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(,~ C _ OREGON www.ci.springlleld.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-01010 IVR Number: 811104877483 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennilcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 12/30/2010 ISSUED: APPLIED: 12/30/2010 12/30/2010 EXPIRES: VALUE: 03/05/2011 $0,00 SITE ADDRESS: 3000 GATEWAY ST, Springfield, OR 97477-1033 ASSESOR'S PARCEL NO: 1703220002300 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner - 010511 removal date 030511 Phone Number: OWNER: ADDRESS: GATEWAY MALL PARTNERS 110 N WACKER DR BSC 3-04 CHICAGO IL 60606 Contractor Type Sign Contractor # of Units: # of Bedrooms: Sprinkled Building: Fire Alanns: Ener9Y Path: Contractor Name OVVNER CONTRACTOR INFORMATION ~ Lic Type OVVNER BUILDING INFORMATION ~ #I of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: lie No 0000000 Lic Exp 08/12f2025 Phone o 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: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site lnfonnation 12/301201 2:28:48PM ~ Page 1 of 3 I SPRIN GF IfL~ ~' -- '( .~ . OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR201 0-01 01 0 IVR Number: 811104877483 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield,or,us PROJECT STATUS: STATUS DATE: Issued 12/30/2010 ISSUED: APPLIED: 12/30/2010 12/30/2010 EXPIRES: VALUE: 03/05/2011 $0,00 SITE ADDRESS: 3000 GATEWAY ST, Springfield, OR 97477-1033 ASSESOR'S PARCEL NO: 1703220002300 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Banner. 010511 removal date 030511 DEVELOPMENT INFORMATION I Overlay Oist: # Street Trees Reqd: Paved Drive Reqd: % of lot Coverage: Highest point on structure to north property line: REQUIRED PARKING PROJECT DESCRIPTION: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvee Unil Cost Value FEES PAID I OescriDtion Permit Fee Adjustment - Administrative Fee Banner, Portable Deposit Admin fee (10% of applicable fees) Banner, Portable Technology fee (5% of permit total) Total Amount Paid Amount Paid $10.00 $100.00 $20.00 $200.00 $10.00 $340.00 Date Paid 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 Reciot # 2010001182 2010001182 2010001182 2010001182 2010001182 Springfield Building Permit 121301201 2:28:48PM Page 2 of 3 SPRIN.GFIEL:iiI ~~ . ,~ ~, OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR201 0-01 01 0 IVR Number: 811104877483 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/30/2010 ISSUED: APPLIED: 12/30/2010 12/30/2010 EXPIRES: VALUE: 03/05/2011 $0.00 SITE ADDRESS: 3000 GATEWAY ST, Springfield, OR 97477.1033 ASSESOR'S PARCEL NO: 1703220002300 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner. 010511 removal dale 030511 Plan Review Received Due Date ComDleted Result 12/30/2010 12/30/2010 12/30/2010 Over the Counter 12/30/2010 12/30/2010 12/30/2010 Issued 12/30/2010 12/30/2010 12/30/2010 Approved ~ DeDartment Application Acceptance Permit Issuance Sign Review Reviewer David Bowlsby David Bowlsby David Bowlsby INSPECTIONS REQUIRED ~ Inspections 6972 Banner Removal 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 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. / f. 2.f:J//0 Oat Springfield Building Permit 12/30/201 2:2848PM Page 3 of 3 ,. . ..en co!! .- 0 A:::c - -a ca c .. .- .=~ .- -- c:Il. ~ E So 0= "0 - .a - ~oI · a. It! 0 m... .>C .. ant>> en~ ~ '~" t>> 0 "'" . . '~~;:..: . a. "., - >"'~' - ')f~::':' c;. ca.!! a:a .a N~ " . ! , i " , I I' " " s o :t:: o ~ ~ O-;~ o 0 ..j.J:p ..j.J ~ Q,)- ~Cd o~ ~~ :: Q) M__ - ~ ~ ~U 0':) $-4 ~cB 00 $-4 Q,) ~ ~ ~ C'l - ca l-l Q) :> o I . c: '0 u._ .s.~ .~~ tiC :c:~ 0.:1: E~ <.::I... ~5 .8i1 c~ ~] 0:0 ~ Ule 0..0.. e.!!! o..c Ul.S! '5t ::I ~e ~~ CL- 00 C.... .0.... c~ a.s CL.. Ul! ~"iij a.:Qj l5~ ~tl '-'- ioB 'y; tl ~io .,'1: ~~ I . - 1<: " ;:: ~ - '0 E 13 Lt') 8 u ~ ~ ~ O\.~~ OJ)~~ ~~j Lt') F'~ .. Q) '< :><i I ~ ~ u ~~ "~ z,- (.:)~ -00 (./). u- -~ :t:LI') Q.. . ~'C ~~ ~ ~~ 000 ca. Z~ -LI') ~ . . SP~I..NG~~ L~~ ~OH.eGON TRANSACTION RECEIPT 811-SPR201 0-01 01 0 3000 GATEWAY ST www.ci.springfield.or.us CITY OF SPRINGFIELD 225 Fifth 5t Springfield.OR 97477 541-726.3753 RECEIPT 1\0: 2010001182 RECORIl :0;0: 811-SPR2010-01010 pe rmitce nter@ci,springfield.or.us DESCRIPTION Banner, Po~able P..!rm~Eee A~justment - Administrativ-.!: Fee ~chnolog.y l~eJ5% 01 permit tot~) _ __ ~~n~er, Por!~~I'7-P~p~sA _ _ _ _ Admin fee (10% 01 applicable lee~) ACCOUNT CODE 224-00000-425602 224-00000-426605 - -- --- 100-00000-425605 - -.- --- 821-00000-215500 - - - - 224-00000-426605 TOTAL DUE: · PAYMENT TYPE PAYOR CASHIER: DBO\!VLSBY COMMENTS Credit Card 00630c kerry smith IlATE: 12/30/2010 AMOUNT DUE $200.00 $10.00 $10.00 $100.00 $20.00 $340.00 AMQU.tlT PAID I $340.00 $340.00