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'.')
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0090,' y~~;:'OOI'Ooj 0' ?Ose r~/e"; ;gon Uti/it;
Callin? S,;t~V Obtain ~rOugh O~t..R~~t forth
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Construction Contractors License #
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Descriptior IIOCt V\ V\ '6-v~
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Date ofInstallktior \ n - 'I - n <J.. ' Date of Remov~ 1 I I - \ '5 - D~
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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~~
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'~;:te"ofAPPlicaii'ol' ' /bf;~f--"-~-;~~;C8 - o/;qb Rec:~p;;
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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:
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Status Issued II
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Iuspection Line
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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
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Owner:
Address:
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TRI-W GROUP LTD PARTNERSHIP
100 SE CRYS~AL LAKE DR
CORVALLIS 19R 97333 '
Commercial
Contractor Type
Sign
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Contractor
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q,WNER
I CONTRACTOR INFORMATION I
License Expiration Date Phone
# of Units: ,II
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Primary Occupancy Group:
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Secondary Occupaucy Group:
Primary Construction TypJ
Secondary Construction T~'pe:
# of Bedrooms: ::
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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
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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
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"01\C~~ i'i S\-\~\.\. f.'tP~~~\tA\1Jlt1s~~ains:
1\'\\S ?c:~i\) \.I~\)c?> ~~~~\)O~c\) fO?>
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COWlWlc~~I}.'( ?cR\OO.
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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
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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
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225 Fifth Street, Springfield, OR
541-726-3753 Phone II
541-726-3676 Fax
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541-726-3769 InspeCtion Lille
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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
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Total Amount Paid
II
II
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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
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Banner Removal: To be requested the day following the expiration ofthe permit. If inspection is not requested,
the applicant may f6\'fiet the deposit.
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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
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541-726-3759 Phone Il
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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
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Deposit
+ 5% Technology Fee
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+ 10% Administrative Fee
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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