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HomeMy WebLinkAboutPermit Signage 2005-7-15 225 FlITH STREET. SPRINGfIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~j .QJ .,:",-l~ ri.{)J ..t~f ~ e) ,...-~~ Ql (!()J ~ ~ .,e( ~ ~~ ~ ~ ~J t._~ -,,) ~r-~~ ~l ~I. ~i ~ €jl ~l EJ e; U 'J l~ e,) Tr-~t ~( ~4 ~i .~~ ~ ~\. ~( ~j (!]J) J ~i ~~ g:l ~l ~) . !l ~l .' -.. ,.~ _ ----..-",":... " SPRINGFIELD " , City Job Numbe.[oM 'Z<=>O-S -00 ~ I S- Banner Location I q ~,4- /l1 Ci.A..-~ 0/ "'- KJ / ~ ~~. ~m'Il~~~' J :::!;:.!.~~ i\\\ . AssessorsMfl' /703 z.sz.. 3 ,J.\.Ole~o~~~~~;le:~\ _ ., o~ ~~~\ I . aoo\l\";r-ose :1\ or>-\' -::>-\J.\eS '0'1 OWller . r>- ~\o'l'l 1\J.\eS ce\\wl. \ () \r-IO\J.~s 0\ \r-e I :1\0\\0 Owner of Property {12 I. vJ ~()()\-~~\a\\\ C?~~" \r-e ~~~~lca\IO\\ ~ \\\ Of'."~oA\\,a~ -\\wI, '\~~ \)\I\I'-'l ?,AA). Addff'<< I D-o .$-?~ ~:",~~P.OPrrsif,..?'~t - 757 - ;;).70;0 co." 1\0" 'S ,- /P fi /I \\,ue o~~~ q 3 ~ 3 City {tY'L. V(L.f .l'J ~ 'Siate Gy Tl<:::. Zir '7 J COli trtlctor/lllstallel' Contracto.lv(d-r-o uJh~ ~~ J-~.II"-L- Addrp<< 3tJ -;?.. ~. _~~~~~+L / /(' Phopp 711", .,. ~.~ I ;r-- < -d, t-.'f.-?\\'-.'t. ~\'-.~\\ \~~- /A.../? C, / City^~ .t>.\..\.. _')IS? ..en\' Statp LTt-- Zip ~/ 7-rll ~G \ \V ~\'-.~\ ~ ~~\)'t.\\ '~\>.~\)I.l\'- C.,\IS?,,"CC -\S~R' '# 1/03=/ F' Cl "0-0' onstructJon' ontractorS eglstratJon / t.,.? lj '-I- .xpJrp< / - e;L ...... ~\'I\ f\V.r.~\:,'t.v. -;:".;.\'-.\\JV' \:,Cl"':\':~\l \)1"\ . ::2 I v j/ / LL . DescqptJor ~ ~ U ~ ../ ~ . 7- /S--oS- Date ofInstallation Date of Removal . ,- / - ;;e; - OJ. 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"'- ~~ 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 djb 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