HomeMy WebLinkAboutPermit Signage 2009-5-20 (2)
ZZ5 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689
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C' tru t' C tra tc' L.!()1/ JTl#"Y obtain copies of the rules by
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, Descriptiop _ _ V .. y>t. J ./
Date of Installation 5.~q Date ofRemo~al
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Zip Q{7 L/[) I
AddressdfJ.40()
Expirp<
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Permit Fee: $225.00 including $100.00 Deposit and applica~le fees.
By signature, 1 state and agree that I have carefully completed this application and hereby certify that
all information herein is true and correct. I furtlier 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 remo~d within the timeline
specified, I will forfeit the $100.00 eoosnd also unders cLtha+-, tW'fJi'P\R! permit can be issued
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only twice per calendar year per de!~oP~~W(;'!fY~\-1Il1Ms~,,~\:~ tliet-l pection line at 726-3769
by the end of the 30th day to request 1M'IWmW!i851 \t'6lV&\i~ tll,rhWm\?Dl1lD~the banner(s) and/or portable
sign(s). This inspection will begin ili'J'~~oc~ss--tni1t\tfirh..WSnro,oo deposit if the banner(s) and/or
co \l,\NIt",,'t' (\\)
portable Sign()S has been remov. ed. '/180 Dfl,'/ PER\u .
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SignatuTP ~,--p (,~ Yl /LA
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Date of Application
Job #
Issued B~l
)..,~
Amount Collected
_ DateO/aJ/09
~eceipt #
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Shared Drive (T:)lBuilding FormslBanner]ortable Sign Permit CSD 7.08.doc
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CITY OF SPRINGFIELD
,
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-00700
ISSUED: OS/20/2009
APPLIED: OS/2012009
EXPIRES: OS/26/2009
VALUE:
Status
Issued
SITE ADDRESS: 3000 GATEWA Y ST
ASSESSOR'S PARCEL NO,: 1703220002300
Springfield TYPE OF WORK: Banner
PROJECT DESCRIPTION: Banner - 052009 removal date 052609
TYPE OF USE: New
Commercial
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
N'.@q~ (;q:j:Coverage:
THIS PERMIT SHALL EXPIRE IF THE WORK
--- ""T I..... .,......-r
'''..........L''J'''...-... 'n10 rL.rllVIlI IU I~V'
I PUBLIC'IMPROYEM E"'IS, '
"..- ........"'1<',, " 'ANDONED FOR
......... ,...;--,_.._ _~ 'c..' ".." I
ANY 180 DAY PERIOD. Sidewalk Type: '
Owner: GA TEW A Y MALL PARTNERS
Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN
CHICAGO IL 60606
I CO~TRACTOR INFORMATION'
Contractor Type
Sign
Contractor , License
OWNER "-.....~._,,..... "I. "'"'-"':...., I-:JI'! rE"qulJnS Y{J~.\U
_l~__ ,"'",^",,..,n I hlhtv
, ' IBUILDING,INFO,RM~'fION'" h
1 ' - , 11
ii, OJ.\t1852'001-001U [rHOU\jil v"," vVi ~-b-
0090 You may #/of,Stoi'il;s;es of the ru es Y
. . ,,"" 'h~ telephone
, calling the ceHelght'of'Structure 'f' t'
f th T~'"-f)H I "'1ity Notl lea Ion
number or t ype,o eat: 44
CenterWale~?r}~e'\2-23 ),
Range Type:
Energy Path:
Sprinkled Building:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# or Bedrooms:
I DEVELOPMENTlNFORMATION ,
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storin Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Page I of 2
Expiration Date Phone
nla
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Qther:
Occupant Load:
:, REQUIRED PARKING
, Total:
Handicapped:
Compact:
Downspouts/Dr~ins: .
Value
Date Calculated
_~,e:'i!I,!,,!G_Pl~t:;l,
I'
CITY OF SPRINGFIELD
, Building/Combination Permit
PERMIT NO: COM2009-00700
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
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
***+ ]00/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$100.00
$100.00
5120/09
5/20/09
5120/09
5/20/09
1200900000000000509
1200900000000000509
1200900000000000509
1200900000000000509
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 ReolJirerllns\l~ctions I
Banner Removal: To be requested 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
i.nformation hereon is true and correct, and" 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 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 required inspections are requested at the proper ti'me, 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 ~onstruction. .
(J A I I rJ..p n1 () .fA.-} 5, ZIJ ,09
Owner or Contractors Signature
Date
L.
-'
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
ii
Job/Journal Number
COM2009-00700
COM2009-00700
COM2009-00700
COM2009"00700
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000509
Date: OS/20/2009
I :48:44PM
Item.Total:
Check Number Authorization
Received By Batch Number Number How Received
. Description
Banner Special Permit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
L1THIA
,
,
Page 1 of 1
Amount Due
100,00
100,00
5,00
20,00
$225.00
Amount Paid
djb
$225,00
$225.00
50110
In Person
Payment Total:
) ,
5/20/2009