HomeMy WebLinkAboutPermit Signage 2009-8-21
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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Contractor " . : . ,
phon"
Addres<
Pho,,"
City
. . State
7.ip
Construction Contractors License #
Expire~
. Descriptirm .1?. ktvl 6Vl ~
Date of Installation 8/ ~ ~/61
/~/ /09
Date of Removal~: Cj
/
Permit Fee: $225.00 including $100.00 Deposit and applicable fees.
By signature, I state and agree that I have carefully completed this application and hereby certify that
all information herein is true and correct. I further 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 removed within the timeline
specified, I will forfeit the $100.00 deposit. I also understand that this special permit can be issued
only twice per calendar year per deVelopment area. 1 also agree, to call the inspectiop line at 726-3769
by the end of the 30th day to request an inspection to verify the removal of the banner(s) and/or portable
sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
portable sign(s) ~mov~d./ "/ 'n' .
Signaturp~_/-~_~ Dat"R/N.#
Date of Application
Tob#
Receipt #
Issued By
Amount Collected
Sbared Drive (T:)lBuilding FormslBanncr ]!Jrtable Sign Permit CSD 7-08.doc
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$ah~ytgFIiiU;i.QD, 4. IS I~I,I'
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01227
ISSUED: 08/21/2009
APPLIED: 08/21/2009
EXPIRES: 02/21/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3000 GATEWAY ST
ASSESSOR'S PARCEL NO.: .1703220002300
Springfield TYPE OF WORK: Banller
TYPE OF USE:
. PROJECT DESCRIPTION: BANNER PERMIT@OLDCIRCUlTCITY BUlLDING- REMOVAL DATE
9/21/2009 .
_u .:mC \IOU to
on \c;.'1~ 1~'"1 Ut\\\l'j
Owner: GA TEW A Y MALL PARTNERS r.TTENTION'. o~eg"r\ bV t\18 Oregon lorth
Address: lION WACKER DR BSC 3-04 A T:II ,l'U~,ROP" l'f\X")~DMIN, rules are S5e2t 00"
]U IV" - tet I' 'v_~ p.,R 9 - I
CHICAGO IL 60606 Notilication Cen 0" 0 through 0 les by
_ _,...n ('1(\1_0 I '__ nHhe ru
\n Ut\ll.';'~-:~ ......?I\/ obtaHI ,:,vr'~ ~ho tRlepnOIll;:;
1l€0NTRACTOR'I~FORMAJ:IONtl,cation
v~"ber jor th8UI~"OO_3:1,?-234'1).
Contractor Type Contractor nurn center IS 1.8 License Expiration Date Phone
Use luitials NATIONWIDE EXPO
BUILDING INFORMATION I'
# of Units:
Primary Occupancy Group:
Secondary Occupaucy Group:
Primary Construction Type
Secondary Construction Type:
, # of Bedrooms:
# of Stories: Lot Siz~:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: \-IE ~{l\!J'!\KBasement:
NB1f~ger'1:Y~.~~ p.,LL E)(t'IRE If 1 \~~\!)ljGarage/Carport
~ne~~\I.'at\i: S~ I' 1\-11S t'ERN\\1 'Sg Ft Other:
1 S~~inkled IB:\1il'IiHl.R 0 ^ .....n(aIEO fC'&ccupant Load:
~tJ \ nUl \11_...._..... nO ICo )\D/'"\\\I\.I.....'
_ ft "~ ,,,_ "".. .. ....
, DEVEhOPMENT. INE0RMl.o\.rnON I
Po,,, ,-- REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I Total:
Handicapped:
. Compact:
I PUBLICIMPROVE:WENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
.Notes:
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated .
Pa2e I of 2
"
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Total Amount Paid
Amount Paid
$20.00
$5.00
$100.00 .
$100.00
$225.00
Total Value of Project
Feys Pair! I
Date Paid
8/21/09 -
8/2 1109 '
8/21/09
8/21/09
I Plan Reviews I
CITY: OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01227
ISSUED: 08/21/2009
APPLIED: 08/21/2009
EXPIRES: 02/21/2010
VALUE: .
Receipt Number
1200900000000000959
1200900000000000959
1200900000000000959
1200900000000000959
"
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 Renuirer! Ins'1ect,inns 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 Springfield and the Laws of the State of Oregon pertaining to the w~rk described herein, and
that NO OCCUPANCY will be made of any structnre withont permission' of the Community Services Division, Building Safety.
I further certify that only contractors and. employees who are in compliance with ORS 70L005 will he 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 will remain on the site at all
times during construction.
Owner or Contractors Signatu~e
Paee 2 of 2
Date
.,...
Status
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: COM2009-01227
ISSUED: 08/21/2009
APPLIED: 08/21/2009
EXPIRES: 02/21/2010
VALUE:
,.
. Total Value of Project
Fees Paid I
Fee Description .
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
$20.00
$5.00
$100.00
$100.00
8/21109
8/21/09
8/21/09
8/21/09
Receipt Number
1200900000000000959
1200900000000000959
1200900000000000959
1200900000000000959
Total Amount Paid
$225.00
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.
~~fI,uired I~~nectio~s 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
informatiou hereon is true aud correct, and I 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 descrihed 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 time, that each address is readable from the
street, that the permit card is located at the front of tJoperty, and the approved set of plans will remain on the site at all
times during construction.
\\'_ ' \ f6!zI109
-o~er 0 Date
Paee20l'2
('
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 I 227
COM2009-0l227
COM2009-01227
COM2009-0 1227
Payments:
Type of Payment
CreditCard
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
. I
RECEIPT #:
1200900000000000959
Date: 08/21/2009
Description
Sanner Special Permit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
JIHAD KHALIL
Item Total:
Check Number Authorization
Received By Batch Number N:umber How Received
CJC
008440 In Person
Payment Total:
Page I of I
8:45:54AM
Amount Due
100.00
100.00
5.00,
20.00
$225.UO
Amount Paid
$225.00
$225.UU'
8/21/2009