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Home My WebLink AboutPermit Signage 2007-12-11 - . ,:".I """' .", 'P - " '" ~ '^ ~,~ ," ,-'&~~."j~TT,,,~z;\ lsnn'lD<TI;t'i[;'.T,n.J'''Ri'V_I0\T>'DC'...F\Xl :~, ~,. ~~~~~~~~J$1,~?~if~'~ i:~~:~,~jlj1t~~~~.~~~1'~'":~iB:;~N-:i", J~~:i! 225 FlffiJ STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 aJ City Job Number COW{ ec>c> 7 - DI g Ib ."~4 .' ..~; JobLocation ! (vlo J-{~I!. t?J.-V 0 '. ..~ AssessorsM~p 17D3253 ( Q ~j 1/ ~ OwnerofProperty U<.. %~~ <"OJ .4'~4 ~ ~ ~ ~. l~ .",.. 14 ~l ~~. ~.l ~ e; ~~; ~; 4 -; ~ U Ii I, '. -.. 'r-J~ ~: ~4 t_t; ~ ~\. ~4 --, ~~ Ie;(o) ..~ ~ ~ 't . J4 .Jf:;Jj '~; ~:1 ~ fi!!'I, ' ~, --=:-... ~ I, <llQ~ a ~1 ~ ~~. "",t) ~1 Tax Lot Owner ...--. Addres" - ~ Phon" ,^TTENTION: Oregon law requires you ~M _ City ~~ow rules adopted bv the OresooeJtil>>1C""'-- , - [\Iotltication Center. Those rules are set forth C t t.n t II in OAR 952-001-0010 through OAR 952-001- on rac ornns a er0090 Y " " ou may obtain copies of the rules by ContractN calling the center. (Note: the telephone numoer lO~o.e uregon utility Notification A~~I is 1-800-332-2344). (),y' Addres" P/>nnp City '>tate' Construction Contractors License # D S' 'DO ~1-6 6af1 ~ Zir Zip Expir"" Descriptior --~-h-,I7/12- Date ofInstallatior l'Z--/{ -cJ1.-,-- Date ofRemOValZ~~1...Jtt;;d--/?f:q;'5 '> 6/ -((-0 if PermimV~ClB1i1.75 including $100.00 Deposi~. By signature, I state and agree th'1~I~~fl?Mllefl1~' I ~It ~Ffil:i'~on and hereby certify that all information herein is true and cMtJ&9 ~ lfifrltby '. t.Jri~'<R mat the above described banner(s) and/or portable sign(s) is<rlbtt'1Mfi.t!~~% e ;'a'tJd''<vill be removed within 30 days from the date listed above. If the ~etOO ~J'~ Ie sign 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 ofthe 30th day to request an inspection to verify the removal ofthe banner(s) and/or portable sign(s). This inspection will begin the process to return the $100,00 deposit if the banner(s) and/or portable sign(s) has been removed. "...--, ~./ ~, } Signatur" ~./'"7 \./ ~ For Office Use Date of APp!iCationj00-:7 Job #..i:....7 - Of 1St b '/17 DftP/2~ II~01- Receipt # /(,/7L Issued By Amount Collected j Shared Drive (T:)IBuilding FormsIBanner]ortable Sign Pennit CSD &-06.doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01816 ISSUED: 12/1112007 APPLIED: 12/11/2007 EXPIRES: 01/11/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1620 MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703253105900 Springfield TYPE OF WORK: Banner PROJECT DESCRIPTION: Banner TYPE OF USE: New Commercial Owner: US BANK OF OREGON Address: LAKE0012 2800 EAST LAKE ST MINNEAPOLIS MN 55406 I, CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License t-.,"r\f~'r"'I.1 n I ." l...: --CGon !awlrdlm.L.DING INFORMATION I , ',:" rUleS aDopted by the Oregon Uti/'t # of Units: I.~f'catlon Center. Those rules ,!!,.t!IS%~~ Primary occupa;J9~r~JrOO1-001? through O~<Wl!-e6tlructure Secondary Occupa'C'i/iiliiro mfay obtain copies of t!{(IIU~~t: .. Prima..y ConstrucHBIh~il> ' e center. (Note: the t~!)ifFYpe: Secondary Construction ~~tithe. Oregon Utility NiRitiulrtffil'pe: # of Bedrooms: n er IS I-BOO-332-2344)nergy Path: Sprinkled Building: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: ' I PUBLIC IMPRQrj;~,Ij:~if~ I THIS PERMIT SHr..~~ 'T^~\S'PERMIT IS NOT r..UiHORIZED UNO\S ABANDONED FOR ' COMMENCED OR ANY 180 DAY PERIOD. Expiration Date Phone Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Slj Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Notes: I Valuation Descriotion , Description Type of Construction $ Per Sq Ft or multiplier Sqnare Footage or Bid Amount Paee I of2 Downspouts/Drains: Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01816 ISSUED: 12/11l2007 APPLIED: 12/1112007 EXPIRES: 01l11l2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Numher $14.50 $2.25 $45.00 $100.00 12111/07 12/11/07 12/11/07 12/11107 1200700000000001485 1200700000000001485 1200700000000001485 1200700000000001485 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. ~ Rellllired Insn~c~~,o,n~ I Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may forfiet tbe deposit. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is truc and correct, and I furtber certify that,any and all work performed shall be done in accordance witb the Ordinauces of the City of Springfield and tbe 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 tbe front of the property, and the approved set of plans will remain on the site at all times during construction. ,----- ~7) /'2'J/b~9-- Owner r~;~~gn~ Date Paee 2 of2 225 Fifth Street Springfi'eld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 18] 6 COM2007-0]8]6 COM2007-0]816 COM2007-0 1816 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: Description Deposit Banner Special Permit + 5% Technology Fee + ] 0% Administrative Fee Paid By RYAN YOUNG e~QF;~. ' ..' ~ ' City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001485 Date: 12/11/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 04748] In Person Payment Total: Page I of I 2:29:27PM Amount Due 100,00 45,00 2.25 14.50 $161.75 Amount Paid $161.75 $161.75 12/1112007