HomeMy WebLinkAboutPermit Signage 2009-3-17
2'25 FIrm STREET. SPRINGFIELD, OR 97477 0 PH:(541)726-3753 . FAX: (541)726-3689
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. l CITY OF SPRlNGFIELD, OREGON
Descriptior
Date of Installation
FLIo 1~ 11"
Date of Removel -:,- \'1-0C! 1
. Permit Fee: $225.00 inclnding $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 arj.'tt),imJ. I further agree and understand that the above described
banner(s) and/or portable Sig~;W{fiP.J'tirger 1han 60 square feet, and will be removed within 30 days
from the date listed above. I. e~mn~tl(.~?Jor portable sign is not removed within the timeline
specified, I will for. fei1 the ~ 0l1;9;'AW~11'1'"iift2 understariq that this special permit can be issued
only twice per calendar. yea0p\5g ~6n;!le~~af:r~\l.agree to call the inspection line at 726-3769
by the. end ofthe'30th day to reque ~<t}i \f9';Jf.o~6'~J'l.'r m. I of the banner(s) and/or portable.
sign(s). This inspection will begin the pr ~60'i>ll . ~ osit if the banner(s),and/or
portable sign(s) has been removed. . 'f, /S r i~ s.,..,-d tri. ~ ~ +0 f''s
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SignaturE' f a.&L / '). +-J-OlCI" .LA-:~
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. . ~ {7 ~'<j ForOfficCe ~e_ > ~ )
Date of Application /f/C. lob # I
),,--:s.
DatE'
~- {"7-oCf
Receipt #
1\,
'272-
//)-
I ssued By
Amount Collected
Shared Drive (T:)/Building Forms/Banner]ortable Sign Permit CSD 7-08.doc ' .
Status
Finaled
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726_3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3026 GA TEW A Y ST
ASSESSOR'S PARCEL NO.:. 1703220002200
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00355
ISSUED:. 03/17/2009'
APPLIED: 03/17/2009
EXPIRES: 09/17/2009
VALUE:
Springtield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Portable signs'- REF:COD2009-00215
Owner: GA TEWA Y MALL PARTNERS
Address: . PO BOX 617905
CHICAGO IL 60661-7905
ContraCtor Type
Sign
Contractor
OWNER
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Coustruction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
. ,
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
I CONTRACTORINFORMA TION ,
.; ) 8dop~~'~" I~W requirp 1. .
. 1,lv"lI - C 1"0' h,,~, - E'"'S .rH,. D Ph
in ()r\R"' l,n enter LIcensee Or. xplratIon ate one
009n. 952-001-00'ln' nose rUles a~"'r vol Utility
I v..... th.._. e .C::of l_ ..
. I, BUlLDiNGINF0RMATI6N:lpi:~'0~~~ 952-00;~'
"'vc', Tor th . "'Ute: th rUles by
. ''-''0 e Oregon U '. e telept<~"
# of Stones:-nter is 1 ,80 . tlllty NotiliP'! Size:
Height of Structure. 0-332-2344). S'/f''Pt11st Floor:
Type of Heat: . Sq Ft 2nd Floor:
Water Type: Sq' Ft Basement:
Range Type: Sq Ft GaragelCarport
, Energy Path: Sq Fi Other:
Sprinkled Building: nla Occupant Load:
J DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact: ,
Overlay Dist: .
# Street Trees Rqd:
Paved Drive Rqd:
% of ~cffrcE~e: .
TI-/IC: t>~.r;~;Xr '-1
I PUBLIC IMPJW~IT~i;~~ tXP/RE IF THE WORK
, vuMMENCED OR /S 1Jtl~P~Mil: IS NOT
ANY 180 DAY P 1i1lA/vIAJuI!D FOR
ER /0 DDownspoutslDra illS:
I Valuation Descrirtio~ I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Finaled
CITY OF SPRINGFIELD .
Building/Combina(ion Permit
PERMIT NO: COM2009-00355
ISSUED: 03/17/2009
APPLIED: 03/17/2009
EXPIRES: 09/1712009
.vALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3'676 Fax
541-726-3769 Inspection Line
Total Value of Project
.1 Fees Paid I
Fee Description
***+ 10% Administrative Fee***
+ 5% Technology Fee.
Banner Special Permit
Amount Paid
, $10.00
$5.00
$100.00
Date Paid
3/17/09
3/17/09
3/17/09
Receipt Number
2200900000000000272
2200900000000000272
2200900000000000272
Total Amount Paid
$115.00
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. Reouired Insnectioos I
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 f'ur:ttler certify that any and all work performed shall be done in accordarice 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 ofauy 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 he used on'this project.
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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 front of the property, and the approved set of plaus will remain, on the site at all
times during constru~tion..
i',n)u )
'2, - f Fl--- if'!
Date
Pa2e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541- 726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200900000000000272
Date: 03/17/2009
10:43:24AM
Payments:
Type of Payment -Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
100.00
5.00
10.00
$115.00
Job/Journal Number
COM2009-00355
COM2009-00355
COM2009-00355
Description
Banner Special Penn it
+ 5% Technology Fee
***+ 10% Administrative Fee***
Amount Paid
Cash
CHERYL MILLS
djb
In Person
Payment Total:
$115.00
$115.00
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