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Home My WebLink AboutPermit Signage 2010-4-19 225 FlITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 t=1~ FIREWORKS SALES LOT/CHRISTMAS TREE LOT Banner/Portable Sizn Permit e~ City Job Number C OV\.-\ 20( C - 0 cl..{ 7 $ ::~ Job Location 8()OO r18feMi/11( cSt I ~dJd, OR. 97477 ..~. Assessors Mapfl o322J)D Tax Lot (YL ~()O ~\ '. t:i.(jJ ~ <:;:.)) .",~~ ~' ~ ~ ~, .~ ....--I~ g:. ;:;;J ~ i~ ~j -. <~, ~. -. ~ U IJ l~ .'~~l ,~; .-' -, ~ fI'lj ~. ~~ ~ID) .... 'y-l~ ~ <!ll)) , -l~ ...,IQ) '~l ~=i ~ ~~ 1- I~ <!ll)) ~l ~~ .!l ~l .. ~ CITY OF SPRINGFIELD, OREGON Owner Owner ofPropertyJJeVU~~~ ("::H<p~ie.s Address (Se-e o..~. Phone City State Zip Contractor/Installer Contractor C""~I~ MiY/i ~6. City Zip 97tj7 7 Address &J4J. ~B+~ S Phone {;''f/-(''6(;- !}173 State Of\. Construction Contractors License # Expire' Description~-l:1)YYl Pi ~~\'~()r<k<;' bcm VlP ~_ Date of Installation~e 2 S' -th Date of Removal Permit Fee: $115.00 Permit is valid for 30 days from date of Installation 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. Signature <~ ~ Date 1-{-/-;20/0 Date of Application 4-1 i' I 0 ~!1 For Office Use Job# C/O,C)047 g Receipt # (ZD{- 03S'~ //~ Issued By Amount Collected Shared Drive (T:)lBuilding Forrns/FireworkslChrislmas Tree Banner-Portable Sign Permit 1-2010.doc '" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00478 ISSUED: 04/19/2010 APPLIED: 04/19/2010 EXPIRES: 07/1012010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3000 GA TEW A Y ST ASSESSOR'S PARCEL NO.: 1703220002300 Springfield TYPE OF WORK: Banner TYPE OF USE: New PROJECT DESCRIPTION: Banner/portable signs - Firework sales. install 062510 removal date 071010 Commercial Owner: Address: GATEWAY MALL PARTNERS lION WACKER DR BSC 3-04 A TTN PROP TAX ADMIN CHICAGO IL 60606 I CONTRACTOR INFORMATION ~ Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING 'INFORMA nON , # of Units: Primary Occnpancy Group: Secondary Occnpancy Group: . Primary Constmction 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ 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 ~ Street Improvements: Storm Sewer Available: Special Instruction: . , ,:.'- Sidewalk Type: Downspouts/Drains: ..,."".",,. ." .; > ~ <,,' .i Notes: I Valuation Description I Description Type of Construction $ Pel' Sq Ft 01' multiplier Square Footage 01' Bid Amount Value Date Calculated Page 1 012 CITY OF SPRINGFIELD 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line .,....."". Building/Combination Permit PERMIT NO: COM2010-00478 ISSUED: 04/19/2010 APPLIED: 04/19/2010 EXPIRES: 07/10/2010 VALUE: Status Issued Total Value of Project L Fees Paid _ Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit Amount Paid Date Paid Receipt Number $10.00. $5.00 $100.00 4/19/10 4/19/10 4/19/10 1201000000000000359 1201000000000000359 1201000000000000359 Total Amount Paid $115.00 I Plan Reviews ~ 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, insp,ectiops.requested after 7:00 a.m. will be made the following work day.-,' LReouired InsDections 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 1 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. I further 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, 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. Owner or Contractors Signature Date .;0_.(1 ". ,...,' t: Page 2 01'2 225 Fifth St.reet Sprin~ficld, Oregon 97477 541-726-3759 Phone ~~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000359 Date: 04/19/2010 2:48:22PM Paid By BJ ALAN COMPANY Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 100.00 5.00 10.00 $115.00 Job/Journal Number COM2010-00478 COM2010-00478 COM2010-00478 Description Banner Special Permit + 5% Technology Fee ***+ 10% Administrative Fee*** Payments: Type of Payment Check Amount Paid DJB 283131 In Person Payment Total: $115.00 $115.00 ,1).;..<' .V: .., ". . ,t~ ,:! cReceintl ,Page I of I 4/19/2010