HomeMy WebLinkAboutPermit Signage 2008-8-6
-~~
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-01167
ISSUED' 08/06/2008
APPLIED 08/0612008
EXPIRES' 02/0612009
VALUE,
225 F,fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 1900 MARCOLA RD
ASSESSOR'S PARCEL NO 1703251300400
Springfield TYPE OF WORK Blimp, Portable Sign, Etc
TYPE OF USE New
PROJECT DESCRIPTION Roof top balloon Install date 08;11108 - Removal date IS 09/11/2008
CommercIal
Owner TRI-W GROUP LTD PARTNERSHIP
Address 100 SE CRYSTAL LAKE DR
CORVALLIS OR 97333
I CONTRACTOR INFORMATION'
Contractor Type
Contractor
License
ExpiratIOn Date Phone
BUILDING INFORMATION'
# of Umts
Primary Occupancy Group
Secondary Occupdncy Group
Primary Construction Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stories
HeIght of Structure
Type 01 Heat
Water Type
Range Type
Energy Pdth
Sprmkled Bnddmg
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage;Carport
Sq Ft Other
Occupant Load
n;a
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontydrd Setbdck
Side I Setback
Side 2 Setback
Redryard Setback
Solar Setbdcks
OverldY DJ;t
# Street TI ees Rqd
Paved Drive Rqd
% of Lot Cover dge
Total
HandIcapped.
Compact
I PUBLIC IMPROVEMENTS'
ATTENTION 0 S,dewalk Type
follow rule regon law rpC!, , ,
Storm Sewer Avalldble Notlflca/lo s ado~DjlJ.VIlY'lIllJsi:Pf:lilisiou to
SpCClal InstructIOn In OAR 95; Center Those rul regon Ulility
0090 You -001-0010 through ~ are settorth
NDlf'ff:E: calling th~~~n~~~aln cOPies of ~~ ~~~001.
TI I'" ~~f"l'~ C'11f LL """-''"[ .- - - numhp, ,--.. - (Note th~ ._. . s by
. :"",....., ,r..(, I v ,n C7\) 'I II 1111: vvunr- - "-- -. t:yon Ut I l..,..."VI'tt
AUTHORIZED UNDER THIS PERMIT IS Noll Valuatlon DeSCrlDtl~~n'r IS 1-800-33~:~~)tlf/catJon
COMMENCED OR IS ABANDONED FOR .
o,r-jj'eJ&lJ,J;1J\.Y PERI-M,e of ConstructIOn $ Per Sq Ft Square Footage Value
or multIplier or BId Amount
Street Imp' ovements
Date Calculated
Page I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO, COM2008-01167
ISSUED 0810612008
APPLIED, 08/0612008
EXPIRES' 02/06/2009
VALUE'
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Valne of Project
Fees Paul I
Fee DescnptlOn
+ 10% AdmmlStrallve Fee
+ 5% Technology Fee
Banner SpecIal Permit
DepoSit
Amonnt Paid
Date Paid
Receipt Number
$1450
$225
$45 00
$10000
8/6/08
8/6/08
8/6/08
8/6/08
2200800000000001204
2200800000000001204
2200800000000001204
2200800000000001204
Total Amount Paid
$16175
I Plan Reviews ,
To Request an mspection call the 24 hour recordmg at 726-3769, All mspectlOns requested before 7,00
a,m, will be made the same workmg day, mspectlOns requested after 7'00 a,m, wIll be made the following
work day
I ReoUlretl r nsnechons I
Banner Removal To be requested the day followmg the expiratIOn ofthe permit If mspecllon IS not requested,
the appllcdnt may forfiet the depOSit
By signature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certify that dll
mformatlOD hereon IS true dud correct, and I further certify that any and all work performed shall be done ID accord,lUce wIth
the Ordmances of the City of Sprmgfield and the Laws of the Stdte of Oregon pertdmmg to the work descnbed herem, dnd
that NO OCCUPANCY wIll be made of any structure wlthont permissIOn of the Commumty Services DIVISIOn, Bulldmg Safety
j further cerllfy that only contrdctor; and employees who are m compliance with ORS 701 005 will be used on thiS project
I further agree to ensure that all required IDspectlOns are requested at the proper time, that each dddres~ IS readable from the
street, that the permit card IS located at the front 01 the property, and the approved set of plans will remam on the site at all
(f;:::r\~ 6!lo/rR
Owner or Contractors Slgnatu"" Date
Page 2 of2
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
..~ C1tyJobNumber df7J V - 0/16 ')
.~ Job LocatlOr liAr! ~ \) r
i Assessors M"~ ~
~
i
..~
"=
~ Contractor/Install"T
e Address
I City
~
l D.,"p""
Date of InstallatIon
(()
: ::
~
~
=:
~
..~
~
~
l[~
~."
/ f{;()
~l(j/{o/tf
pc!
Tax Lot
Owner ofproperty --r,;;.1 \d 6 youAJ
Address \ Ct(Q() dY)a r col c, /12'(;>&1 d
Clly ~(f!)~r1J
Phone
OJ(
ZIp
q/~+
State
phon"
<;tate
ZIp
ConstructIOn Contractors LIcense #
"'xplres
\f~ ~0 h& \ bf) 1.1
?i-I \- ()G
/ilJ~-II-Dg
~~
Date of Removal
$161.75 mcludmg $100 00 DeposIt and applicable fees
By sIgnature, I state and agree that I have carefully completed thiS applIcatIOn and hereby certIfy that all
mformatlOn herem IS true and correct I further agree dnd understand that the above descnbed dIsplay WIll be
removed wlthm fourteen (14) days from the date lIsted as the date ofmstallatlOn above If the dIsplay IS not
removed wlthm the l1melme speCIfied, I wIll forfeit the $100 00 deposit I also understand that thIS speCIal
permIt can be Issued only once per calendar year per development area I also agree to call the mspectlOn Ime at
726-3769 by the end ofthe 14'" day to request an m"pecl1on to venfy the removal of the display ThiS mspectlOn
WIll begm the ~cess to return the $100 deposlllf the dIsplay has been removed
Slgnaturo ~.t)(j~{A ( '1ato ;;<- {p-~
~ ' ---,
For Office Use
Date of ApplIcal10n
10b# Recelpt#
Issued By
Amount Collected
Shared Dnvc(T )lBulldmg FonnslBhmp ]ennants _Blllloons8-06 doc
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1167
COM2008-01167
COM2008-01167
COM2008-0 1167
Payments
Type of Payment
CredltCard
cRLcLmtl
RECEIPT #,
Description
Banner Special Penmt
DeposIt
+ 10% Admmr;tratlve Fee
+ 5% Technology Fee
PaId By
DAWNA JAPPERT
~~~~
a,"
CIty of Sprmgfield Official ReceIpt
Development ServIces Department
PublIc Works Department
2200800000000001204
Date, 08/06/2008
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
nJm
006252
006252 In Person
Payment Total
Page I of 1
I 35 46PM
Amount Due
4500
10000
1450
225
$16175
Amount Paid
$16175
$16175
- 8/6/2008