HomeMy WebLinkAboutPermit Signage 2005-7-15
225 FlITH STREET. SPRINGfIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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SPRINGFIELD
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City Job Numbe.[oM 'Z<=>O-S -00 ~ I S-
Banner Location I q ~,4- /l1 Ci.A..-~ 0/ "'- KJ / ~ ~~. ~m'Il~~~' J
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DescqptJor ~ ~ U ~ ../
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7- /S--oS-
Date ofInstallation
Date of Removal
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Banner Permit Fee $80.00 + Required Deposit $100.00 + 10% Administrative Fee
By signature, 1 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) is not larger than 60 square feet, and will be removed within 14 days from the date listed
above. Ifthe banner(s) 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 726-3769by the end ofthe 14th day to request an
inspection to verify the removal ofthe banner(s). This inspection will begin the process to return the
$100.00 deposit ~ ~~nner(s) haJfeen re11J!ov,.,ed.
Signaturp ...,. ~fY1 ~ 0Vl Date "7 - / ~ - oS:
For Office Use
Job # [664'\1-00,' uo 'I ~ Receipt #
$ ~8()D
Amount Collected I -
Date of Application ~Ar:/'I"'-
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Issued By
Shared Drive (T:)!Building FormslBanner Pennit CSDI-03.doc
.
. CITY OF SPRINGFIELD .
Building/Combination Permit
PERMITNO: COM2005-00915
ISSUED: 07/15/2005
APPLIED: 07/15/2005
EXPIRES: 07/29/2005
VALUE:
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1934 Marcola Rd
ASSESSOR'S PARCEL NO.: 1703252300100
Springfield TYPE OF
Banner
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Banner for Robert Saks Oregons Mattress Discounter instaU 071505 removal date
072905
Owner: TRI-W GROUP LID PARTNERSillP
Address:
Phone Number: 541-757-2790
CORVALLIS OR 97333
I CUNTRACTUR INFURMATlUN I
Contractor Type
Sign
Contractor
METRO WESTERN SIGN & AWNING
License
128586
Expiration Date
04/15/2009
Phone
541-746-3312
I BUtLDING INFURMATIUN.
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELUPMENT INF'URMATlUN I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
ATTENTION: OreQon law reQuires you to
fol.low ~ules ado~~rc~~~~,ijOO:s.
Notification Cent" .
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Sidewalk Type:
DownspoutslDrains
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
I Valuation Descriution I
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Value
Date Calculated
1 of 2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00915
ISSUED: 07/15/2005
APPLIED: 07115/2005
EXPIRES: 07/29/2005
VALUE:
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
- 541-726-3769 Inspection Line
Total Value of Project
F....s P,lIid I
Fee Description
+ 10% Administrative Fee
Banner Special Permit
Deposit
Amount Paid
Date Paid
$18.00
$80.00
$100.00
7/15/05
7/15/05
7/15/05
Receipt Number
1200500000000001011
1200500000000001011
1200500000000001011
Total Amount
$198.00
I Plan Reviews I
To Request an inspection caD 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. wiD be made the following
work day.
Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
By signature, I state and agree, tbat I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certifY tbat any and all work performed shall be done in accordance
witb the Ordinances of tbe City of Springfield and the Laws of tbe State of Oregon pertaining to tbe work described herein,
and tbat NO OCCUPANCY wiD be made of any structure witbout permission ofthe Community Services Division,
Building Safety. I further certifY tbat only contractors and employees who are in compliance witb ORS 701.005 wiil be used
on this project.
I further agree to ensure tbat all required inspections are requested at the proper time, tbat each address is readable from
the street, that the permit card is located at tbe front of the property, and tbe approved set of plans wiD remain on the sUe
atalti. eS.duringCr:::tt~ ( _ 15- 05
ontractors Signature
Date
2 of 2
225 Fifth Street
Springfisld, Oregon 97477
541~726-3759 Phone
Job/Journal Number
COM2005-00915
COM2005-00915
COM2005-00915
P~yments:
TWe of Paymeot
Check
7/15/2005
e
RECEIPT #:
Descrlplion
+ 10% Administrative Fee
Deposit
Banner Special Permit
Paid By
METRO WESTERN SIGN
~.
City of Springfield Official Receipt
evelopment Services Department
Public Works Department
1200500000000001011
Date: 07/1512005
Received By
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Item Total:
Lbeck Number Autnonzatlon
Batch Number Number How Received
9202 In Person
Payment Total:
1 of 1
9:42:12AM
Amou nl Due
18.00
100.00
80.00
$198.00
Amount Paid
$198.00
$198.00