HomeMy WebLinkAboutPermit Signage 2008-7-22
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,,20, FWiIl ~rREEI . WRINGfIELD,OR g7477 . PII (0,4])726",70,'; . fA). (o,4])726,3m,g
City Job Number Co U1 ZO 0 ~- 0 1/1 c)
Banner LocatJon
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Tdf Lot
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Owner of Property l0c f r, 1;\iV~4 ~,~e -F~&.tll!I~~ ~I\~~-:\
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Assessors Ma!,
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Address
CIty
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C ontmctOl /In ~tallel
Contractor - \-_o"~'l
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Addres' c:;;:l6Cl ~nMf'''''' S, Phonp l{9:,l/., /l[~'I.
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CIty ~Jl.JY'.l:1. State ()~~~~~~
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ConstructIon Contractors RegIstratIOn # _I /..q t.z,,/-i'\\c, 9't.~ 1'",)) ~~~'f<, ~~~, Q /,1.!n~
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DescnptJon I 3') lj l{ { S 10<> 4 ) _ n lI"S, ~ \0"-,,,,-" <l ~O"I' Ll~~
- to.~'{ "
Date of InstallatJon 'b \ ~ \ () "l, Date ofRemovaJ q I '00 I D"i:.
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Banner PermIt Fee ;>86'00 + Requned Depo,lt ~.!HJ I 16% AdmlIustratIve Fee
.
By sIgnature, I state and agree that I have carefully completed thIs apphcatJon and hereby certIfY that
all InformatIOn hereIn IS true and correct I further agree and understand that the above descn bed
banner(s) IS not larger than 60 square feet, and WIll be removed wIthIn J.GIjili's from the date hsted
above If the banner(s) IS not removed wIthIn the tJmehne specIfied, I ~1~l'Orfelt the $100 00 depOSIt
I also understand that thIs spec131 penmt 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 14'h day to request an
InspectJon to venfY the removal of the banner(s) ThIS InspectIOn wIll begIn the process to return the
$10000 depOSIt If the banner(s) has been removed
Slgnaturf' \:)0 !:MI' ~ b~~ Date~ ~d 108
Date of ApphcatlOn
,~0r
P-:;I
FOI Office U\e
lob# cB. 6//10
ReceIpt #
7J3~
Issued By
Amount Collected -
Shared Dnv(, (T )/Bulldmg Fonw;/Banner Penml CSDl 03 doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO' COM2008-01110
ISSUED. 07/23/2008
APPLIED. 07/23/2008
EXPIRES: 09/3012008
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
SITE ADDRESS 199 Q ST
ASSESSOR'S PARCEL NO 1703263102100
Spnngfield TYPE OF WORK Banner
TYPE OF USE
New
Commercl3l
PROJECT DESCRIPTION Banner - 080108 removal date 093008
Owner
Address
Q STREET PROPERTIES LLC
%OCEAN CREST 192 NORMAN AVE APT 121
COOS BAY OR 97420
I CONTRACTOR INFORMATION I
Contractor Type
SIgn
Contractor
IMAGE KING INC
License
161313
BUILDING INFORMATION'
ExpiratIOn Date
09/0112008
Phone
541-484-1482
# ofUmts # 01 Stones
Pnmary Occnpancy Group HeIght of Structure
Secondary Occupancy Group Type of Heat
Pnmary ConstructIOn Type Water Type
Secondary ConstructIOn Type Range Type
# of Bedrooms Energy Path
Sp,mkled BUlldmg
4TT"'NTJnN' pr"'f1n.n law re!lulres YOlI 10
follow rules adopted by the ~;DEyE'iQr:&IENT INFORMATION I
Notification Center. Those rul,.
In OAR 952-001-0010 through OAR 952-001-
Frontyard ~kyou may obtalD copies of the rU@\1.!t\lty D,st
S,de I Setbdclilalling the center. (Note the teleph#>S~eet Trees Rqd
SIde 2 Setbacftumber for the Oregon Utility Notlflc~9lld D"ve Rqd
Rearyard Setback Center IS 1-800-332-2344). % ot Lot Coverage
Solar Setbacks
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant LOdd
nla
REQUIRED PARKING
Total
HandIcapped
Compact,
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer Available
Specl3llnstructlon
SIdewalk Type
Downspoutsmrams
DescnptlOn
Tvpe of ConstructIOn
NOTICf~ PIRE IF1HE WOR\(
-rUle:. PFRN!.'T ~.~~LL ~i'.c p"OMIT tS NOT
I ,lI.U lJ1Uhll,,[; v'at:n ONED FOR
V aluatJ~ lli'-SCfllutro/J IS ABAND
.. 1 1 ,
~. " PERIOD
$ Per Sq F.ilNY 180 M~re 'Footag'e
or multlpher or B,d Amount
Value
Date Calculated
Notes
Paee I of 2
-~4ii
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Iss u ed
PERMIT NO' COM2008-01I10
ISSUED 07/23/2008
APPLIED. 07/23/2008
EXPIRES' 09/3012008
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541,726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees P31d I
Fee DescrIption
+ 10% AdmmlstratIve Fee
+ 5% Technology Fee
Banner SpecIal PermIt
DeposIt
Amount Pdld
Date PaId
Receipt Number
$1900
$450
$90 00
$100 00
7/23/08
7/23/08
7/23/08
7/23/08
1200800000000000805
1200800000000000805
1200800000000000805
1200800000000000805
Total Amount PaId
$213 50
I Plan RevIews I
To Request an inspectIOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7.00
a m WIll be made the same working day, mspechons requested after 7'00 a m WIll be made the followmg
work day.
I ,Re/l,!'red Insnechons I
Banner Removal To be requested the day followmg the expIratIOn of the permIt If mspectlOn IS not requested,
the applIcant may forfiet the deposIt
By signature, I state and agree, that [ have carefully exammed the completed apphcatIon and do hereby certIfy that all
mforrndtIon hereon IS true and correct, and I further certify that any and all work performed shall be done III accordance With
the Ordmances of the CIty of Sp. mgfield and the Laws of the Stdte of Oregon pertdmmg to the work descnhed herem, and
that NO OCCUPANCY Will be made ot any strncture WIthout permIssIOn of the CommuDlty ServIces DIVIsIOn, BuIldmg Safety
I further certIfy thdt only contractors and employees who are m complIance WIth ORS 701 005 wIll be used on thIS project
I further agree to ensure that all reqUIred mspectlOns 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 remam on the sIte at all
times dUJ lUg constructIOn
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1 I d. '!:; / o'i
~~~~
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Owner or Contractors Signature
Date
Page 2 of2
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2008-01110
COM2008-01110
COM2008-0 III 0
COM2008,Olll0
Payments
Type of Payment
Check
LRecelOtJ
RECEIPT #,
DescriptIOn
Banner SpecIal Penmt
+ 5% Technology Fee
Deposit
+ 10% AdmInistrative Fee
Paid By
DEAN BRAYTON
City of Sprmgfield Official ReceIpt
Development Services Department
PublIc Works Department
1200800000000000805
Date: 07/23/2008
Item Total
Check Number AuthOrization
Received By Batch Number Number How Received
dJb 2188 In Person
Payment Total
Page I of I
11 57 45AM
Amount Due
9000
450
10000
1900
$21350
Amount Paid
$213 50
$213 50
7/2312008