HomeMy WebLinkAboutPermit Signage 2010-1-26 (2)
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA)(: (541)726-3689
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City Job Number
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Tax Lot
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Owner of Pro pert" 6-6- p - 00 i'l' ~ Y
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Address . ~U'aLV 3'T ...
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Zij: 97Y77
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State ('j12
Zip 97YeJ/
Construction Contractors License #
Expire"
. Descriptinn
Date ofInstallatior
o/ft ?ho/l>
Date of Removal
:2-a6'/:2o/0
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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. 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 portable
sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
portable sign(s) has been removed. .
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Job#CJO-OO f( 3
Issued By
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Amount Collected
Shared Drive (T:)IBuilding FormslBanner_POrtable Sign Permit CSD 7~08.doc
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT.NO: COM20IO-00113
ISSUED: 01/26/2010
APPLIED: 01/26/2010
EXPIRES: 02/26/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2770 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703220002300
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner - install 012710 removal date 022610
Commercial
Owner:
Address:
GA TEW A Y MALL PARTNERS
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
~UlLDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupallcy Group:
Primary Construction Type
Secondary COllstruction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Ra'ngeType:
'. Eiiergy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I 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 I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I y aIuil~ion Descriotion I
Description
Tvpe of Construction
$ Per SqFt
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e I of 2
Status
Issued
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM20IO-00I13
ISSUED: 01/26/2010
APPLIED: 01/26/2010
EXPIRES: 02/26/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
.541-726-3769 Inspection Line
Total Value of Project
Fees Paidl
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
. Amount Paid,':;
d
")"'.
Date Paid
$20.00
$5.00
$100.00
$100.00
1/26/10
1/26/10
1/26/10
1126/10
Receipt Number
2201000000000000073
2201000000000000073
2201000000000000073
2201000000000000073
Total Amount Paid
$225.00
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 ~.~\"lIired In~?ecti?n.s ,
Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested,
the applicant may forfiet the deposit.
" . ~ i, - '1 ;"
By signature, I state and agree, that I have carefully examined the completed applicution and do hereby eel'tify that all
information hereon is true and correct, and I further certify tliat any and all work performed shall be done iu accordance with
the Ordinances of the City of Springfield 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 thi; 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.
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Owner or Contractors Signature.
~/-2rf~d
Date
Paee 2 of2
"'"."'"
: ~,
225 Fifth Street
. .'
Springfield, Oregon 97477
54]-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2010-00113
COM2010-00113
COM2010-001 i3
COM2010-00113
Payments:
TYI}C of Payment
Check
cReceintl
RECEIPT #:
220]000000000000073
Date: 01/26/20]0
Description
Banner Special Permit
Deposit
+ 5% Technology Fee
**"'+ 10% Administrative Fee***
Paid By
LITHIA NISSAN
Item Total:
~heck Number Authorization
Received By Batch Number Number How Received
djb
50612
In Person
Payment Total:
,
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Page 1 of 1
11: 19:20AM
Amount Due
100.00
100.00
5.00
20.00
$225,00
Amount Paid
$225.00
$225.00
1/26/2010