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Home My WebLink AboutPermit Signage 2008-10-2 _. ',.t. CITY OF SPRINGFIELD " Building/Combination Permit PERMIT NO: COM2008-01499 ISSUED: 10/02/2008 APPLIED: 10/02/2008 EXPIRES: 04/02/2009 VALUE: Status' Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1565 MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703253106800 Springfield TYPE O.F WORK: TYPE OF USE: PROJECT DESCRIPTION: Banner permit for MacDonalds- Removal date November 7 2008 Owner: MCDONALDS CORP 036-0023 Address: 1565 MOHAWK BLVD SPRINGFIELD OR 97477 Contractor Type ,Contractor All t:NI1UI\I: uregon ICl..W 1~4UII~l:) yvu \\1 I CONvR\\G'fOR1INFORMA 'FIe!>." .~v" Utility nUlllt'.;c\lIUII Vr.:;;lllvl. -.r.!J!!. ,,~:..f~..,lI!lre set forth in OAf, 952.001.0010 t~tTl:m<;?AR 9~.-J)P~;ition Date Phone 0090, You may obtain copies olthe fijM/l Dy __1':__ -l-l-,,",- ............-1-".. 11\1....+0.. tho tolonhnnA __u,' ,_, . , BUIILflINf> INRORM'J\lffON'llity Notification , v'er:l~1 l~ l-ov0~.J.J~-2344). , # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occnpant Load: ...~ I""c. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I, DEVEL0PMiN'Tnl~~~AlffeNl\fllIF THE WORK . AUTHORIZED UNDERTHI~ PI:RMIT IS NOT REQUIRED PARKING 19.Y~i"~Y.:,Q~W OR IS ABANOONED FOR Total: m~tr~'l3(f\J'As{IK<\~IOD. Handicapped: Paved Drive Rqd:. Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion ,I Description Type of Construction $ PerSq Ft or mnltiplier Square Footage or Bid Amount Value Date Calcolated Paee I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01499 ISSUED: 10/02/2008 APPLIED: 10/02/2008 EXPIRES: 04/02/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P3id I' Fee Description + 10% Administrative Fee + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid $20.00 $5.00 $100.00 $100.00 1012/08 10/2108 10/2/08 1012108 Receipt Number 1200800000000001028 1200800000000001028 1200800000000001028 1200800000000001028 Total Amonnt Paid $225.00 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 madethe same working day, inspections requested after 7:00 a.m. will be made the following, work day. Re(J~]ired Insnections 1 Banner Removal: To be requested the day following the expiration of the permit. If inspection is not reqnested, the applicant may forliet the deposit. By signature, I state and agree, that I have carefully examined the completed application and do here.by 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 reqoired 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 ~me(:::const:Lj;z{~ /& ~ 6? _ 0 ~ Owner orJontrac~ Signa;ure Date Paee 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1499 COM2008-01499, COM2008-0 1499 COM2008-0 1499 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: Description Banner Special Pennit Deposit + 5% Technology Fee + 10% Administrative Fee Paid By DASONDA SANDHAR City 9f Springfield Official Receipt Development Services Department Public Works Department 1200800000000001028 Date: 10/02/2008 10:14:55AM Item ,Total: Check Number Authorization Received By. Batch Number Number How Received Amount Due 100.00 100,00 5,00 20,00 $225.UU Amount Paid cjc 002311 In Person Payment Total: $225,00 $225.UU Page I of I 10/212008 225 Firm STREIT. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ~: /,) c;- r/ ~ CityJobNumber 00 IL(Y7 -. ~r-I~ ~l ..~ Job Location '. ._1, Assessors Map Ql ~ _..~- -"" -- ...~--~--- ; OHmer__ .. ._._ _ Gt?ll ~ Owner of Property ~ ..~ t II ~ ~ ~. 1. '. -. .,..-4 ~ ,:;;;;;,,l ~:: _4 ~l ~~ -4 ~ U II I. '. ..~ ~ ~\ ,~ -:=04: ~, ~;(j)) -.. ,,..-1~ ~ ~ " l~ ..JQ) ~. ~~ -( ~ ~ ---- ~ ~ ~ ~ ~( ~4 "'~. .9 ~l :..' ~. d.'r"I~V;;I')Ti 's..n . . "" ,I':',',~ 'R1I'(2AN' -...,:~. '-:,:,:~.~ . Y":~3t.-#\~ ~i,,:,~,~!)::~4t-~~:.~ :{lk~:,,"}~%J~ -~~2~~_ ~'-':'~ "-'1 ~~.~''5:l{~.~ ~ I~r;,) /hd(/m.-v/e- Tax Lot , - ~ _..~___....(.. ,._. '.__:.---.C .....___~____~.. _______; M L- ~""'~ J J/~ / C;c,hdh-,/ Co,f>JMqJ,-"Jj ), f,luJ Addres~ I ~ (, 5 m.!".,,,u jL, City /SOr/~)~I:.e.-Jt'j , 1/ ~~._-------..", - ~- ~._~----~~---- i. Co,.'!traS!lf!l!n~~lle!:,: ,:~-'- ___~_ F,::..".h, Contracto' ,5",,,,,,'-/ r )c,nd 0"'/ I Phon/' S"'/ State aA " ___ov_.-,..-,. _~__~d' ~____ __ __ ,~w.'_ - . Zip 7"ft-7t56 77'777 ,~_..,~ --'A....."..:.~ ..__'!-..-:,.~__~_.._~ _ "~__.....;;..,j Adclrp<< cf~ In :J2 c,~ o60v'e.. Phon.. City State Construction Contractors License # DescriptioI' /J;rl~~""'r /Y)p.n~"p;,; /~ . Date of Installatior le- 07- dg Date ofRemov~l Tp Expirp< /)_ o? - c g Permit Fee: $225.00 including $100.00 Deposit and applicable fees. . Receipt # :X2..':)~ Datp I;d/~,/;J-o'" r- Date of Application u X Job # f€ X -llf'1C? 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/9r 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 30th day to request an inspection to verify 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 been removed. Signaturp r f,. "~ 1- ' ,(, ~ .,tl,/ r..-----:--- .---.-.~ --_.-::-~:--;:--- ._-~-- -,.~ ---. - -''''-,~-_..~----. l . _~. ' ~f!r-?f[~~ Use' Issued By (lA+7? I' {'~'#..rvr...... Y'- Amount Collected /D _ ,,/_ CJ ~ ---""-1 . .__.J Shared Drive (T:)lBuilding FormsfBanner]ortable Sign Permit CSD 7..(J8.doc