HomeMy WebLinkAboutPermit Signage 2003-12-23
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 215 Q ST
ASSESSOR'S PARCEL NO.: 1703263102103
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-01278
ISSUED: 12/2312003
APPLIED: 12/2312003
EXPIRES: 0112412004
VALUE:
Springfield TYPE OF WORK: Banner
PROJECT DESCRIPTION: Temporary Banner 12/26/03 to 1/24/04
Owner: PURITAN SERVICES INC
Address: % TAX DEPT '370 WABASHA STREET N ST PAUL MN 55102
Owner: OREGON COMMUNITY SUPPORT
Address: 207 Q ST SPRINGFIELD OR 97477
Owner: Q STREET PLAZA PROPERTIES LLC
Address: 2677 WILLAKENZIE RD, STE 3 EUGENE OR 97401
TYPE OF USE:
New
Commercial
150NTRACTOR INFORMATION.
Contractor Type
Contractor
I_BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
License
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
SOlar~A~TION:Oregon law reqUires you to
fo~low ~ules adopted by me vr~gffvn~(hMPROVEMENTS .
\otlfic8tlon Center. Those rules a i Ii r
Stree~ \!wtRJ W'rJOO1-001 0 through OAR 952-00
Stor~.e~l>>.~~IiMlYepbtain copies of the rules I
Special mMlifngUhe center. (Note: the telephone
number for the Oregon Utility Notification
Notes: ~~....+'""'";~ 1-~nn-::t~?-2344L
Pal!:e 1 of 2
Total:
Handicapped:
Compact:
SP~~ to the Oldcr r'
. ,f'o'rmg~' v;
Sid~alk\~y.ne: le!d Branr">j'1
' . ""'IJNAL B \"
DFnr ,,- -t In . ~NK OF Or~~
ownspo,u s/:vr,a!ns: 1 . \'2:t::~^ ,
--., ......,IIY 53 '~~-"'\l
CiTY OF SPOI"'~ 6 0',::5 25
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CITY'OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-01278
ISSUED: 12/23/2003
APPLIED: 12/23/2003
EXPIRES: 01124/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Paid I
Fee Description
Banner Special Permit
Banner Special Permit
Deposit
Amount Paid
Date Paid
Receipt Number
$80.00
$80.00
$100.00
12/23/03
12/23/03
12/23/03
2200200000000001912
2200200000000001912
2200200000000001912
Total Amount Paid
$260.00
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 Insoections I
. 1 Sign Final: After all required inspections are conducted and approved and the sign installation is completed.
By signature, I state and agree, that I have carefully examined the completed application arid do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be 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 of any 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 during construction.
S? ~?~1l Oate/2/~i2C7
(' 'Owrfer or Clntractors Signature jI' / /n
Pa2e 2 of2
225 Fifth Street ..
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01278
COM2003-0 1278
COM2003-01278
City of Springfield Official Receipt
Development Services Department
Public Works Department
Receipt #: 2200200000000001912
Description
Deposit
Banner Special Permit
Banner Special Permit
Payments:
Type of Payment
Check
Paid By
BETTER BODIES
LnecK l'umoer
Batch Number
Received By
dIm
9807
Date: 12/23/2003
10:34:31AM
Amount Paid
Item Total:
100.00
80.00
80.00
$260.00
Authorization Number
How Received
In Person
Payment Total:
Amount Paid
S260.00
$260.00
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225 FIFTH STREET. SrRINGFIELD, OR 97477 . rH:(541)726-3753 . FAX: (541)726-3689
City Job Number 1.iJJd_21fi) ~o 12-7 (;
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Assessors Map~/ 7 ~_~ 2-&1 ,~/ t:J 2/0 ?
0;7 '177
Banner Location
Tax Lot
Owner
Owner of Property
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Zip
Addres"
:J- / I::;
041.(' J/
t/ r
Stat~ [) A.
City
Contractor/Installer , J, J, 0 .f' I,:) r
Contractor a 0 f(J j / I.. e 1 c
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Address '2 1~'tjJ hrreel-
City SliJfol
II
60J/e5
Phonp
~!JOIO!d1(
Zip Cj 7 tf 77
State O~
Construction Contractors Registration #
Expirr"
Description
~ promo f1.11~r
r
I -;( /';;;6 h. ~
Date of Removal
/ /gq/o '-I
Date of Installation
Banner Permit Fee $80.00 + Required Deposit $100.00 + 10% Administrative Fee
By signature, I state and agree that I have carefully completed this application and hereby certify that
all infonnation herein is true and correct. I fm1her 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. If the 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 726-3769 by the end of the 14th day to request an
inspection to verify the removal of the banner(s). This inspection will begin the process to return the
$100.00 dep~~b~~ been,~en~9,ved:: ___?
Signaturp // I 1/1/ ~ 'i,r(./ _ ~ Date /~7 6 ?Jb ~
1/ t/ -
For Office U'iie
Date of Application
Job #
Receipt #
Issued By
Amount Collected
Shared Olive (T:)/Building Fonns/Banner Penni! eSDI-m.doc