Loading...
HomeMy WebLinkAboutPermit Signage 2010-1-26 225 TIrnI STREET. SPRINGTIEW, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689 j~ '~ Job """<100 ~ Assessors M"r f,!lI\ " ~~ l~ ~1 ~; ~ ..~~ >~l .~ ~~(1 ~J ~ rtI11 ~ e: o o .,14 ~ ~ ~l ~ ~ , ;: ~~ ~ ~ ~, ~ ",( e~. 1 r1 1 ..~ ~ M '- City Job Number COMZoc 0 - c)C) (t Z- 2-/70 G--An:w A-y I/O~"ZZOO OwnerofProp'ertY __ 66-P -60"ll'VJCA.V ~J~ i Address MCO . ~y S-r City~ SPR,'N<irJ'tc.d ContractorlInstaller &( ~Ne Nt~__-;o..jJ 7V1l-/r (j<AJcrl N;~Sa ~ Tax Lot 02-~OO f'1CJL( Ul- Phone State ~ Zip' <t7V77 Address ;;;1.06 (j City €6f(;(lJJe Phone (')f( 9'7'1()! State Zip Construction Contractors License # F,ypires Descriptior Date of Installation all'''7 !:;.a/tJ 2~olO /0 . Date of Removal $202.00 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 display will be removed within fourteen (14) days from the date listed as the date of installation above. Ifthe display is not removed within the timeline specified, I wilr' forfeit the $100.00 deposit I also understand that this special permit can be issued only once per calendar year per development area. I also agree to'call the inspection line at 726-3769 by the end of the 14th day to request an inspection to verifY the removal of the display. This inspection will begin the process to return the $100.00 deposit if the display has been removed. ---0-'...4 ,- ~~ ___ L-- -- Signaturp Date of Application Issued By nate /./2,1(" /.In For Office Use I/v.:./;O , . ~~: Job# CIO -00\\ 2- Receipt# 'Z ZC, - 0 c 7 Z- <\mount Collectp,l ZC::iZ- Shared Drive(T:y.Building Fo~limp ]ennants_Balloons 7-08.doc Status Issued CITY OJ:< ~n{lNGFIELD . Building/Combination Permit PERMIT NO: COM2010-00112 ISSUED: 01126/2010 APPLIED: 0112612010 EXPIRES: 02/10/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2770 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703220002300 Springfield TYPE OF WORK: Blimp, Portable Sign, Etc. . TYPE OF USE: New PROJECT DESCRIPTION: Blimplballoons - install 012710 removal date 021010 Commercial Owner: GATEWAY MALL PARTNERS Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN CHICAGO IL 60606 I C?NTRACTORINFORMAT~ON I Contractor Type Sign Contractor OWNER License E~pirati?n Date Phone B~JILDlNG INFORMATION" # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heigbt 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 Garage/Carport Sq Ft Otber: Occupant Load: n/a I DEVELOPMENTINFORMATION I REQUIRED PARKING Front yard. Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: r: Paved Drive Rqd: % of Lot Coverage: Total: c. Handicapped: Compact: I PU~LIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value. Date Calculated Page 1 of2 : ~'vi '.; Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description ***+ 100/u Administrative Fee*** + 5% Technology Fee Blimp + Special Permit Deposit Total Amonnt Paid , ~.;. 'J." Total Valne of Project Fees Paid I Amount Paid $18.00 $4.00 $80.00 $100.00 $202.00 I Plan Reviews I Date Paid 1/26/10 1/26/10 1/26/10 1/26/10 CITY OF ~rKll"lvl' U-LD Building/Combination Permit PERMIT NO: COM2010-001l2 ISSUED: 0l/26/2010 APPLIED: 01/26/2010 EXPIRES: 02/10/2010 VALUE: Receipt Number 2201000000000000072 2201000000000000072 2201000000000000072 2201000000000000072 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 Reouired Insnections 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 [ have carefully examined the completed application and do hereby certify th.tl all . information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinance.s of the City of Springfield and the Laws of the Stllte of Orcgon pertllining to the work described herein, and that NO OCCUPANCY will be madc of any structure without permission of the Community Services Division, Building Safety. I further ccrtify that only contractors and employees who are.in compliance with ORS 701.005 will bc used on this projcct. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, thllt the permit card is located at the front of the propcrty, and the approved set of plans will remain on the site at all ';mm'"~-A ) . Owner ~tors Signature Paee 2 01'2 ~#O Date 22~ Fif~h,Streei Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2010-00112 COM2010-00112 COM2010-00l12 COM2010-00112 Payments: Type of Payment Check cRcceinl J City of Springfield Official Receipt Development Services Department Public Works Department: RECEIPT #: 2201000000000000072 Date: 01126/2010 Description Blimp + Special Penn it Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By LlTHIA NISSAN Item Total: Check Number Authorization Received By Batch Number Number How Received djb 50611 1n Person Payment Total: '."ze, ~ .';, Page 1 of 1 11:18:23AM Amount Due 80.00 100.00 4.00 18.00 $202.00 Amount-Paid. $202.00 $202.00 1/26/20 I 0