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Home My WebLink AboutPermit Signage 2009-5-20 225 FIm(STREET . SPRINGFIEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ '~ ~~ ~ ~: ~ ..~ ~ 'fi ~ '~ 001 a e) (Ql ~i .,~ ~, ~ ,~ l~ ~ 8 ~ ~, --~ ......... Date of Application ~,,' ~ Issued By ..~ ~ M co""\z..oocr- 0070 ( City Job Number 1 Job Location-3{)tfn t? !lIt ILJi2(j- ~T a ~L2jI~, ()l( Cj 7L177 AssessorsMa:, /70"\ z.zo 6 Tax Lot ' 02-JOc) Own~r of Property, ~ ~ ~~CLf1J JJtlJk m 11) j , L J ~ _ ' Address ~ 6{J-u /my-- .~ Phone lifJ 7Lf7~/.t;?9t} ,City ^ StfL/jJ c/ , State 1ft!- Zip q 7477 Contractor/Install~T I J% J (J /!Yl tJ~ Address dnl()n "h1LX- ~. ?ivd I "Phonefj.fJ-{rJlO-;;O/L , ~' I 111 n".u'i"~1:"W0regonlaWrequire~yol.Jt'tV'J, . '~" ,7'71 If\ I CI'V J1l Jl , ~tater - - , ,(;!;'(l,':...... ZIp _----'::is:::!. L; ,," '\ il...~ aaopleU uy lllo;.. ....,....~.....,. ------J . - , I, , " "'ti~I~Center, Those rules are set forth :: ' ConstructIOn Contractors L~crn.s~,t';2.G;;', ::~: ~~"A' ::::h nAR <:JS2-001- Pvpires , --:::?~,:)"i\;:I\/~' l~tA'10ples of the rules by , Description r.) ~,~rn'~nte: the telephone '/v~::"~':r 'y'~;r 'he Oregon Utility Notltlcatlon r... , 2."344 Date of Installation - K..~;;;tj'IJ;;jjJ 1.800.33 Date) of Removal , ~ I n P)~/rJq } " , , , l " $202.00 including $100.00 Deposit and applicable fees:. By signature, I state and agree that I have carefully completed this application and h~reby certify that all information herein is true and correct. I further agree and understand that the above described display will be removed within fourteen (14) days from the date listed as the dateof installation above. If the display is not removed within the timeline specified, I will forfeit the $100,00 deposit I also understand that this special permit can be issued only once per calendar year per development area, I also agree to call the inspection line at 726-3769 by the end of the 141h day to request an inspection to:verify the removal of the diO~~' This inspection. ~ will begin the process to return the $100.00 depo~{itt~@spJay has be~fffl~'1~n-\E \N /) Ii , , " / d V7A1l-\~ j;.~~}~ SH~'E'R IHIS PERMII \~J, " ) ' . Signature ~ r>...L/_,e!,L_~_'~~;:1~m~,~~'€t~K \~ t,'JM~r.r\'tlla'M:F!!!Ydd. Df- COMM~~ n^V Dl'RlOD. AI'll IOu ",. .. For Uffice Use ~/ Z6/D ., b~ Job# C i - c> 070/ Receipt# " 510 Amount Collected '262 Shared Drive(T:)lBuilding For:ms(Blimp]ennants _Balloons 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: COM2009-0070I ISSUED: OS/20/2009 APPLIED: OS/20/2009 EXPIRES: OS/26/2009 VALUE: . SITE ADDRESS: 3000 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703220002300 Springfield TYPE OF WORK: Bli~p, Portable Sign, Etc. . TYPE OF USE: New PROJECT DESCRIPTION: Balloons/pennants - 052009 removal date 052609 Commercial Owner: GATEWAY MALL PARTNERS Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAXADMIN CHICAGO IL 60606 Contractor Type Sign _ TI_CON:rRACTORrINFl0RMAffION I fT ,EN "', b the uregUli u,l,,,y f ,I, 'w rulb3 adopteo Y . '~"h Contractor r;' ation Center. Those rules are :Elcense OWNER I,~U~~~ %2-001-0010 through O.AR 95~~~02,- 0090" YUj" BUIC'i)'IN'G:IN'ioRM;\iIONI19 / callmt) " "'" Utility" Noiljrc,"IOn number for the QregC!n , c t;'# oI5tones;;32-2344). en viI" I v....~ Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Siz~: Sq Ft l'st Floor: Sq Fl 2Jld Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occup~nt Load: n/a I ,DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: :~_ #Stree_t.1~1"!'l~d: ')(.I'IRE W 1\'1E, ~~apped: Paved Df.iv!\~\!a::1-J\11' S\'Ii\ll t \'lIS I'ERI-J\II' ,I ~mpact: % of LO;l\(\'overa~e:-\l \l~DER I' ~\l\l~E\l [0 i\\lI'\'IO\\iLt !'\,OR IS i\Bi\: _ ft...l\C'..t.\r.t.u ....n I PUBLIC IMPRQ:X'EM"FJNl1S;,\,tn1t..- Sidewalk Type: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Spedallnstruction: Downspouts/Drafns: " Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value' Date Calculated Page I of2 " CITY OF SPRINGFIELD B~ilding/C()mbination Permit PERMIT NO: COM2009-0070I ISSUED: OS/20/2009 APPLIED: OS/20/2009 EXPIRES: OS/26/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769Inspection Line Total Value of Project fees Paid I $18.00 $4.00 $80.00 $100.00 5120109 5/20109 5/20109 5/20109 Receipt Number 1200900000000000510 1200900000000000510 1200900000000000510 1200900000000000510 Fee Description ***+ 100/0 Administrative Fee*** '+ 5% Technology Fee Blimp + Special Permit Deposit Amount Paid Date Paid Total Amount Paid $202.00 I Plan Reviews , 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 Re(]~.ired Insneetio~~ I Sign Final: After all required inspections are conducted and approved and the sign installation is completed. By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 structure without permission of the Community Services Divisiou, Building Safety. I further certify that ouly contractors and employees who are in compliance with ORS 701.005 will be used .ou 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 front of the property, and the approved set of plans will remain on the site at all times during construction. (I JA~ I 6,.d-O,fJ9 . Owner or Contract{)rs Signature Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 54t-726-3759 Phone Job/Journal Number COM2009-00701 COM2009-0070 1 COM2009-007Q 1 COM2009-0070 I Payments: Type of Payment Check cReceintl RECEIPT #: Wk~1 1200900000000000510 Description Blimp + Special Penn it _ Deposit- + 5% Technology Fee ***+ 10% Administrative Fee*** Poid By L1THIA Received By Check Number Batch Number djb Page 1 of I City of Springfield Official Receipt , Development Services Department Public Works Department Date: OS/20/2009 Item Total: Authorization Number . How:,Received 50110 In Person Paym~nt Total: I :49:55PM Amount Due 80,00 100,00 4,00 18,00 $202,00 Amount Paid $202,00 e $202.00 5/20/2009