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HomeMy WebLinkAboutPermit Signage 2008-10-17 225 Flrni STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 g City Job Number l'Co..,,,(eo01i~CI 54. () . ::i Job Location !i 16100 n~ovC.o Ie.. v(oCtr0!fo.dls Jv'.') ..~ 170sZsr:! LTaxLot O'CLfOO -, Assessors Map Ql ~ ~ ..~ ~ Addres~ ~~ ~ City ~, 1\ ~ ~ .",.~k ~ ;3; I ~ u Ii I~) ..~ c: ~ ~ ~j ~:fj)) -", ,.-__J, rtIJJ ~ " --It .~ ,~ ~ ~ tJ4 ~ :' ~ .~ ',.,."..,.. ~4 ,i, lo~g~ije-r-;:':'_;,.i_~~,:,~1:j~.~ I' II Owner of Property . "'f"--' \Vi \J\) I DO~, {( If ~tt I L:, k.... U t<:. l'ho!'p il . (.0 (:\10\ \ \ i ~ State 0 f~ :1 I "VL{ [- I f57-4i} c, [) C11 &J,-;:;S Zir /' 'I"'.. ContractoT 'J" r:~l.!~,~,"', \...fl'et-., I 1\0', ~ ;_,. _ Ii L~~'f . It",-~u(.... _ -,' ...11.1. ~. ",1, r:~CJU;r In I~!J r.~""I, L:?l,H ..J Bhon~~ ' es 1/1"1>.. . 0090,' y~~;:'OOI'Ooj 0' ?Ose r~/e"; ;gon Uti/it; Callin? S,;t~V Obtain ~rOugh O~t..R~~t forth 'lumber ~ c"mer. (N-~/Jles Of th ~"'-uUl. , Or the Ore ate: the e rUles b Cent'lVs 1 gOn 11"Hry- te,~< y -oUO-:i~9 ;" Notjfic",,~~ -"''''''1). .... Address ,II ~! il ~\ ~v (')I",.J City jl II Construction Contractors License # 'I Descriptior IIOCt V\ V\ '6-v~ II Date ofInstallktior \ n - 'I - n <J.. ' Date of Remov~ 1 I I - \ '5 - D~ I " i: Permit Fee: $225.00 including $100:00 Deposit and applicable fees. By signature, I istate and agree that I have carefully completed this application and hereby certify that all information herein is true and correct. I furtllto and understand that the above described banner(s) and/oi: portable sign(s) is not larger tI1'\lf1~ Uare feet, and will be removed within 30 days from the d1\te li~red above. If the banner(s) anAL0'f1f8 ~lS not removed within the timeline specified, I will ',rOrfeit the $100.00 deposit. I~ ~ al~J?;'al permit can be issued' only twice per c\Uendar year per developmeuf~~ lVifiilJm li!Mst~ ~tWlJ,;liPe at 726-3769 by the end of the 30th day to request an inspection fc ~ {feIH0tNb~fi Nirf8I)Vfff) and/or portable sign(s). This iilllpection will begin the process to return the 6l61~0 dep~ilif4fIfDRbanher(s) and/or ' portable sign( s) Illas been removed. , Signaturp , ~)~ ~~ ' Datp 1\-l':S~~ r"';~:';J;--'J;~;r::-~';~~.. ',' .~. .'Fo~Offi~e~ii;';---1-~~1TC'1;1ii.'{;;:-~------' '~;:te"ofAPPlicaii'ol' ' /bf;~f--"-~-;~~;C8 - o/;qb Rec:~p;; 'I p~ Issued Bv , Amount Collecten 225- Shared Drive (T:)'Building FormsIBanner]ortable Si~ Permit CSD 7-08.doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01540 ISSUED: 10/16/2008 APPLIED: 10/1612008 EXPIRES: 11/1512008 VALUE: __~_~!~9~.I:!;~U~~_ , : 11 Status Issued II 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Iuspection Line . if II " SITE ADDRESS: 1900'MARCOLA RD Springfield TYPE OF WORK: Banner ASSESSOR'S PARCEL NO,: 1703251300400 )I TYPE OF USE: New PROJECT DESCRIPTION: Banner - 101708 removal date 111508 II Owner: Address: !I TRI-W GROUP LTD PARTNERSHIP 100 SE CRYS~AL LAKE DR CORVALLIS 19R 97333 ' Commercial Contractor Type Sign 'i I, Contractor " q,WNER I CONTRACTOR INFORMATION I License Expiration Date Phone # of Units: ,II , I Primary Occupancy Group: . If Secondary Occupaucy Group: Primary Construction TypJ Secondary Construction T~'pe: # of Bedrooms: :: II BUILDING INFORMATION I , yoU to # of Stoi!i' . lequlleS Utility ENiION: 1iWlfl/i'~1' !\'iudillF'<9on et IOlU\ : i\~w lules actyll\,ei Sll"u\e~~~ ~52-O0'. N~ti\ica\iOn C~~~e{Q;llll'!lu.gh ol\ne lules '0'1 , Ol>.f\ 952-0VK'!$~ihYd1YIl\es I ?hOne \~090. '(ou ~fii~~M '\!'!It~;~~,e ~o~ilicallon calling tn ,rl~Wlom 4\ nla . _ ~ '.....r' e _ "'1 IJ~?~ I'. l\u'i'Dbwl~riP~E~T INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: LotSize: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I " ' S\~~~ "01\C~~ i'i S\-\~\.\. f.'tP~~~\tA\1Jlt1s~~ains: 1\'\\S ?c:~i\) \.I~\)c?> ~~~~\)O~c\) fO?> ~\lI\'\O cO QR \S ' COWlWlc~~I}.'( ?cR\OO. ~w Ie. I Valuati?n Descrivtion ,I Street Improvement~: Storm Sewer Available: Special Instruction: Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of eonstruction . 11 I ,I Page I of2 Value Date Calculated Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01540 ISSUED: 10/16/2008 APPLIED: 10/16/2008 EXPIRES: 11/15/2008 VALUE: II 'I I. 225 Fifth Street, Springfield, OR 541-726-3753 Phone II 541-726-3676 Fax " 541-726-3769 InspeCtion Lille II Total Value of Project Fe~~ PairlJ II Fee Description II . + 100/u Administrative Fee 1r + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number ii !~ Total Amount Paid II II ,I ,i I Ii To Request an inspecti~n 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 workday. Ii $20.00 $5.00 $100.00 $100.00 10/16108 10/16/08 ' 10/16/08 10/16/08 1200800000000001064 1200800000000001064 1200800000000001064 1200800000000001064 $225.00 I Plan Reviews I 41 I ~e,')'~ke~ Insl'ec~io~,~ I II Banner Removal: To be requested the day following the expiration ofthe permit. If inspection is not requested, the applicant may f6\'fiet the deposit. 11 'I By signature,l state and ag~ee, that I ha~e'carefulfy examined the completed application and do hereby certify that all information hereon is true ~nd correct, and I further certify that any and all work performed shall be done. in accordance with the Ordinances of the City I:of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wiII be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only c~ntractors and employees who are in compliance with ORS 701.005 wiII be used on this project. I further agree to ensurc th:~t 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 wiII remain on the site at all tim Sdllringc:n=n.t\~~l JM~r \,01 (02/ O~ r or C~ntractors Si;atu~rF' - , - Date Page2 of 2 225 Fi!th S-tc1.)et Springfield, Oregon 9747,7 I 541-726-3759 Phone Il ~l Job/Journal Number COM2008-0 1540 COM2008-0 1540 COM2008_0 1540 COM2008-0 1540 Payments: Type of Payment CreditCard cReceintl .1\ RF;CEIPT #: Descrip~ion Banne'r Special Permit 'I Deposit + 5% Technology Fee " + 10% Administrative Fee il Paid By jl DA WNA JApPERT City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000001064 Date: 10/16/2008 Item Total: Check Number Authorization Received' ~y Batch Number Number How Received djb 016619 In Person Payment Total: Page I of I 2:35:30PM Amount Due 100,00 100,00 5,00 20,00 $225.00 Amount Paid $225,00 $225.00 10116/2008