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Home My WebLink AboutPermit Signage 2007-05-16F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00709ISSUED: 0511612007 APPLIED: 05/1612007 EXPIRESz 1111612007 VALUE: SITE ADDRESS: 1509 MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703253403900 Springfield TYPE OF WORK: Banner TYPE OF USE: New Phone Number: 744-0811 License Expiration Date Phone Commercial PROJECT DESCRIPTION: Banner permit for May 18th through July 17th. Owner: Address: TOMMYS 1509 MOHAWK SPRINGFIELD OR 97477 Contractor Type Contractor )NTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: THIS PERMIT SHALL # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla REQUIRED PARKING Total: Handicapped: Compact: law requ lres you to ATTENTION Oregon the Orego n uti lityby EXPIRE IFStreet Infrgqrpun$ED U N D ER THIS PERMIT IS NOTstorm sGCI[4{+EilHDE0 0R lS ABANDONED FOBSpecial rAilryuqB$D AY P E R I 0 D Notes: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPM Description Tvpe of Construction Page I of2 Value Date Calculated l, U lLull\ rJ lN I( UKlvL,t_!_!!21'U ln 0090. numberlor Valuation Description 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: COM2007-00709ISSUED: 0511612007APPLIED: 05/1612007EXPIRES: 1111612007 VALUE: Fee Description + lloh Administrative Fee + 57o Technology Fee Banner Special Permit Deposit Total Amount Paid Amount Paid $19.00 $4.s0 $90.00 $100.00 $2r3.s0 Total Value of Project Date Paid 5n6t07 5n6t07 5fi6t07 5tr6t07 Receipt Number 2200700000000000763 2200700000000000763 2200700000000000763 2200700000000000763 Fees Paid Plan Reviews To Request an inspection call the24 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. Sign Final: After all required inspections are conducted and approved and the sign installation is completed. 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 during construction.,LC 5-/L-07a^*'L- Owner or Contractors Signature Page 2 of 2 Date 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Citr, of Springfield Official Receipt lopment Services Department Public Works Department RECEIPT #: 2200700000000000763 Date: 0511612007 2:54:05PM Job/Journal Number coM2007-00709 coM2007-00709 coM2007-00709 coM2007-00709 Description Banner Special Permit Deposit + 5% Technology Fee + llYo Administrative Fee Amount Due 90.00 100.00 4.50 19.00 Item Total:$213.50 Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check STEPINA'S lkw 12201 In Person $213.50 Payment Total : -57iii.5-d- cReceint I Page I of I 511612007 atmfim-s uhecl(Number Autnorrzatron 225 FIFIH STREET . SPRINGFIELD,OR 97477 o PH:(541)726-3753 r FAX: (541)726-3689 City Job Number Cr - rcroa l-to {Job Location Assessors Map Owner Tax Lot Owner of Property Address3 -bt t/ L City (State City State-Zip Construction Contractors License # Date of Installation S-Date of Removal Permit Fee: $161.75 including $100.00 Deposit. By signature, I state and agree that I have carefully completed this application and hereby certifu thaf 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 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 30ft day to request an inspection to verifu the removal of the banner(s) and/or portable sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or portable sign(s) has removed. Signa 4-rs-07 or Date of Applic rca* Q-1 -Vn?07 Receipt# Amount Collected oIssued By cr(t;r -o Shared Drive (T:)/Building Forms/Banner-Portable Sign Permit CSD 8-06.doc CITYOF SPRINGFIELD, a^ Contractor/Installer l. -Ft. r-J 1-1 H$-{().al*( t-{eo o ;P(a () n:--!{,..o cs3-F!)L.t At-La L{() -1-Hcs m, Alfice u{a