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Home My WebLink AboutPermit Signage 2011-8-2 225 FIITII STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 a . . O/U75' ~ City Job Number SPt2-:Z.0 (/ - D "~ ~ JbL t 'f''''~l.\) ~,L ". ~ 0 oca ion \\.Ldl_ _ ~ ..~4 Ql ~ ~ ".~ ~ T~ ~ ~ ~ ...~ a ~ .($ II I. >. .*~ .~ ~ ~4 .~ ~;/j)J -.. ,..--~ ~ ..~ 1 ~ ~ I ~ Ml ,: ,_ ~ ": ~.;14''!;% .' -". '. _-.... ... '~$;.""~.' -"",", -<:;kj;~,,(\.~ '" ","'.. !&;,,;-.-'.- r~':p ':1' "':: "$_!7~:~~"~4",,~~ ~~~ 'l!i\ ",,,- ~ GTrry OE. spn.n..'Tr"Eirc.TT.'\,. ODiCGt;\1I:l,.. -.,<,c ~'l~' .., "';";;-*~~ ~~>,,~'?'~1::,;e 'fl., ~ ~":~'h'f~~" ~?~,~.0!. ~~1!' I..n~ - . ~}-~'~;:f{l~~'" _ ftr;j~~-~~~' '~()SL (-1(1 (\w A-'f <;+ 1765.2200 D2200 Owner of Property hirJt.?fJL ft{/.(/Ir-'Ttf f'(IJI?~I?11 Address 70 (K'"o,x City C~, c..A 5- 0 6 f? 70 ~ Phone ~( Zip b066/-0770S- State Address PhoD" City State Zip Construction Contractors License # Expire< )1 A-'" 'l.rL . Description 2 ,-/- Date of Installation 8-) -I ( 7-5-// Date of Removal 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 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 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 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 portable sign(s) has been removed. -- -- ,'Tf?:'?2?l;;;'!,,;:-s:r;BP" 'cJ:"~r)t;. OfAc"e",Vse!;.~&. _%,.'f~T,."',..wd"~l4~';;::",,,;~j.;.;.p-,- Job# S//-O' Receipt# 2b((-OZI7) ?2~~ Date of Application Issued By --.0 q Amount Collected Shared Drive (T:)lBuilding Forms!Banner]ortable Sign Permit CSD 7-08.doc. ~ SP~:.\H. ..~. FIEL~ 1tI~i:* ;,,;,,,,, . OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01875 IVR Number: 811152718739 www.ci.springfield.or.us 225 Fifih 51 Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/02/2011 ISSUED: APPLIED: 08/02/2011 08/02/2011 EXPIRES: VALUE: 09/03/2011 $0.00 SITE ADDRESS: 3032 GATEWAY ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703220002200 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner. install 080311 removal date 090311 Phone Number: OWNER: ADDRESS: GATEWAY MAll PARTNERS PO BOX 617905 CHICAGO Il 60661.7905 Contractor Type Sign Contractor Contractor Name OWNER CONTRACTOR INFORMATION I Lie Type OWNER BUilDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: 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: Lic No 0000000 Lic Exp 08/12/2025 Phone lot Size: Sq Fl1st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o Site Infonnation ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Reta;ning Wall: Soils Report Required: Springfield Building Permit 8/2/2011 3:09:16PM Page 1 of3 <- SP~..Ii.N. G.~.FIE. ~~ ~'l"""_ 'i~,",;<' ~ ,>+;~'J;" OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01875 IVR Number: 811152718739 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/02/2011 ISSUED: APPLIED: 08/02/2011 08/02/2011 EXPIRES: VALUE: 09/03/2011 $0.00 SITE ADDRESS: 3032 GATEWAY ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703220002200 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Banner - install 080311 removal date 090311 DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped; Compact: PUBLIC IMPROVEMENTS , Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutfDrains: Valuation Description I Descriotion Tvoe of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ Amount Paid $5.00 $100.00 $100.00 $20.00 $225.00 Date Paid 08/02/2011 08/02/2011 08/02/2011 08/02/2011 Reciot # 2011002173 2011002173 2011002173 2011002173 Springfield Builoing Permit 8/2/2011 3:09:16PM Page 2 of3 5PRINGFIEL~ .' . .,.~ . "", OREGON CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-01875 IVR Number: 811152718739 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/02/2011 ISSUED: APPLIED: 08/02/2011 08/02/2011 EXPIRES: VALUE: 09/03/2011 $0.00 SITE ADDRESS: 3032 GATEWAY ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703220002200 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner - install 080311 removal dale 090311 Plan Review ~ Deoartment Application Acceptance Received Due Date Comoleted 0810212011 08/0212011 08102/2011 Result Over the Counter Sign Review 08102/2011 08/0212011 08102/2011 Approved David Bowlsby INSPECTIONS REQUIRED ~ Inspections 6972 Banner Removal Reviewer David Bowlsby Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may fortiet 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 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 aU times during construction. ~. /' Owner or Contra r Signature g-2 -/ , Date Springfield Building Permit 8/2/2011 3:09:16PM Page 3 of3 SP.RING .FIE~ ~~ .<: ~ . Jl. OREGON www.cLspringfield,or.vs TRANSACTION RECEIPT 811-SPR2011-01875 3032 GATEWAY ST CITY OF SPRINGFIELD 225 Fifth SI Springfield, OR 97477 541-726-3753 permitcenler@ci.springfield.or.us . s' ':'I'z-~:i"""'i~~"';i;~;f:i~C:COUN;TICQ[jE; 'Ailf'i,," ."7 .J"AI\IIQUNTIOXJE ..: 'lJ4;~;il 224-00000-426605 20.00 224-00000-425602 100.00 821-00000-215500 100.00 100-00000-425605 5.00 TOTAL DUE: 225.00 Ut>-XJ\'1E~T TXE.r::a~P.Ai6R::~9~~~"iRi O'SOIl)(I,.511y":::.,:...;:;..t:.:::sClMMEN:1:.Si.':" .. .--4;~~ :~~ AMOU~:.l.".dJ Credit Card jck restaurants inc refund to : joe Karcher 875 225.00 002480 country club rd, eugene or 97401 RECEIPT NO: 2011002173 rDESCRmiliION"-:t";.~,;. ';i~.;; -;;'"i-: Admin fee (10% of applicable fees) Banner, Portable _~anner, ~..9rtabl:2ep~_____ _~nology fee (5% of permit total) RECORD NO: 811-SPR2011-01875 DATE: 08/02/2011 TOTAL PAID: 225.00