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HomeMy WebLinkAboutPermit Signage 2010-3-29 225 flITH = . SPRINGFIELD, OR 97477 . rH:(G4!)7Z6-S75S . rAX: (541)726-3689 I., COVVl. ZO/O -OOLf~ ( ..~~- ~I City Job Number "" ifOJ,; b. -, i ..~ Job Location Z-7 ~3,'O (f; kkw"'1.' ,. '.~i Assessors MapJ 7 D ::s z zoo ~_'_"" ~ ':~:;":"::':::'"_"'~"'~';:-:;:':~';":'" '''"' :':::'.::';.::.::::i"""'::"" '.,-"',,::,".'.,,,",",',' 0.....' . ,,"".:'i:":. ::'.:":.:,,~.<. ":;"~."'",)",. ^' .. .' . ,~~'~--....',._ .'" ... - - _' .,__' ".~ .:......_..:::, :0'..:.,:.:;:': :..::.;', .....-..: '....,:., "', ':. .' .. ".. .. .. _~.~~'.IU." . ., "'., m "":(..:,::'; :!.~'. ;,,:::;:,;::,,~,;:,,::,:,.:...:,,:,:. i~~Of~ It &1"1 ;'J4-lt~Z;;" ~ --~."',: Address.;;"~ akl-IZ-Y./Jy $-I.(!,-J?'>>k e,d'l hw.9'-5/-Q73- C-//:J- 7 ~ s --r.. e.~ ~ City ~?I2.I/J<; F/'PJj7) State ~ Zip 97if77 t ~;:g~,;;,-~~~!t4I'i~~lffij}~~~ ~_., Addressf>o iJO;< bft '7Dr Phon\,- i! City C-H ( L;tt:;-c:> State Il zip/:J::>66! - 796;- 8 II ~I~ ..~ ",llc ~. ~~l. =: ....."". ~B .1>~~ 7>.4'!!\_ ~CJJ ...,..'- --, ~, ~ ~!'u, ,- ,) "'~\ (Q; ~ ---: li;",i, ~ ~.-.-, ~ ~ ~,i Tax Lot 0230S- "",,':"'''', ",,"".."";'.' ::":"::,;::;;:;>.",:::,:.,.:.,,,,.m, . Construction Contractors License # Expirt'< Description C;*^, Nt: P--s... C ~) Date ofInstallation c:; /(11;-:(') ; Date of Removal 9" / ~ / CJ . , . , Permit Fee: $225.00 including $100.00 Deposit and applicable fees. By siguature, I state and agree .that I have carefully completed this application and hereby certify that all infonnation herein is true iind 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' in the pr s to return the $100.00 deposit ifthe banner{s) and/or portable si n(s) has n emov d. Signa ~A/ Date ~b . ':F~I/~~~~~<,:::;,";:'",:,:,"':,":":;E"~;:~':.""...>.....'.:. . .." .... Job# C/O -00 1.("]. I Receipt # . Issued By ~ 2ZS- Amount Collected Shated.Drivc(T:)IBuildiugP~_ p~ Sigo Po.rtrUlCSD 7..Q8.doc 800/800d L8l0# 3snDH3~VM 8IN~183l3 6lL"",lLl 6,:90 6606/66/,0 Status Iss u ed , c"'. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00431 ISSUED: 04/06/2010 APPLIED: 04/06/2010 EXPIRES: 04/30/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,,~ -; SITE ADDRESS: 2730 GA TEW A Y ST ASSESSOR'S PARCEL NO.: 1703220002305 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner/portable signs - install 041010 removal date 043010 Commercjal Owner: GA TEW A Y MALL PARTNERS Address: PO BOX 617905 CHICAGO IL 60661-7905 I CONTRACTOR INFORMATION ~ Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INFORMATION ~ # of Units: Primary Occupancy Group: Secondary Occupaocy Group: Primary Coustruction Type Secondary Construction Type: # of Bedrooms: ,# of Stories: l!eight 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 Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ Front yard Sethack: 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 , Street Improvements: Storm Sewer Available: Special Instruction: "l~iA't '!', " ,.,X",ii!\:.' Sidewalk Type: DownspoutsfDrains: Notes: . ,~~ ;' " I Valuation Description ~ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e'l of 2 Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description ***+ 100/0 Administrative Fee*** + 5% Tcchnology Fee Banner Special Permit Deposit Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00431 ISSUED: 04/06/2010 APPLIED: 04/06/2010 EXPIRES: 04/30/2010 VALUE: . ({~~:: .; ~.: it p. .,:'; .;. Total Value of Project l Fees Paid I Amount Paid Date Paid Receipt Number $20.00 4/6/10 1201000000000000302 $5.00 4/6/10 1201000000000000302 $100.00 .4/6/10 1201000000000000302 $100.00 . 4/6110 1201000000000000302 $225.00 I Plan Reviews J 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. '" ~\:. " '"F' , ... .<'" r,.,. Reauired Insoections 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 work described herein, and that NO OCC ANCY will he made of any structure without per~ission of the Community Services Division, Building Safety. I further cer fy that only c tractors and employees who are in compliance with ORS 701.005 will he used on this project. I further a 'ee Jto ensure t ,.,t all required inspections are requested at the proper time, that each address is readable from the street, th t the/permit car lis located at the fronlof the property, and the approved set of plans will remain on the site at all times d . 19 constructio I ' . /Av- Own ignatnre Date '. '. : .'. :,~' ,; ," ~ oj.\\:. '.., ,_('jt.\',. ; If,;"'} " Page 2 of 2 225 Fifth Street Sprjngfieltl, Oregon 97477 541-726-3759 Phone ~:"cj~N~_~~'_..'~ii"-;' ,..... .' .........~ Wi:' ' .,- ',-, ' ,- '-~,,-.p :' r' : ~~..-T-...c-'..,""'~- .,,, " ..- City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000302 Date: 04/06/2010 I :35:46PM Paid By NATIONWIDE EXPO Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person Payment Total: Amount Due 100,00 100,00 5,00 20,00 $225.00 Job/Journal Number COM2010-0043 I COM20 I 0-00431 COM20 I 0-00431 COM20 I 0-00431 Description Banner Special Penn it Deposit + 5% Technology Fee ***+ 10% Administrative Fce*** Payments: Type of Payment Cash Amount Paid $225.00 $225.00 ,i,,~~1'{t, :..,~"~ :~[. , ',;!i , ;;r'Ii!:fll r ~i> :,.'.\ ':~ w~{ .ii~.:-' ::,r,l:l .:';~~~,\. I,:. i , .. ~ cReceint] Page I of I 4/6/20 I 0 eo o o ~, N' o o '" "- ~ eo o .. w. 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