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HomeMy WebLinkAboutPermit Signage 2004-1-14 Status Issued ~ CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-Q0046 . ISSUED: 01114/2004 APPLIED: 01114/2004 EXPIRES: 07/14/2004 VALUE: 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 Springfield TYPE OF WORK: Blimp, Portable Sign, Etc. "" TYPE OF USE: New Commercial PROJECT DESCRIPTION: Portable sign -1-14-04 thru 1-28-04 Owner: Q STREET PLAZA PROPERTIES LLC Address: 2677 WILLAKENZIE RD, STE 3 EUGENE OR 97401 Contractor Type Sign Contractor OWNER I SONTRACTOR INFORMATION I License Expiration Date Phone I_BUILDING INFORMATION I # of Units: , Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: ' VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: law~~ENTINFORMATION . SET~6.~TION:o~egodnb the Oregon ,lilY ules adopte Y rA ~etm Frontyard Set~ ~, enter. Those rules 8\7V"erlh. ist: Side 1 Setba'dIQtlticatlon C 1..()()10 through OA' ~g; fees Rqd: Side 2 Setbaq\\.OAR 99~~.91" btain copies of tlPil"'~%1-i~e Rqd: ,,\(\QO. VOU' may 0 '. th tete~hone. ' Rearyard Setmi'fl{:mng the center. (\'aote. . e N }'tiffbMlbfloverage: Solar Setbacks~~~ber~~~~~~.~~';'~ ~~~~~4~)' .. , . I !.UBLIC IMPROVEMENTS' REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: , THIS PERMIT SHALL EXPIRE IF THE WOR~ownspouts/Drains: AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: Notes: I~aluation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 of 2 "~S.~Q'''l.;.LD &t'i....... ,...,..::,. WIL...- ~.- ; ~ '. ..... """,,,,--.-..-..-' ' ~ Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-00046 ISSUED: 01/14/2004 APPLIED: 01/14/2004 EXPIRES: 07/14/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I Fee Description + 10% Administrative Fee Blimp + Special Permit Deposit Amount Paid Date Paid Receipt Number $18.00 $80.00 $100.00 1/14/04 1/14/04 1/14/04 1200400000000000047 1200400000000000047 1200400000000000047 Total Amount Paid $198.00 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 Jeouired Insoections . 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 and 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 reques~ed 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 timeSd:;~/~ / //~~ ~ .~ L / ' Owner or Contractors Sig ture Date Pal!e 2 of 2 225 Fifth Street .' Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00046 COM2004-00046 COM2004-00046 Payments: Type of Payment Check Reccipt#: 1200400000000000047 Description Blimp + Special Permit Deposit + 10% Administrative Fee Paid By BETTER BODIES INC Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 01114/2004 11:07:37AM Amount Paid Item Total: 80.00 100.00 18.00 $198.00 How Received In Person Payment Total: Amount Paid $198.00 $198.00 BETTER BODIES, INC. BUSINESS OFFICE 85257 SILVER CREST DRIVE EUGENE, OR 97405 (541) 485-8109 V r \ <) /(;vJ" (I C?' ~."..~IJ-hf.J/ v:~ '''':::l-->:''' /' I''''' '\ c' ~ //' PAY TO THE ORDER OF o V\ e:: ~ v-- vI'- ,DOLLARS ~ ~ U .E ~ m ~ ! ?i ~ m '" MEMO )/7N fetut-t iT CT~t.1 lIaOO gB ~ gllll -: ~ .. ',l .. ! ) .. ~. s. ~. Cl), ~, ~.) M "'..1 ; oj}: :,,:,:::~' M ~-4 U. ~ c:j (1), C/!,} ~: r:.Id . ~; Q; 0. '---;:...j : ,..~ , C;"d"' hlO, ---.. 00: ~ ~' c;:d. t:::r ~' (j,), ~r ---.. 00: ~; OJ) "~'I C()} . (jJ), .... J' ("'!'),. I , C\:$" ~" ~.. O. C')..,tl. ~.' ~, ~..".: ' ~/, ~; ..~. ,............( Qd, {)A v tlJ 3:.6V/( > BY .- 225 FIHH STREET. SPRINGFIELD, OR 97477 . PH:(541)726<H53 . FAX: (541)726-3689 City Job Number COt.4'\ ZoO y ~(X.) 0 4 b Job Location 7'; c: .' - (1 P S /12Pe;:/ StFlIJ () fl 0 77417 Tax Lot 0 Z- l 0 :J Assessors Mar /7032b3/ Owner of Property G, <;3T 'Li4 zA P 12.J/i1l12lL71 # J LLc. Address (13 g ( _\dIJ/. L,ALI~ City B~/J . State () eb Zip ~ 7 7 fJ 1 ContractorlInstall('f c:> (,J N GfL Address Phone City State Zip Construction Contractors Registration # Expires CP{)~1ltSfL ~/oMS) Dat~~ +~r",,-- i - Z Z5 - 0'-( Description A-FJZAt;v~ . ,IN-fa l/- . ! ~9~, . '- Date of Installation 1- I Lf ~o Lf Permit Fee $80.00 + Required Deposit $100.00 + 10% Administrative Fee r I '78 c:.;.- / By signature, I state and agree that I have carefully completed t~is application and hereby certify that all inforn1ation herein is true and correct. I further agree and understand that the above described display will be removed within fourteen (14) days from the date listed as the date of installation above. If the display is not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that this special pern1it can be issued only once 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 display. This inspection will begin the pr~c/!to return t~O:f;AO de osit if the display has been removed. I Signature ~1 --(1C.(/A / Date / /3 Jo 1; l~ -~ . . ( For Office Use Date of Application /--1'1-0 l-( Job#Cot11Z00'f-OOO 4 b Receipt# cl, 8C,Q "'"b ~ Amount ColJ.wtf[tnI6~tdreg~law rAqlllr9s you to . follow rules adopted by the Oregon Utility NOTI~~MIT SHALL EXPIRE IF THE WORK \Jotiflcation Center. Those rutes are set t8rt THIS ZED UNDER THIS PERMIT \S NOT n OAR 952-001-0010 thro~gh OAR 952-QO AUTHORI OR IS ABANDONED FC8\- Ire 0090./VOdJrnay obtain copIes of the rutes l COMMENCED calling the center. (Note: the telephone ANY 180 DAY PERIOD. Shared Drive(1'1M~}?,l~~~&~~:t~~~~~~~~.!~~~fiCation Issued By