HomeMy WebLinkAboutPermit Signage 2009-5-22
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225 F1ITH STREET . SPRINGFIELD, OR 97477 . PH: (54 1)726-3753 . FAX: (541)7;<6-3689
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City Job Nnm~effiY)1rJh1 -()o0 q-O '.
200(') 6n.+e.19..D-"1 s,\-re.cl-i 0p~~{:;e1ol ,CWc:q.Lt'1+
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Owner
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011 laW requI[e "Utility
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Cimtractor/lnstall~f~;\1\1~A.D()11 ce~_~01 0 thrOUgh Ot the rules by
. i\!:\ 952-00 . il1 caples 0 hol1e
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Owner of Property
Addres<
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Addrp<<
Phono
Zip
Expir""
Descriptio'
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DateofInstallation J(I..Ylf' .:)s:::+h Date of Removal JllI\j (()+~
Permit Fee: $225.00 including $100.00 Deposit and a.p.p.\i!'~~~es.
By .signatu~e, I sta~e ~nd agree that I hav\; ~~n~ ,~O~~~sI\tll~~Ji~~i~tEaIl '\,Iill\ereby c.. ertify that
all mformatlOn herem IS true and correct. Lfurth:er_agrJ: d,un-perst'itnffithaHkij)llbove descnbed
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banner(s) and/or portable sign(s) is not largeWPN1~O'S'lu~'?,f~3t"Wi'd''W' I be removed within 30 days
from the date listed above. If the banner(s)fkcgR@'ofi1b'tJ sifWjspot removed within the timeline
specified, I will forfeit the $100.00 deposit. li'ttlro, \lj}deh~ta' that this special permit can be issued
only twice per calendar year per developmedt\~rea. I also agree to 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 ifthe banner(s) and/or
portable sign(s) is bs\n{ern~ _
Signatmp 1/\ ~ Dr'p '5 ICf-uCJ
For Office Use
Job # Cq - CXLAO
3C(f.(
~eceipt #
AmountCollected -It J?<::'
Shared Drive (T:)lBuilding FornislBanner]ortable Sign Permit CSD 7-08.doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00640
ISSUED: OS/22/2009
APPLIED: 05/08/2009
EXPIRES: 07/25/2009
VALUE:
225 Fifth Street, Sp.ringfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3000 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703220002300..
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: BANNER - FIREWORKS
Install 06/25/09 Removal Date 07/25/2009
Own'er:
Address:
GATEWAY MALL PARTNERS
no N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN
CHICAGO IL 60606
I CONTRACTOR INFORMAT~ON I
Contractor Type
Sign
Contr!lctor
OWNER
License
. \. -: .~'r '-.., """":"5 you to
Expiration Date Phone
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
, _I BUILDINGINEORMAmlOjX I
, ..cnll'... . 52001
: .' ,,'J 001-00' Q th'ou'1h OAR 9 - -
In ~,,"" e.~..' #of Stories: f the rules by
0090 "ou may obt~'1' L.UIO'"" 0
. 1 Height of Stwcturel0ne
II' the cente, \..Ul~. ".~ W'_'_'
ca ,ng . Type.of,Heat:~otification
number for the Ok~u" '-"...., .
Genter is ~li'J\'l::r)Jlt:344).
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft tst Floor:
Sq FUnd Floor:
Sq FtBasement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
. 1 DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:.
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
~InTIr.E: . \ ~ynlO~ If iHE WO~~
lIml:lBIl1l!;\f'M~a'~FRM\ \ IO:>R"v,
Au'inun,,--- - AB~NUONED r
ENCED OR IS J"\ Sidewalk Type:
~~~~BO DAY PERIOD. DownspoutslDrains:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of 2
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00640
ISSUED: OS/22/2009 .
APPLIED: 05/08/2009
EXPIRES: 07/25/2009
VALUE:
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
, Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$125.00
$100.00
5/8/09
5/8109
3200900000000000344
3200900000000000344
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. RerJ~~ke.~ T ~sp~ctirns 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
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfi.eld and the Laws of the State of Oregon pertaining to the work described herf.'in. 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 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 wiIlremain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 of 2
225 Fifth Str-eet
Sprin~field, Oregon 97477
541-726-3759 Phone
Job/Journal Number
. COM2009-00640
COM2009-00640
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Deposit
Banner Special Permit
Paid By
BJ. ALAN COMPANY
l
TiF~
.K
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000344
Date: 05/08/2009
Item Total:
Check Number Authorization
Received By Batch Number' Number How Received
NJM 261020 Joe W. In Person
Payment Total:
Page I of I
2:39:06PM
Amount Due
100.00
125.00
$225.00
Amount Paid
$225.00
$225.00
5/8/2009