HomeMy WebLinkAboutPermit Signage 2004-8-23
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
*
. ~
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01045
ISSUED: 08/23/2004
APPLIED: 08/23/2004
EXPIRES: 02/23/2005
VALUE:
Status
Issued
SITE ADDRESS: 2152 MARCOLA RD
ASSESSOR'S PARCEL NO.: 1703251301500
Springfield
TYPE OF WORK: Banner
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Banner - single banner permit obtained to satisfy code enforcement action. Banner has
been removed prior to obtaining banner permit.
Owner: TRl-W GROUP LTD PARTNERSHIP
Address: 100 SE CRYSTAL LAKE DR CORVALLIS OR 97333
I CONtllRACTOR INFORMATION I
"
. rJl;'l-\j~\\' l<\
Contractor ~~ r;;,O~ 0\ ,o~ ~.
OWNE~ \'8"~", o'~ ",,0 :',tl:,:;J::'~
~.O'~';6 '0'1 ~0 ~~rnR1LDiN-GtINFORMATlON I
...._~O 'l>60~ ~o ~ov,\f) 0\' 1,,09"-'i!ifi"
# of Units: ~v:. ~rJI> CJ3~\.if.~,<;:).;s< CO~\0: '$>0 '!\~~Stories:
Primary occupll''b'(yjC~e.~: J:j<;:)'s:J ~\~~ );\o\'ll' ~\~~ll~t of Structur~..
Secondary Occu~a~iW-e;~: ~'\ 0 ~0" ~ o~ \S a!;f.ype of Heat:
Primary Constr~~~!l.~\) ~ 0 C'll~ O\'ll\f) !:l\l'~ Water Type:
Secondary Constr\R~'fY~~ ~ '$>'ll . ~ ...'tl Range Type:
# of Bedrooms: ci;;'~'.&>'ll\ \0 ro,\.'ll\ ~ Energy Path:
~~'- 0'll Sprinkled Building:
Contractor Type
Sign
License
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
TlI.t8J'?-\
,\~,\~~pped:
So:. ~ ~~W"ct:
~13~ ~~<(' ~'V ...
,,-,-'- '\~C:> ,,\)~
rY\'r ,0. ~~\.I
I PUBLIC IMPROVEMl'1m:S;,~~~~tc:> ~~'.
'\~C:> :\\)~:\,,~~S1~"'iype:
'i0'\".~<O' ~
~ '0~\". 'O'\:) ~wnspouts/Drains:
,\.,~-l,\ ,
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Selback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
. Date Calculated
Total Value of Project
Pa2elof2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
Banner Special Permit
Total Amount Paid
.
L.Fees Paid I
Amount Paid
Date Paid
. CITY OF ~rKil~ld'lJ<.,LU
Building/Combination Permit
PERMIT NO: COM2004-01045
ISSUED: 08/23/2004
APPLIED: 08/23/2004
EXPIRES: 02/23/2005
VALUE:
Receipt Number
8123/04
8/23/04
1200400000000001251
1200400000000001251
$8.00
$80.00
$88.00
I Plan Reviews I
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.
I Reouired Insnedions I
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I 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 is located at the front of the property, and the approved set of plans will remain on the site at all
times durin onstruction.
Pa~e 2 of2
AhJ~Y
Dati
,
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-0 I 045
COM2004-0 I 045
Payments:
Type of Payment
Cash
8/2312004
.
RECEIPT #:
Description
+ 10% Administrative Fee
Banner Special Permit
Paid By
MOHAWK COIN LAUNDRY
ar~.A!NQ~J!I:D_-' ,_',., :',
~._ I
.~ ,
'lI!U!" ,
....._~~ ~7 j
liMY of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
1200400000000001251
Date: 08/23/2004
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb In Person
Payment Total:
Page I ofl
1:24:11PM
Amount Due
8.00
80.00
$88.00
Amount Paid
$88,00
$88.00
ZZ5 F1ITH STREET" SPRINGFIELD, OR 97477 " PH:(541)7ZG.3753 "FAX, (541)7ZG<~689
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?~ ,~" ciTY OF SPRINGFIELD, OREGON '.
City Job NumberC-Ou-\LOO l{ - 0 1 D4";
Tax Lot
01 SO-O
OWller
Owner of Property ~ J
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Address--'c:n::> $(::;' C.~'~L LX-. hQ..
City ~""Alk... '.~ Stat" oct.
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COlltractor/lllstaller \~"" \0~\0~O~ ",0\ ,O~~.
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Contractor '-"' tY.'f"I"C5'Yf'-'D'I ,,\\0"'.0. 9'0 0 '0'1
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~~, 0.60 ~o \)~'(I ~\'(I0 o(\e
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City ,~~~~~~'10~\l>~' ~;\,)\~~",r.A). State
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ConstructIon ContrlUiWi;i.&~I~..{L. #
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Address
Phon"
Zip
Expirl'O
Description ~/t-H;Vt:rQ...
Date oflnstallatior <ih Date of Removal 'o/fr- .t\r:I~~
I ~ ---- ...I."" "\
+e. gr- 1{'W'" S~v
Banner Permit Fee $80.00 + quired Deposit s;+oo;GG ; l~~}i~~ Fee
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By signature, I state and agree that I have carefull~ rJ~\l~~~ ~lOn and hereby certify that
all information herein is true and correct. I further a~ Il:I'e;!i ~he above described
banner(s) is not larger than 60 square feet, and will be ril~~\~'\Wfuih I days from the date listed- .
above, If the banner(s) is not removed within the timeline~pt~~; I will forfeit the $100,00 deposit.
I also understand that this special permit can be issued onl~\lwice per calendar year per development
area. I also agree to call the inspection line at 726-3769 by the end of the 14th day to request an
inspectiOl(to verify the;>-~-al of the ba7Znnercs), This inspection will begin the process to return the
$100.00 deposit ifthe-15ann ~~n re 7'/:.' , J , \ j
Si6- /f /, v fJ I' 3AIA.' /fJ)/I~ Dot" ~/,;JCj'6lrj
( . ( Fol' Ofj/ce Use
Date of Application CZS'/Z.?lo""\ Job # c-unsc<.- DI 0'1)"
Issued By
';M;:
Receipt #
~8~
Amount Collected
Shared Drive (T; )/Building Fonns1Banncr Pennit CSD I-OJ.doc