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Home My WebLink AboutPermit Signage 2007-10-4 ~".'."'.' ~' ~" ~;I I~, 1 ,~,:~::r{ r:L::J., \, ,:'J; > 'i' ,,~.-t: Q:1 00: """~,..". ~-\ <:S); )O~. ~' ~: d.J);' ,.-;....~ ~/-4.:> ~.. C); . )~-:> 'f,_...,,,.t; ~1 =t Sl 8, 0:, y' D" " ~~ ",J1 5 ~; . (ji); ~; ~, 0.0'..,' "J~"" ,.::;.,..",,..., .. .' iJ!/-l\ (1) ,. " ..,1. :.0 . Cd> Wi 0' ~..,'" ~i """-- ' ~~ I"'t!~. ~ ~, g:t ct\:$.,. ~.~ 225 FIFTH STREET e SPRINGFIELD,OR97477 . PH:(541)726-3753 . FAX: (541)726-3689 CO~ e.,cc/_6! rb.3 City Job Number Job Location 1565 MbhawlZ. '7D~Z5"3 r , "i p-'\.vv, Assessors Map Tax Lot bbYOa Owner Owner of Property M /_ 0v 1'1 C{ L.J I S ~ Address I ~ 6 S ('y) () L-, a 1.-0 I ~ g \ v ~ . Phonp (~r;'-ll ) };o; - Lf 6 (J g City /;t.JIi'nyf,e.l.) State,.,A -ZiP q 7lflJ/ . I ~~ ~~~ 'lJ~\,\\\~. C olltractor/lnstaller , tI. \e,~ "~\~~~~s \ \~\\,,~ Contractor ~ W Al ~ 3iC60 A '0'1 \\\~)\e~ ~~~ ~~%::~~l- .> ~\:.~\Ot 9.00.JlS "t\\Q';l~ ''''~ ~f-\\\ "',\!\~~ ~~~ ~ N\I t\)\e9Caf\\at. O\\\tOU~ G e' \n@ .~"~ Address \n\\O ..t.\O(\ .. nO'\ :n9\'9," ~e\~,' ~, \-\o\\\\Vgo'2:Qv \ 0\)\9.\\\ ~o\El" ~,\g ~, ",~ I opS\ {(\9.'1 at. ~ ~~. f\~)' City \(\ ~_ "'l0\1,(C ,...e~~_~ ":.a,?lQ..~~~" Zip O\J ~\\'(\~ ,\\ \"a v ~ i~''''~ (i :oat \ot :\! Construction Contractors License # t\u~ c.a~ Expire" Description (\I\Oh. 0 P L'i fJ-, CII h VJ d Date of InstallatioD 10 - 0 b - C> 7 Date of Removal 10 - 3 a - 0 7 Permit Fee: $161.75 including $100.00 Deposit. By signature, I state and agree that I have carefully completed this application and hereby certify that all information herein is true and correct. I further agree and understand that the above described banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days from the date listed above. If the banner(s) and/or portable sign is not removed within thel'~1i.ne specified, I will forfeit the $100.00 deposit. I also understand that this special perm!~ ~ ~\d only twice per calendar year per development area. I also agree to call the inl~\~~ 6-3769 by the end of the 30th day to request an inspection to verify the remov~"~~ ~ :~&~r portable sign(s). This inspection will begin the process to return t~~~~~~~wl ~ er(s) and/or portable sign(s) has been removed. ~ ~<o ~~~ J..~\> ~ ~ \~ ~ c- / . \Y\ K~\)~\ ~~\> ~ fc.~\\)\>' SignatuP" ,\ )//<:,oVld", t, L,4~J~t'-1/~_""~~~t'\~V])atP Ib- tJ'-j -07 ? -' , C,\)\~' \ co\) vF For Office Use ~~ Job # c.. 7-o( ~- C> (, Date of Application I ~ ~ Issued By p" .5 Amount Collected Receipt # / y"// /2-7Z Shared Drive (T.)/Building Forms/Banner]ortable Sign Permit CSD 8-06.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01503 ISSUED: 10/04/2007 APPLIED: 10/04/2007 EXPIRES: 10/30/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1565 MOHA WK BLVD ASSESSOR'S PARCEL NO.: 1703253106800 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner - removal date 103007 Owner: MCDONALD'S-MOHA WK Address: PO BOX 51060 EUGENE OR 97405 I CONTRACTOR INFORMATION' Contractor Type Sign Contractor OWNER 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 INFORMA nON I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped:l\~ Paved Drive Rqd: com~'NQ1' % of Lot Coverage: ~"t " ~ \\ ~01 \\f)'1\t~.'lll'!. ~~~\~, -r;\.\\S V~~:n fa" .' I PUBLIC IMPROVEME~~~~\1.t.~ U~~~, ~~~u\{. · ' . . ~~t.~~~. . C~~'{ '\ ~~spouts/Drains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01503 ISSUED: 10/04/2007 APPLIED: 10/04/2007 EXPIRES: 10/30/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L..Fees Paid. Fee Description + 10% Administrative Fee + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $14.50 10/4/07 1200700000000001272 $2.25 10/4/07 1200700000000001272 $45.00 10/4/07 1200700000000001272 $100.00 10/4/07 1200700000000001272 Total Amount Paid $161.75 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 InsDections I Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may forfiet the deposit. 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 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. \\ ), C; ~"1d~ a,V ,.. 16~CfLj--- 07 Owner or Contractors Signature Date . Pa\?:e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone J Job/Journal Number COM2007-01503 COM2007-01503 COM2007-0 1503 COM2007 -01503 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Banner Special Permit + 5% Technology Fee + 10% Administrative Fee Deposit Paid By DOSONDASANDHAR City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001272 Date: 10/04/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 004655 In Person Payment Total: Page 1 of 1 11:09:11AM Amount Due 45.00 2.25 14.50 100.00 $161.75 Amount Paid $161.75 $161.75 10/4/2007