HomeMy WebLinkAboutPermit Signage 2010-4-20
225 f1ITH STREET. SPRINGf1ELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726'3689
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$202.00,'incIuding $100.00 Deposit and applicable fees.
By sigmiture, 1 state and agree that I have carefully completed this application and hereby certifY that all
information herein is true and correct. I further agree and understand that the above described display will be
removed within fourteen (14) days from the date listed as the date of installation above. lithe display is not
removed within the timeline specified, I will forfeit the($IOO.OO 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 proces t osit if the display has been removed.
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00486
ISSUED: 04/20/2010
APPLIED: 04/20/2010
EXPIRES: 05/04/2010
VALUE:
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Issued
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: Blimp, Portable Sign, Etc.
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Blimp/pennant/baloon permit
Owner:
Address:
GATEWAY MALL PARTNERS
110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN
CHICAGO IL 60606 "}r :!':-;,;;.
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I CONTRACTOR INFORMATION i
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING INFORMATION i
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION i
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
'o/.;of Loj:Coverage:
. ..,~-''';.. -,',,':., "
REQUIRED PARKING
Total:
Handicapped:
Compact:
, ~'7; ,
I PUBLIC IMPROVEMENTS i
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I 01'2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00486
ISSUED: 04/20/2010
APPLIED: 04/20/2010
EXPIRES: 05/04/2010
VALUE:
Status
Issued
\:.,',. .".-'1.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Total Value of Project
Fees Paid ~
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Blimp + Special Permit
Deposit
Amuunt Paid
Date Paid
Receipt Number
$18.00
$4.00
$80.00
$100.00
4/20/10
4/20/10
4/20/10
4120/10
2201000000000000379
2201000000000000379
2201000000000000379
2201000000000000379
Total Amount Paid
$202.00
Plan Reviews I
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To Request an inspection call the 24 hour recording at 726-3769. All inspections requested hefore 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.
[ ReQuired Inspections 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 J 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 aU 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.
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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Date
Paee' 2 of 2
225 Fifth Street
Spriv~ficId\ Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/2012010
2:05:54PM
RECEIPT #:
2201000000000000379
Job/Journal Number
COM20 I 0-00486
COM20 I 0-00486
COM20 I 0-00486
COM2010-00486
Payments:
Type of Payment
Check
cRcccintl
Item Total:
Check Number Authorization
Re'ceived By Batch Number Number How Received
Description
Blimp + Special Permit
Deposit
+ 5% Technology Fee
***+ 10% Administrative Fee***
Paid By
LlTHIA NISSAN
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Page I of I
Amount Due
80.00
100.00
4.00
18.00
$202.00
Amount Paid
cjc
$202.00
$202.00
50939
In Person
Payment Total:
4/20/20 I 0