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Home My WebLink AboutPermit Signage 2009-11-19 225 FIITH STREIT. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~: Cc:> q - 0 I b 7 :3 ~ City Job Numbp" l4/f l""_OC ( :' ~1 Job Location Z 7 7 0 ; G-vt-T e wit--., '~' I "~ Assessors Mar 1703 z..Z-Cc> Q\ c:@J ~ ~) ..~ ~~ ~ rtt1JJ ~, I,=:> ...~~ ~~ ;Q~ ~. ~ ~1 ~~ -~ -~ -~ ,~ U IJ I~ ..~~: -~ -~ ::..-~ ~ f" I~ -=<~ ,~~ ~) .~~~ rtP)J '~ I~ ....!f:)) 'ro' I~ ~. ~ ~. ~\ <nJ)J ~~ ~l ..:;:;;. ~ r..:~" . 9 Ml SPRINGFIELD' _.0. ~ - " I' ~ '--::.-.- i " ! l\____---/-~ 1.__=:_,-.-- ", ' '-- --=-~ ~~; s.t Tax Lot c:>2'3. c 0 Owner Owner of Property Ge."...<./'",,-J P('D~'--<-~ PhOfP Sl-f) /"/b ~ OK Zir '1 '7'1-7? G-r-", Jf1.. Addre<< 2/70 C\'ty 50(11-" l.'dJ t /' . 'Co/ltractor/I/lstaller Contractr- 'S e.Jf' 6.".3- ..."'-"~ o .s:f-- Stata ~ ii., _f_ . ;\n.1Tf''<1:: ,Phor p City "tatp Zip Construction Contractors License # Expirp< Description ~,,,..,-u- Date ofInstallation NChl 2..7 :J...ooCJ Date of Removal i'r- "- .:l (" .;;J..oo9 Permit Fcc: $225.lHl including $J OO.OODeposit and applicable fees. By signature, I state and agree that I have carefully completed this application ~nd 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. Ifthe 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. 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 of the banner(s) and/or p011able sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or :::,::]?'y:mdp ~d D"" 709/01 Doc of APPIi":"O"~ ~ ',:: :ffi~~O - b ( b 7"S RL.. 1'3>1'5 Issued By p~ Amount Collected 2 Z S- Shared Drive (T:)/Building FonnslBanner]ortable Sign Permit CSD 7-08.doc , Status Issued CITY OF SPRINt.J1l~LD Building/Combination Permit PERMIT NO: COM2009-01673 ISSUED: 11/19/2009 APPLIED: 11/19/2009 EXPIRES: 12/26/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS:' 2770 GATEWAY ST ASSESSOR'S PARCEL NO:: 1703220002300 Springfield TYPE OF WORK: Banner , TYPE OF USE: New PROJECT DESCRIPTION: Banner/portable signs- install1l2709 removal date 122609 ! , Commercial Owner: GA TEW A Y MALL PARTNERS Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN CHICAGO IL ,60606 I CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Pri;"'ary Occupancy Group: Secondary Occnpancy Group: Primary Construction Type: Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft ~arage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Fro'ntyard Setback: Sid~ 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' 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 Valne Date Calculated Page I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01673 ISSUED: 11/19/2009 APPLIED: 11/19/2009 EXPIRES: 12/26/2009 . VALUE: 22~:Fifth Street, Springlield, OR 541-726-3753 Phone 541'726-3676 Fax 541'-726"3769 Inspection Line Total Value of Project Fees Paid. 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 11119/09 11119/09 11119/09 11/19/09 Receipt Number 2200900000000001313 2200900000000001313 2200900000000001313 2200900000000001313 Total Amount Paid $225.00 I Plan Reviews I To',Request an inspection call the 24 hour recording at 726-3769. All inspections reqnested before 7:00 a.Ill. will be made the same working day, inspections requested after 7:00 a.m. wilIbe made the following work day. R~(lUired Tns.necti~ns . Banner Removal: To;,be requested the day following the expiration of the permit. If inspection is not requested, the applicant may forliet the deposit. By ,signature, I state and agree, that I have carefully examined the completed application and do h~reby 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 Springtield 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 time, that each address is readable from the stJ'eet, 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 tim'es during construction. /3, ---~______ "J // ,f Owner or Contractors Signature ({- f1-EJ'f Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1673 COM2009-0 1673 COM2009-0 1673 COM2009-0 1673 Payments: Type of Payment Check cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000001313 1O:10:27AM Date: 11/19/2009 Descriptio." 'Christmas Tree Lot c For Prolit - ] .0000 @ $30.0000 . + 5% Technology Fee (BusLic) - 30.0000 @ $0.0500 Banner Special Pennit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Amount Due 30.00 1.50 ]00.00 100.00 5.00 20.00 $256.50 ' Paid By CROSSFIRE'WORLD OUTREACH Item Total: Check Number Authorization Received; By ~atch Number Number How Received Amount Paid In Person $256.50 djb 8\68 Payment Total: $256.50 Page 1 of 1 , 11/19/2009