HomeMy WebLinkAboutPermit Signage 2005-10-25
2Z" nrrH STREET. SI'RINGFlELD, OR 97477 . I'H:(,,41)726-37,,3 . FAX: (,,41)726-:-1689
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DateofRemov~1 11/2-0 \'-
Banner Permit Fee $45.00 + Requit'ed Deposit $100.00 + 10% Administrative Fee
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City Job Number CO.......7-00 r - / ~o7
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Owner of Property
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Address_ 100 $<::-,'
City COfLv-..A III ~
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COl/tractor/ll/stallel'
Contractor C:>l/#Efl
Addrpoo
City
Construction Contractors License #
Description_ 00. '^ Y\ i' r
Date of Installation
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SPRINGFIELD l
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A\la~ I;JN; V\"''''~. b' the Oregon Utility
folloW rule~ aggte~h!"" rilles are set forth
NotitlCCllIU\ ,tl1i, .w" ' hOAR 9:,Z'UU ,-
001-0010 throug
. <::tat€.~~~~~)2.:.,o" nhtiZiji:Opies 01 the r~le~"bY
. U;::.JV. .....-. ~ (Note: lne l~IC;t-'''~''-
calling the center, ,M.n I Itility Notification
'ggr lnr the OExglr~ '
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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 of the 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 if the banner(s) and/or
portable Si&( ) has been removed.
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Signaturp l A'~ Date } 0/.:70/ DC;=;
Date of Applicatio" 10 - 2) -0 r
Issued By
D~
For Office Use
lob # Co.4czoof-CI )07 Receipt #
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IbeG
Amount Collected
Shared Drive (T:)fBuilding FonnslBanner_Ponable Sign Pennit CSD 8-05.doc
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CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-0l507
ISSUED: 10/25/2005
APPLIED: 10/25/2005
EXPIRES: 11/28/2005
VALUE:
SITE ADDRESS: 1900 MARCOLA RD
ASSESSOR'S PARCEL NO.: 1703251300400
Springfield TYPE OF
Banner
TYPE OF USE: New
PROJECT DESCRIPTION: Banner - install 102805 removal date 112805
Commercial
- Owner: TRI-W GROUP LID PARTNERSIDP
Address: 100 SE CRYSTAL LAKE DR
CORVALLIS OR 97333
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
I BUILDING INFORMATIONI
HTENTION' Oregon law requires you to
# of Stories" OLot Size't'l't
. t,-"ow rule, adopted by the '~>,D,...; II Y
Height of' I Sq Ft 1st Floor:
l\'-~:fi(","ltion Center. Those ru e:-. !lIe ~ta 101\11
Type of'Heat: Sq Ilt.2nd Floor:
W te,."o^D 952-001-0010 through I ".MF "\;,,'''-~u ,-
a r', J pe: ,,~q t Dasem~t:
Ra r,j,f'~ You may obtain caples Cs '[F"'t '.1.1'"'' U C rt
nge- ,., ..e: 9 l.>ara9 arpo
Energy p.liiii:lg the center. (Note: thf'slfFt('Oth~r:
Sprinkled mber for the OrerDiii' UtilitYO~\lWii,'t1.!bad:
,...._~I......;'" 1_Q()n_~,,=\,)_?1;dA.\
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I DEVELOPMENTINFORMATION I
, Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
!pUBLIC IMPROVEMENTSI
Street
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains
Notes:
I Valuation Descrintion ,
. Descrwtion
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
1 of 2
.
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CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Building/Combination Permit
PERMIT NO: COM2005-01507
ISSUED: 10/25/2005
APPLIED: 10/25/2005
EXPIRES: 11/28/2005
VALUE:
Total Value of Project
Ff'f'S Paid I
Fee Description
+ 10% Administrative Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$14.50
$45.00
$100.00
10/25/05
10125/05
10125/05
1200500000000001606
1200500000000001606
1200500000000001606
Total Amount
$159.50
I Plan Reviews ,
. To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
By signature,' state and agree, that' have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and' further certifY that any and all work performed shall be done m accordance
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem,
and that NO OCCUPANCY wiD be made of any structure without permission of the Community Services Division,
BuIlding Safety. 'further certifY that only contractors and employees who are in compliance with ORS 701.005 will be used
on this project. .
, 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 w located at the front ofthe property, and the approved set of plans wiD remain on the site
. at all ~:::;;tructi . , . IO(:J5 /0)
V'
Owner or Contractors Slgnatur Date
2 of 2
225 Fifth Street
Sp,ljpg,fi""d, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-01507
COM2005-01507
C9M2005-0 1507
Payments:
Type of Pa)'Dent
CreditCard
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10/2512005
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RECEIPT #:
~
.JJ..ity of Springfield Official Receipt
.veIopment Services Department
Public Works Department
1200500000000001606
Date: 10/25/200S
Description
+ 10% Administrative Fee
Deposit
Banner SpeCial Pennit
Paid By
DA WNA SMITH
Received By
djb
I of I
Item Total:
LbeckNumlJer AuUlorizatjon
Batch Number Number How Received
025267 In Person
Payment Total:
1 :58:22PM
Amount Due
14.50 '
100.00
45.00
$159.50
Amount Paid
$159.50
$159.50