HomeMy WebLinkAboutPermit Signage 2006-12-12Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01584ISSUED: 1211212006APPLIED: 1211212006
EXPIRESz 1211212006
VALUE:
SITE ADDRESS: 1499 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1
PROJECT DESCRIPTION:
Owner:
Address:
WENDY'S
% PMD
EUG
TYPE OF WORK: Banner
13) TYPEOFUSE: New Commercial
Contractor Type
Sign
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Building:nla
License Expiration Date Phone
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
#of
$ Per Sq Ft
or multiplier
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
"h ofLot Coverage:
1\
Sidewalk Type:
Downspouts/Drains
REQUIRED PARKING
Total:
Handicapped:
Compact:
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of2
Yalue Date Calculated
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Valuation Description I
F
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01584ISSUED: 1211212006
APPLIEDz 1211212006
EXPIRES: 1211212006
VALUE:
Fee Description
+ l0o/o Administrative Fee
+ 57o Technology Fee
Banner Special Permit
Total Amount Paid
Amount Paid
$4.50
$2.25
$45.00
$s1.75
Total Value of Project
Date Paid
t2lt2l06
t2/12t06
12n2t06
Receipt Number
2200600000000001680
2200600000000001680
220060000000000r680
Plan Reviews
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.
red Insnections
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 durin g construction.
\,lr2/oU
Owner or Signature
Paee 2 of 2
Date
**:
-r ees raro r
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cir'' of Springfield Official Receipt
D .lopment Services Department
Public Works Department
RECEIPT #: 2200600000000001680 Date: 1211212006 E:20:26AM
Job/Journal Number
coM2006-01584
coM2006-01584
coM2006-01584
Description
Banner Special Permit
+ 5% Technology Fee
+ l0o/o Administrative Fee
Amount Due
45.00
2.25
4.50
Item Total:s51.75
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check PMD RESTAURANTS LLC djb 16385 In Person $51.75
Payment Total:
-53TF
cReceint I Page I of I 121t212006
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225 FIFTH STREXT .SPRINGFIELD, OR,97477 r. PI.I:(54 1')726-3753 o FAX: (541)726-36g9
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Job Location
Assessors Map /7-03-Z./-'- 7/-O'39 a o Tax Lot:, r ,;l',: . ,i,,-.Awiiert, , 'l i;r
Owner of Property
Address q2Zc?
ene :'
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Construction Contractors License #
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IS PER -d
llermit Fec: $t61.75
CED OR IS A
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By signature, f state end agree thar I have carefully complcted this application and hereby cerdfy tharall information herein is true and corect. I funher agree and understand:that the above describedbanner(s)anri/or portable sign(s ) is not larger thar 60 square fee!and will be removed within 30 daysfrom the tiate listid above. If the banner(s) and/or portable sign is not removed within the timelinespecified, I will forfeit the $1 00.00 deposit. I also undersmnd that this special perrnit can be issuedonly twice per calendar year Per development area. I also agree ro call the inspection line at 726-3769by rhe end of the 30th duy to request an inspection to verify the removal of banner(s) and/or portablethesign(s r). This inspe*ion will begin the process to return the $100.00 deposit if the banner(s) and/orportablehasbeen removed.
'!gl,oflice Use
Date of c6*tss l6 rolob #Receipt #
Amount Collected g?f
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Date of Inst all'a1isy1 kn-(n o ; ^ -
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Expires
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