HomeMy WebLinkAboutPermit Signage 2008-5-7
ZZ5 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689
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Owner
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Owner of Property -r fZ.. \ - W
, _State 0 V?- Zip
1\1 I t:l\l I IUN: 'Oregon law requires you to
foll.,:w r~lea adopted by the Oregon UWity
NotIfICatIon Center. Those rules are set forth
o tJ .wE'L In OAR 952-001-0010 through OAR 852-001-
~~g{j:. )bu may 001:all1 copies of the rules by
calling the center. (Note: tl1&.~l.?phone
"'lmber for ~h~.QLQgoR UtifitfW8tIlll,;CUlOn
~emer is 1-800-332-2344).
City/ State Zip
Construction Contractors LiC~ Expire,:,
17(33
ContractorlInstaller
Contractor
Addres~
Description t> <M..-M b ,~, $11 --
5/~~
Permit Fee~ ~!61.75-inctbding $100.00 Deposit. 5/?J:-
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 ofthe 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 $100.00 deposit ifthe banner(s) and/or
portable sign(s) has been removed. NQTr~E: I K
'--1Yl /\ , ,J f} _ THIS PEH\I11T SHAll EXPIRE If THE W~ ~ ~ 8
Signature- Qi/)r7 CuI l ~'-J11 ~ AUTHORIZED IINnER Ttlk'l~ERMIT$SJlCitI u
tJ r~QIYI))J!ENCED OR IS ABANDONED I-Ul'{ I
For OJj.ANr~flo DAY PERIOD.
S! :/05 lob # CB -blJ 1 Receipt # 4l.{ (
'-. /? $6 7.1:
~ ' ..> Amount Collected
Date of Installation
Date of Removal
~/03
Date of Application
Issued By
Shared Dnve (T )IBuddmg FormsIBanner ]ortable SIgn PermIt CSD 8-06 doc
Status
Finaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00641
ISSUED: 05/07/2008
APPLIED: 05/07/2008
EXPIRES: 11/07/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1910 Marcola Rd
ASSESSOR'S PARCEL NO.: 1703251301500
Springfield TYPE OF WORK: Banner
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Portable Signs - removed for compliance
Owner: TRI-W GROUP LTD PARTNERSHIP
Address: 100 SE CRYSTAL LAKE DR
CORV ALLIS OR 97333
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
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:
Syrinkled Building
"', II:NTJON= Orepon law regulres you f9
foll.ow r~les adoPte~ imV~PME~~ORMA TION .
Notification Center. .__1 _._
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copieSbfdtl&)l'lIi1b3:by
calling the center. (Note: the;teWplirooa Rqd:
number for the Oregon Utility.~~d:
Center is 1-80Q-332~).ot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Description
Tvpe of Construction
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
NY'!.~I)DI7I:n J I I\ln I=R nll~ PFRMIT IS NOT
I . .. I COMMENCED OR IS ABANDONED FOR
ValuatIOn DeSCrIptIOn ANY 180 DAY PERIOD.
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Value
Date Calculated
Notes:
Pal!e 1 of 2
Status
Finaled
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00641
ISSUED: 05/07/2008
APPLIED: 05/07/2008
EXPIRES: 11/07/2008
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.
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
Banner Special Permit
Amount Paid
Date Paid
$4.50
$2.25
$45,00
5/7/08
5/7/08
5/7/08
Receipt Number
1200800000000000441
1200800000000000441
1200800000000000441
Total Amount Paid
$51. 75
I 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.
Reouired InsDections I
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 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.
~~ \ iLjdJ
Owneror co;jact;;;s Signature
5 - ~ --of
Date
Pa2e 2 of2
225 Fifth Street
Sprrngfleld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00641
COM2008-00641
COM2008-00641
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
DescriptIOn
Banner SpecIal PermIt
+ 5% Technology Fee
+ 10% AdmInIstratIve Fee
Paid By
NANCY FIELDS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000441
Date: 05/07/2008
Item Total:
Check Number AuthorizatIOn
ReceIved By Batch Number Number How Received
dJb
4013
In Person
Payment Total:
Page 1 of 1
2:07:38PM
Amount Due
4500
225
450
$51.75
Amount PaId
$51 75
$51.75
5/7 /2008