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HomeMy WebLinkAboutPermit Signage 2009-8-21 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 g: ~ City Job Number "~ ..~ Job Location ~ '. ._l( Assessors Ma!" Qi fJOlj ~ ~ ..~~ ~ ~ ~ ~ ~ I. \, ..~ 8 ~I y I) I. \., "~ ~ ~ ~ . ~ s;3j ~) ."'r-J~ ~ .~ .JQ) ~ ~ ~ I M /" 1!9- /22'7 3:;oD CA-7EJ;.J"'--t {tJLb C-ltUalT ~(.,.y E.L~) Tax Lot J , ;r...-:~-'";;:~Y''' '-;i4?'fT4if~;'~Wlr::::r\"'ik1~'?C"'''?'::'''''''''~lf',~::::Y''',F'';<'\'''. ..b"'''i;;r.~;',1t:1t1'''1''l':'''''tJJ't-''''I/li'i:iJ_?~\'''?~;;w'"W:~~a~:;~~4'r\'l:r:ssw:~,.. ..'r+ ..."",i-';;:'::i !', ri.. ~:n. 'e'i;. .{.j~~-',~-t< .l'_~<;i:l\';;;~;:'h'~""..:;;;~'\~J~Y:f~~~~iZ~,,,..,,~;;::~,:~'I~~:;I)~~~~:~L:~ ,;.,~i J;:+.0:{,4". '::~~-~'~1L~,~i,,,:::~ ::.~ttE:~:"i(~~~q;.~~:~~r: ~~~~st. ~-'~,rf~}J~ ?-'~''..W. . ".", itl"t,>.' :!J^,,"'i'.J,~<;..;;~~~,~: ~~''\t;;1'~~~.if''~ z,. '<~'5.:.: '.:.h,,:;,""'~" " r>;~"",'~',;.;;-' ""~\i....';t<i~.k-~~~:,-<.'#~~~:::1~1;\~~6,~.f., '.:1&/i!%arn ~~r.-;fPropert:~ ~tJ=kr dkJ / ?Ae--h/'$ ~_. . Address::<~ (I!, -A-k te..; J-..i ci0f/Zwc; p:,z:-I () State~OLZiJ: '. ~~;rr';'T:~j~~:~:""'~~,7t1J~~~~~ftrr'J4J}W~F~,~~~~;j~.~)i~mrftf~~0~~~~~h:.a1GAf;:~~!~i~~~~.~;4!\1.=!}j~42\:'T:;!~?;;~ t/contractornnstaller.N~:? f!i':;'cJ: 1;;~J~".-':~""i"~';;\r>ii,f,>~o':"i~3!\~i';;("\t4,,,';ifil?C9',iC;,,,,,,,,"\,,<f':?"""'2l!"""..1i~~,'''''~'''' ",. l (1.:,.::~.i:.JiGW"Y--G1i:..m:;~-4;z....:.\l"&ii' .:. H;,~ 1:<;< ;..i. cd';-o}cl'~"'~~~*"- -":"':"::1:..._""d,lr,.,!._~ ~,,\,,,,".,~~..a,__ .. !!;I-",.t~.:;.;-=,'Sf.",'" .,r..,...,'t;$ -,;,,---. ;;., _ ,..,:-.>"<>,S^--,.J 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 .,~ $ah~ytgFIiiU;i.QD, 4. IS I~I,I' --:- ~t' "'\:::''''''''7"''''''''':'--':.,' -;':'yn,$V','sI 3 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 " __~I!~~~,~I,~'~il~~;i~ _, .~ ~.~ ,. \.'\ '.". . ',~ . :'i" c! 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