HomeMy WebLinkAboutPermit Signage 2010-2-12
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 ..FAX: (541)726-3689
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Construction Contractors License #
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. DescriptioI'
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Date of Installatio- 2. - 2 0 - 10
Date ofRemov~l ~ - 2..Z -[0
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 bee~
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Date of Applicatiol'
~eceipt # I -z.bl-
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Job #
Issued By
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Amount Collected
Shared Drive (T:)'Building FormslBanner]ortable Sign Permit CSD 7-08.doc
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CITY OF 'st'KIJ'\iGFIELD
Building/Co.mbination Permit
PERMIT NO: COM2010-00201
ISSUED: 02/12/2010
APPLIED: 02/12/2010
EXPIRES: 03/22/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541..726-3676 Fax
541..726..3769 Inspection Line
SITE ADDRESS: ,3032 GATEWAY ST
ASSESSOR'S PARCEL NO.: 1703220002200
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner.. install 022010 removal date 032210
Commercial
Owner: GATEWAY MALL PARTNERS
Address: PO BOX 617905
CHICAGO IL 60661-7905
r CON~RAeTOR INFORMA TI()N ,
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Oc.cupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strncture .
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION'
Front yard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Sethack:
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: '
DownspoutslDra~ns:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Valne
Date Calculated
Paee 1 of 2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00201
ISSUED: 02/12/2010
APPLIED: 02/12/2010
EXPIRES: 03/22/iolO
VALUE:
Status
Issued
,,","
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$100.00
$100.00
2/12/10
2/12/10
2/12/10
2/12/10
1201000000000000130
1201000000000000130
1201000000000000130
1201000000000000]30
Total Amount Paid
$225.00
I ,p'!;m Reyiews ,
,:..
To Request an inspection caIl the 24 hour recording at 726-3769. AIl inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. wiIl be made the following
work day.
I Reollired 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 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 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.
1 fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, thai the permit card is located at the front of the property, and the approved set of plans will remain on lhe site at all
times during construction. -
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Owner o(J.JHtIT3ctors Signature
';2-n-IIJ
Date
Pa2e 2 of 2
,
225 Fjfth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
DevelopmeiH Services Department
Public Works Department
Job/Journal Number
COM20 I 0-0020 1
COM20 I 0-0020 I
COM20 I 0-0020 1
COM20 I 0-0020 1
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1201000000000000130
-Date: 02/12/2010
Description
Banner Special Permit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
. JCK RESTAURANTS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
.0 12200 In Person
Payme,nt Total:
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Page I of I
1 :05:50PM
Amount Due
100.00
100.00
5.00
20.00
$225.00
Amount Paid
$225.00
$225,011
2/12/20 I 0