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Home My WebLink AboutPermit Signage 2008-12-8 _G~~I,!!!~,~I~e,'." ' '1' - _ , I Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01660 ISSUED: 12/08/2008 APPLIED: 11/14/2008 EXPIRES: 01/08/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3018 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703220002200 Springfield TYPE OF WORK: Banner TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Banner Permit valid through midnight 12/08/08 - 01108/2009 Original Roadhonse Grill Owner: GATEWAY MALL PARTNERS Address: PO BOX 617905 CHICAGO IL 60661-7905 I CONTRACTOR INFORMATION 1 Contractor Type Contractor . License Expiration Date Phone BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occnpancy Gronp: Primary Constrnction Type Secondary Conslrnction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: Din I DEVELOPMENT INFORMATION 1 ,REQUIRED PARKING Notes: , Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: .4."t:. f(')1f ~N"",r'\. I PUBLIC IMP~'oy,iMiNTS"'~ Ure"On , - _. '~. .,~ -""/1 "'-e 'PIAd f.. W r" 0090 ,,952'00 nler. ~ide,w~\~ 'i3'P'~s o ',rou 7 '00 nose Or~ You t Storm Sewer Available: NO TIC nu q//llJg Ih;}qYobt TODl)~V{POU!Sifr':1iir1Jii/i 0 SpeciallnstJ'llction: THIS E: tnber fo celJle qfn oOp JJh OA,F/ Sel fo Iy AU PERMIT S Ce~ Ihe Or; (^,Olef~s Of Ih/52'00;lh ~oA~i~o;;:~~~ UN~iM ~~r:!RE IF THr: I,.~ .er is 7'8~~~~~'l~;~~::f.~~~: by- rllV r 180 DXy p~~:gdltWiG~:i~::6~~j;~lion ~ -v~'I). -"lion , -I, $ Per Sq Ft or multiplier Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: Street Improvements: Description Type of Construction Square Footage or Bid Amount Value Date Calculated Page I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01660 ISSUED: 12/08/2008 APPLIED: 11/1412008 EXPIRES: 01/08/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid 1 Fee Description + 100/0 Administrative Fee + 5% Technology Fee Banner Special Permit Deposit Amonnt Paid Date Paid Receipt Number $20.00 $5.00 ,$100.00 $100.00 12/8/08 12/8/08 12/8/08 12/8/08 1200800000000001207 1200800000000001207 1200800000000001207 1200800000000001207 Total Amonnt Paid $225.00 Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00. a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Reouired Jlsoecfo~s ~ 111111 r,11 I 1..I],;j1 1 Banner Removal: To be reqnested the day following the expiration of the permit. If inspection is not requested, the applicant may forfiet the deposit. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is trne and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any strnctnre without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all reqnired inspections are requested at the proper time, that each address is readable from the street, tbat the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. AcnlO,.- L.2/13 fo<? ., Owner or Contractors Signature Date Page 2 of2 ~..i ~ ..~ ~ ~ ~ ~. "~ ~ ~ ~ ,~ II I. >. "~ ~ ~ ~ ~ , ~ '~ ~:lD) "~ ~ .~ ~ ~ ~ ~ 1 M City Job Number ~ 5r - 0 l (., CzQ ','A^\O "oATE" 'A_I Job Location '..JJ C> <;, V"" 7 ":>T :f'R\ ,J(.,f"=u:; oR Assessors Ma:o Tax Lot t!ri'O.-'i,,:::,'~,'c$f~~:7;L~~~~N~~~~:'~!~~2:v~;'~;~~(~~~~~~~;~~)~~~;;"{~~~~~j~;7~~(_~~~i~~~~~ ~t.~!!~~~;J':i;Jt~~;.~~~~:t,,~it~~~!i.f~r;~'~" ;?J:~'1i" ~u~tb'7;_~~~f~f;~~;: 1~~~t;i:1C~~/Na~".;oj.~::.~::,$4~'i'~'~2~71':~;k:~~Y,~~ Owner of Property ~ATEv..lP'l MALL AddresF Phor p City State Zir: ~~~'- l""'~;'~~~~<"':'?i.I\""-~ 5cim'ira6io,.hiisiall ~.c=.::,,::b~::::;,l:;.~ii:fu;:;:'<ob~~!:t:' Contractor ,,^Ao-lP-[' EP.. Addreso PhoT>' City State Construction Contractors License # , DescriptioI' ,- C:>IFT " ,,-ARD or-! '5;Toi(E FR.o r-! I 6A.J",eR Date of Installation 1Pl./.., I 0'3 , Date of Removal 7.ip Expirp< ,il <g k1l Permit Fee: $225.00 including $100.00 Deposit and applicable fees. By signature, I state and agree that I have carefully completed this application and hereby certify that all information herein is true and correct. I further agree and understand that the above described banner( s) and/or portable sign( s) is not larger than 60 square feet, and will be removed within 30 days from the date listed above. If the banner(s) and/or portable sign is not removed within the timeline specified, I will forfeit the $ I 00.00 deposit. I also understand that this special permit can be issued only twice per calendar year per deVelopment area. I also agree to call the inspection line at 726-3769 by the end of the 30th day to request an inspection to verify the removal of the banner(s) and/or portable sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or portable sign ..sy has been removed~.. Signatur~pA~U.,^ , ~ Datp 1;)./<: ID~ 'r {;_~~;:Qrt.r"'~l?~Y;_f" ~ ~"=F'::' "t,.l,,""-. ,'ifii!;?J"Eo1'.OffJ.c'iPUs ". 'o/;~';''li;W1\f'~7",....,~~:rP1~-"'Q:~ j 'g' d ~ Job # ~r-rN&&o /'1/\ lll./Jrrh2rfU } , ! t I Receipt # . 0--0 Amount Collected t.,.'$'::X:;)S " Shared Drive (T:)IBuilding FormslBanner_Portable Sign Permit CSD 7-OB.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1660 COM2008-0 1660 COM2008-0 1660 COM2008-0 1660 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Banner Special Permit Deposit + 5% Technology Fee + 10% Administrative Fee Paid By NATHAN ALLEN City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000001207 Date: 12/08/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received njrn 004068 In Person Payment Total: Page I of 1 2:04:2IPM Amount Due 100,00 100.00 5,00 20,00 $225.00 Amount Paid $225,00 $225.00 12/8/2008