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Home My WebLink AboutPermit Signage 2010-9-17 ,II ~ ..~ ~ ~ ~ ..~ rt4l1 ~ ~ o ~ I M , ,CITY OF SPRINGFIELD, OREGON',' :,; ~. , . , '. A 'SO}'- Mt:'L wlt'1 \ \rs~f7JLOC/ st- Owner of Property h f./-J W1I:l.- C,towTIt PaC/fEeTl f.S Address 5"0 CJ &,tl-'t'\. LV,\-( PhoD" 'S'"t{ -;U4- J~ol s+ State 0 {L Zip q T Lt 7'7 t-,A-r't vuA-'( ~ +- Phon" 5<f{- 7-'17- ~;nS State (j(L Zip q+ 497 Construction Contractors License # Expire< Description Date of Installation '1.- 2-2. -(0 Date of Removal l 0- 2"2 -10 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 alI information herein is true and correct I further agree and understand that the above described banner(s) andlor portable sign(s) is not larger than 60 square feet, and will be removed within 30 days from the date listed above. lithe banner(s) andlor 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 calI 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) andlor portable sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) andlor portable sign(s) has been removed. Signatur" ~~ ~~~f~~~~ii~f. . Date of Application ~ ,\ \. . \ \) " " ... IssuedBy \~O ) Dat" q -(':j -10 \"f~?~~,:#!f:;1\~~~:!~;ri~~:~';:;:~;Iq5;~~t;~::e;~~:5)}lX\;ii~::}\~,;!%;~~" Job # L.J\D' o2.Q Receipt # Amount COllected~~) Shared Drive (T:)lBuilding FoI1lL!il'BanDc:r _Portable Sign Permit CSD 7-OB.dOl: www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00323 IVR Number: 811160618357 EXPIRES: 311&/29<11 ro- ?-:?../lJ::>\ 0 ill VALUE: $0.00 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 sr"~I~HG.....~~. ~~ ~'OREGON permitcenter@cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 9/17/10 APPLIED: 9/17/10 SITE ADDRESS: 3032 GATEWAY Springfield ASSESOR'S PARCEL NO: 1703220002200. SCOPE: Banner, Portable Sign WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner for Carl's Jr. OWNER: ADDRESS: GATEWAY MAll PARTNERS PO BOX 617905 CHICAGO Il 60661-7905 KOHLS N56 W17000 RIDGEWOOD DR MENOMONEE FAllS WI 53051 Phone Number: OWNER: ADDRESS: Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lic Type Lic No Lic Exp Phone I BUilDING INFORMATION ~ # of Bedrooms: Hazmat: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: # of Units: o # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Sprinkled Building: Fire Alarms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition; Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Energy Path: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 9/17/2010 10:58:31AM Page 1 of3 www.ci.springfield.or.us CITY OF SPRINGFIELD Buildingl Sign Permit PERMIT NO: 811-SPR2010-00323 IVR Number: 811160618357 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 5P...~IN GFI.E.l D~ WL~- ~~ ,-~~ OREGON permitce nler@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/17/10 APPLIED: 9/17/10 EXPIRES: 3/16/2011 VALUE: $0.00 SITE ADDRESS: 3032 GA TEWA Y Springfield ASSESOR'S PARCEL NO: 1703220002200 SCOPE: Banner, Portable Sign WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner for Carl's Jr. DEVELOPMENTlNFORMA TION . I REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value ~.~~~~,,'."~^''G:-:~:~~-~j~~~~?~'~!~~~~F~~~iHAlii~2~J~~~~,lt7&J\;Y:t"; :~::~:~';7 ",,'rK.:;'"":;; ;~:_!J..s::;: ,c~>;;"'~",~:2:l ;::~:&:.;;:~'fJ Description Banner, Portable Banner, Portable Deposit Admin fee (10% of applicable fees) Technology fee (5% of permit total) !:,ermit Fee AdjMustment - Administrative Fee Total Amount Paid Amount Paid $100.00 $100.00 $10.00 $5.00 $10.00 $225.00 Date Paid 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/1712010 Receipt # 374334 .--- 374334 374334 374334 374334 ~':"~""-~:!~'.':'~: ';;::;:'l~~,'\~~>\l~~~1 ;~'j .,!j~],z;::'~f;.'*~~ ';0"0r[;~~""'pi;h~R~:vieYl:~:rt.".r.'~v~~N~~.fi:!~f~;,:~;2~::?:_)#::~ .:~::;,~:, 1] OeDartment Application Acceptance Sign Review Permit Issuance Received 09/17/2010 09/17/2010 09/17/2010 Due Date 09/17/2010 09/17/2010 09/17/2010 ComDlete 09/17/2010 09/17/2010 09/17/2010 Result Over the Counter Approved Issued Reviewer Lisa Hopper Lisa Hopper Usa Hopper Comments Springfield ~uilding Permit 9/17/2010 10:58:31AM Page 2 of3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00323 IVR Number: 811160618357 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 S411,NG..~E~~ ~..*. ~~.. . ... ,.'"ffi0, OREGON permilcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/17/10 APPLIED: 9/17/10 EXPIRES: 3/16/2011 VALUE: $0.00 SITE ADDRESS: 3032 GATEWAY Springfield ASSES OR'S PARCEL NO: 1703220002200 SCOPE: Banner, Portable Sign WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner for Carl's Jr. INSPECTIONS REQUIRED I Inspections 6972 Banner Removal 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 or 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. O::~f 1-/7-[0 Date Springfield Building Permit 9/17/2010 10:5B:31AM Page 3 of 3 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00323 3032 GATEWAY ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield:or.us '~"?::Ai5,C:J)JrNJ~C,O[)E'~;;" ;~,:#"~M9J! Nt,D,QJ:~' ';iI;, 'tv@:, I 224-00000-425602 $100.00 224-00000,425602 $100.00 224-00000-426605 $10.00 100-00000-425605 $5.00 224-00000-426605 $10.00 TOTAL DUE: $225.00 10c P.AYNIE-NT irYPE ,"",;s~,P.AYOR~. ~;"cASH1ER LHOp.p~E~;1,r+c6MIVl,EN:is::' ,:C:""''; ,"""'ci::,Wj,;i;:;'Ar;rd(j~j'I1AIDii,'",. '1-,,""\'j RECEIPT NO: 20 I 0000344 lQgj5_~RH~I)~~~~:~i:k",~'::_-,-,:Z;;;;;':,A->.;;; t~~"Y'2P;W~6:__'i,~'-~:.~ Banner" Portable Banner, Portable~!?eposit Admin fee (10% of applicable fees) :!:echnology fee (5% of permit total) Permit Fee Adjustment - Administrative Fee RECORD NO: 8 I I-SPR2010-00323 DATE: 09/17/2010 Credit Card kirk efraimson return deposit to 3032 Gateway Street Springfield, oregon 97477 $225.00 $225.00