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HomeMy WebLinkAboutPermit Signage 2009-5-20 (2) ZZ5 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689 ~ . ~_ 0 c::> 7C>C> ~ CityJobNumber(OuA~O' ::i Job Location ~~A() 0 (LDLU]LJ- ",c;t-. e.~ (707~ (j ~ Assessors Map ,> Q ~ ~ Owner of Property ~ -:z . e.~ Address 0 tJO ~11-r~/", ~ l~~,:~+~?!:!rt;d """'-- ,l:Conti'rictoflIitstiIlle e. ~~ (g~:~'::~~;":!?P~L ,~ , ~J ,~ II l~ ..~ ~4 ~ ~4 ~ 1:2:0; .",,~J4 rt#)J ,.~ '~ ~' ~' ~ $;""i~ i M &wiiJ J I I 6R- C}7417 DZJOD Tax Lot phon" Stat" rJR ffil-7L/7-LoZ1Lf Zir 01-7 L/ 17 . -~ - D1L~v:L" ;F1~4~ yuu lU &fJ ' o(0.J"Jt2d by the Oregon Uti;ii;/1'? City J/t jJ ~, COnlAr Thn,,' ...<100 State:L(~JI,<, ,,'2-W1-0010 through OAR 952-001- C' tru t' C tra tc' L.!()1/ JTl#"Y obtain copies of the rules by ons c IOn on c ors lcense ,,' .. , ,. - ~'''' ~:l~ :-:6.\1::'1. \1',JU~l::..~I_Il:::l~lepnone If C)'v" .....l!i'. ,." "...... .......I.....l:./V.I \.;tlllty '....ulIIILa;tllOn 11_ GL" (- ml0'r is ~-BifJ:/2Ijff""''''_ -. , Descriptiop _ _ V .. y>t. J ./ Date of Installation 5.~q Date ofRemo~al Phonp~ c::;J1-loJ/il :XlIL Zip Q{7 L/[) I AddressdfJ.40() Expirp< Ji/4(p JDe; -.," I 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 ~l \I\J(;.. I' 'friE,r \' 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 . () , ~ J _AN '//,' ' SignatuTP ~,--p (,~ Yl /LA - --------- Date of Application Job # Issued B~l )..,~ Amount Collected _ DateO/aJ/09 ~eceipt # 23Z. C ....... Shared Drive (T:)lBuilding FormslBanner]ortable Sign Permit CSD 7.08.doc _'iliIilI'lI!'l~~illl~_, ' j I 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