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Home My WebLink AboutPermit Signage 2009-1-8 ZZ5 FIlTH STREET. SPRINGFIEW, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)7Z6-3689 ~ -.~ __~ Job Location -. ~~ Assessors Mar ~l ~ ~ Owner of Property ..~ ~ ~~ ~ ~ ~ ...~ ~ .~ I ,~ II I, " ..~ e ~ ~ = ~ .",,~ ~ ~ I ~ I M ~..;.., City Job NumberLOUf ZoO ,.. OOc..:. z-, 5132 &;~ kk"}~A J J 70 '?: Z2C>O .S-lYf~-f , / Tax Lot (4r 1::; Jr oz'Zoa /) (I " . f0}/5/;Jht5'v'c _ (1,:;/tphoT1P ILL Addreso r:,:J (g~ Cit:. (/11 /' fjt7 0 i.\TG=':_"\=;:";';F""_*l!WW-"',*'ib"~~"" l~lctJrliirftll'ifrJtilf[ii:- '~J';/~'?:t;"".<I,;"..,,.""-<<'-~~~"'<.2&:hj~ /. , .:'-'~;~.,,"-",~.~_"")."!:11%_._. ....,,~-;;r:;. I-~ ';.c:.. . C tr t l (t r ) fnl ' , . I es you to, on ac or ~ _ '1- ,- . ... . .. -.,;;" I. 10 VI t::yun uumy Notification Center. Those rules are set forth In OAR 952-001-0010throu_oh OMl Q<;?_Mi Phonp uul:Iu., YOU may obtain copies of the rules by ~aJhng the ~en~r. (Note: th~Jmephone ;1~mbc;rf6r UIG VIl;:8Ul' umnY~OtJ,-il;Cl.1I0n Center is 1-800-332-2344). ' Construction Contractors License # State Zir: };/J;;; 7L/ Date of Applicatipn I , Job # C '9 -oool. 7 Addreso City , Description ILw 11 n 'f5Y I }O/Cq ,Date of Removal Tn Expirpo L /1./01 . Permit Fee: $225.00 including $100.00 Deposit and applicable fees. , By signature, I state. and agree that I have carefully ~iil thillS arc _fl:IwlEb.W~~fy that all information herein is true and correct. I further agrlllllfuB1i&.WI ffflS ~\~<W<<~ banner(s) and/or portable sign(s) is not larger than 60 ~~~ li,'ffi)~tWP 30 days from the date listed above. If the banner(s) and/or po~er~MgNGS:Qd1l1i\; e'a wi the timeline specified,-I will forfeit the $100.00 deposit. I also und~&S~~tW 1ll permit can be issued only twice per calendar year per development area. I also agree t'o call the inspection line at 726-3769 by the end of the 30th day to request an inspection to verify the removal ofthe 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~) has been remqved. Signaturp ~\f{I\))'W\ ~\~,I}'I()ctl- Date of Installation Issued By Amount Collected ~eceipt # r---- S- ZZI Shared Drive (T:)lBUilding Forms!Banner]o~le Sign Permit CSD 7-08.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00027 ISSUED: 01/0812009 APPLIED: 01108/2009 EXPIRES: 02/09/2009 VALUE: SITE ADDRESS: 3032 GA TEW A Y ST ASSESSOR'S PARCEL NO.: 1703220002200 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner - 011009 removal date 020909 Owner: GATEWAY MALL PARTNERS Address: PO BOX 617905 .CHICAGO IL 60661-7905 Contractor Type Sign Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction I CONTRACTOR INFORMATION I License Expiration Date Phone __,,)0 BUILDING INFO~MrrJllON.:f~~o~ \J\ili\~n ~'Ol'l: u"red b~t\\b I~S alese\\~\ \. ~~ ~ie$\OIl ,noselU 01'-1'\95'2.- MSize: \Oll~~ ~S~~~'lnlout 0\ \ne l~~~~ Ft 1st Floor: 1'l0~.Y1~!l1i~: U\ail\ cOil. \ne \ele? a\~Ft 2nd Floor: \1\ ~~ou}1lfl!'1 ~\Bl' ~I'lo\\~\\'j 1'l0\\\\CSq Ft Basement: OO~\\\l.~ 'M~e e 0le901\ ~'3'2..'2.'344). Sq Ft Garage/Carport l!\\~RDlIl-!' \S \_800- Sq Ft Other: 'Il>>rmkltllie9l.'ffdmg: n/a Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING 'Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: -I PUBLIC IMPROVEMENTS I f i\-\t 'NQ?-V- l>\01\C~:. ~ s~~tl\:.atit-1f~'h?-W\I\ IS ~Oi \-\IS ?t?-\-!I~ ~~~1\-\~i~ fO?- \~\l\\-\O?-Ilt~~ O?- IS ~~ COW\W\t~C ~ \'t"'IO~. p.~'i '\ \)0 ~j'I; I Valuation Descriotion I $ Per Sq Ft or multiplier, Square Footage or Bid Amount Value Date Calculated Page I of2 , CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2009-00027 ISSUED: 01108/2009 APPLIED: 01108/2009 EXPIRES: 02/09/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fees Paid I Fee Description **~+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $20.00 $5,00 $100.00 $100,00 1/8/09 1/8/09 1/8/09 1/8/09 1200900000000000005 1200900000000000005 1200900000000000005 1200900000000000005 Total Amount Paid $225,00 I 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 Reollired Insnections I Banner Removal: To be requested.the day following the expiration of the permit. If inspection is not requested, the applicant may fortiet 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 true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinancesofthe 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 withont permission of the Commnnity Services Division, Bnilding Safety. 1 fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I fnrther agree to ensure that all reqnired inspections are reqnested at the proper time, that each address is readable from the street, that 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 \ring construction" . __ _ 0 (/;. r-/':;(' (f>l".'/KT\l/B,- ~\}tp')9P{~-- [, 1') GV/ Owner-of Contractors Signature I Date Paee 2 of 2 'City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Sprin!if1eld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00027, COM2009-00027 COM2009-00027 COM2009-00027 . Payments: Type of Payment CreditCard cReceintl RECEIPT #: Date: 01108/2009 9:50:09AM 1200900000000000005 Description Banner Special Penn it Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Amount Due 100.00 100.00 5.00 20.00 $225,00 Paid By JCK RESTAURANTS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb 008085 In Person Payment Total: $225.00 $225,00 Page 1 of 1 1/8/2009