?t~\QO.
fl.~'l1 BlJ 011\
,Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation DescriDtion I
Description
II
Type of <Construction
. IIr
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Paee I 01'2
, Value,
Date Calculated
CITY OF SPRINGFIELD
Building/Combination Permit
-,I
Status Issued I
"
225 Fifth Street, Springfield, OR
541-726-3753, Phone 'I
541-726,3676 Fax
541-726-3769 Inspection Line
II
PERMIT NO: COM2008-01S41
ISSUED: 10/1612008
APPLIED: 10/16/2008
EXPIRES:, 11/15/2008
VALUE:
Total Value of Project
Fees Paid I
$20.00
$5.00
$ I 00.00
$100.00
10/16/08
10/16/08
10116108
10/16/08
Receipt Number
1200800000000001065
1200800000000001065
1200800000000001065
1200800000000001065
. Fee Description
+ 100/0 Administrative Fee"
I'
+ 5% Technology Fee "
Banner Special Permit
Deposit
Amount Paid
Date Paid
I,
Total Amount ~aid
$225.00
I Plan Reviews ,
it
j~
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the ~:ame working day, inspections requested after 7:00 a.m. will be made the following
work day. I'
"
I Re9"ired J 1 sne~rions I
1111111"1111
'I
Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested,
the applicant may fJrfiet the deposit.
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By signature, I state and a~lree, that [ 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 Ordinauces of the City !Iof Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structnre without permission of the Community Services Divisiou, Building Safety.
I further certify that only c?ntractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure tli'at all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card~iis located at the front of the property, aud the approved set of plans will remain on'the site at all
ti~C:::'il rnl/0/1Jci
O~ Contractors Sig~atnre Date y v
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Page 2 01'2
225 Fifth Street
Springfield; dregon, 97471'7
9 I,
541-726-375 Phone
Job/Journa'l Number
COM200S-0 1541
COM200S-0 1541
COM200S-0 1541
COM200S-0 1541
Payments:
Type of Payment
CreditCard
cReceintl
"
IUtCEIPT #:
"
Description
Bann~r Special Permit,
Depo~,it
+ 5% "echnology Fee
+ 10% Administrative Fee
'I
Paid By
DA WNA JAPPERT
,
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II
City of Springfield Official Receipt
DevelopmentServices Department
Public Works Department
1200800000000001065
Date: 10/16/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 016619 In Person
Payment Total:
Page I of I
2:37:02PM
Amount Due
100,00
100,00
5,00
20,00
$225.00
Amount Paid
$225,00
$225.00
10/161200S