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HomeMy WebLinkAboutPermit Signage 2009-5-22 ~ '~ 225 F1ITH STREET . SPRINGFIELD, OR 97477 . PH: (54 1)726-3753 . FAX: (541)7;<6-3689 g::. e: -,> Tv::~l, . (/j, Job Location ..I~:: ~. . .;;;.... Assessors M ~r ~! ee! "'..... 0:: .:-~ "--:.. ~. '":"'.' ~\ 7fcljo, ~~, ~ .,~" ,.,.. , ~; d' ~; ~; r-~: ~" Ii" l..-___~~ .,~: ~~ ~. ~: om. ._,,~':) rt.t'-J ; (]:), .,._:::1., .,~ '--~; ~) ~, 0,. . . ~: ---. ~, (l;)J ! r;'f;'\ , ~; City Job Nnm~effiY)1rJh1 -()o0 q-O '. 200(') 6n.+e.19..D-"1 s,\-re.cl-i 0p~~{:;e1ol ,CWc:q.Lt'1+ 1"4-(\ ~ ~n Tax Lot G=L":2(')O Owner G-eneroJ Gwn~l').t-h ~ o+to.ch e C') . s yOU \u 011 laW requI[e "Utility City -. .".,()~\. o[e9 .'. ,ha nreqrState ...h v -'" dopleu U) are 'C' .-,. . ,< ~w ruh,5 '" t (Those [ules I'p. 952-001' Cimtractor/lnstall~f~;\1\1~A.D()11 ce~_~01 0 thrOUgh Ot the rules by . i\!:\ 952-00 . il1 caples 0 hol1e Contract". 111 0 ..." ",,,-v obta .. ..'n' Ihe telep " ~~ UU"u.. .- tM cenle!. \,,"'Utility NOUllw"-' . ~~~~~r tor theO~e~~g_332-2344). cel1\~' ,- ------.- City ------. "tate con~cense# PmpoI--keS Owner of Property Addres< Phon" Zir -- Addrp<< Phono Zip Expir"" Descriptio' P ho. n +ClrYI Ti tC. ~ \ "\0 t1:> ('" 'P-c..nn d 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 -\\I\V'. ::-rcO l\\\),U\.,.' I\"f)' ~\1,t.vt 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