HomeMy WebLinkAboutPermit Signage 2010-4-20 (2)
225 fiFTH STREET. SPRINGfiELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
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CITY OF SPRINGFIHLD, OREGON
City Job Number (} / 0 ~' i/ 't:s~?
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Tax Lot OfL ~c:;i:)
Owner of Property 6e/oXRo. L- d-RoW-nl
Address (9..770 cxn-eWo.v
City .5PR)J.Y;F, 'e u;I !
FRopeR.Ti e. 5
,
Phone
OR..
Zip 97</77
State
Address _ ;;).060 MLi(
City Eu6eNe
Phonp
State
(")R
Zip 9/'10/
Construction Contractors License #
Expire.
Description
Date of Installation ,.~1/ (J
Date of Removal # .;2Q/J()
Permit Fee: $22S.0Q;including $100.00 Deposit and applicable fees.
By signature, I state and agrej;; 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 tirneline
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
portableSign~/~d. ~
Signaturp__ ~#O
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Date~f:;p;i~ation ~/;2'~/ I () Job # Receipt #
Issued By C3o--c.-- Amount Collected ..2..2.- s.- ~
Shared Drive (T:)lBuilding FormslBanner_Portable Sign Permit eso 7-08.doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00487
ISSUED: 04/20/2010
APPLIED: 04/20/2010
EXPIRES: OS/20/2010
VALUE:
i~ r', , .;
Status
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: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Off-site banner permit
Owner:
Address:
GA TEW A Y MALL PARTNERS
110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN
CHICAGO IL 60606
,.\',~ 1.;;< \ .
Contractor Type
Contractor
I CO~TRACTOR INFORMATION I
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy 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:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLICIMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspoutsmrains:
Notes:
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
'Square Footage
.' or Bid Amount
Value
Date Calculated
Paee I of 2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00487
ISSUED: 04/20/2010
APPLIED: 04/20/2010
EXPIRES: OS/20/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
***+ 100/0 Administrative Fee***
+ 5% Techuology Fee
Bauner Special Permit
Deposit
Amouut Paid
. Date Paid
Receipt Number
$20.00
$5.00
$100.00
$100.00
4/20/10
4/20/10
4/20/10
4/20/10
2201000000000000380
2201000000000000380
2201000000000000380
2201000000000000380
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.
LReouired Insnections ~
Bauuer Removal: To be requested the day following the expiration of the permit. If iuspection is not requested,
the applicaut 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 J further certify that any and all work performed shall be done in accordance with
the Ordiuauces of the City of Spriugfield aud the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permissiou of the Community Services Division, Buildiug Safety.
I further certify that only coutractors aud employees who are iu compliauce with ORS 701.005 will be used ou this project.
I further agree to eusure 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 frout of the property, and the approved set of plans will remain on the site at all
times during construction.
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Date
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Paee 2 of2
225 Fifth Street
, ,
SpHngfield, Oregon 97477
541-726-3759 Phone
itT
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #;
2201000000000000380
,
Date; 04/20/2010
2:09:26PM
Job/Journal Number
COM2010-00487
COM2010-00487
COM2010-00487
COM20 I 0-00487
Payments:
Type of Payment
Check
cRcceintl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Description
Banner Special Permit
Deposit
***+ 10% Administrative Fee***
+ 5% Technology Fee
Paid By
LlTHIA NISSAN
Amount Due
100.00
100.00
20.00
5.00
$225.00
Amount Paid
cjc
$225.00
$225.00
50837
In Person
Payment Total:
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