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Home My WebLink AboutPermit Signage 2008-11-17 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01667, ISSUED: 11/17/2008 APPLIED: 11/1712008 EXPIRES: 05/1712009 VALUE: 225 Fifth Street, Springfield, 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 OF WORK: Banner TYPE OF USE: New Commerdal PROJECT DESCRIPTION: Banner - Removal date 12-20-2008 Owner: MCDONALDS CORP 036-0023 Address: 1565 MOHAWK BLVD SPRINGFIELD OR 97477 I CONTRACTORINFOR~ATlON I Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INF?RMATlON I # of Units: Primary Occupancy Group: Secondary Occupaucy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Hcightof Structure Type of H,eat: Water Type: Range Type: Energy Path: Sprinkled Building: 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 INFORMATION' REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Covera,ge: Total: Handicapped: Compact: \ Street Improvements: I PUBLIC IMPROVEMENTS IATTENTION: Oreg,., t: 'p-"'-' 'C'" , .folloVSide'waIRctype::ll.',' ,', Notification Center. Til1'[;' 'f:".. In OA,oQ.W"_Spou.ts/Drains:'l .. \," _,t"r>:JoJi:\'!!UI VVI'-'~. .!.~ 0090. You may obtain copie NOTICE . -'calling the center. (!':cte ;;", .c : ' number for the Oregon Utili'" r,' ",0.,",,15 nUS PFRnAIT CU~" _\'. " Center is 1-800-;3~~-"J,"i, AUT/iORIZED UNI)';; ~~,~'-:/ l/:f:WO'RKI COlVif'/iEN[;tn 0 ,'va.luafldffP.lJlI~ ANY 180 I'; ~,~ ..,~ "J t-Iol-\lVUONED FM . ' . '_;n! 1",:iC$'Per Sq Ft 'l>quare Footage Type of ConstructIOn .. ~, I' \. B'd A ." - or D1:u tIp leT or I mount " ~'1 Storm Sewer Available: Special Instruction : ,. ''I Notes: Description Valu~,,,,, .. ,J?ate Calculated' '~..,~ Paee I of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 5% Technology Fee Banner Special Permit Deposit Total Amount Paid Amount Paid $20.00 $5.00 $100.00 $100.00 $225.00 Total Value of Project Fees Paid I Plan Reviews , Date Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01667 ISSUED: 11/1712008 APPLIED: l1!1712008 EXPIRES: 05/1712009 VALUE: Receipt Number 11117/08 11117/08 11117/08 11117/08 1200800000000001146 120080000000000\146 1200800000000001146 1200800000000001146 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. '........., .... --:......._~ ~........ L.~~~.'.:w!.!l',m~t2?n..s I Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicaut 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 tr~e and correct, and I further certify that any and all work performed shall be done jn accordance with the Ordiuances of the City of Springfield aud the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of auy structure without permissiou of the Community Services Division, Buildiug Safety. \ further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. \ 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 plaus will remain on the site at all times during constructio~. '0b~&",J. S / <);hdLJ --- Owner or Contractors Signature Paee 2 of2 1)- / 7 - 0 Z5 Date ---- 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1667 COM2008-0 1667 COM2008-0 1667 COM2008-0 1667 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Deposit Banner Special Pennit + 10% Administrative Fee + 5% Technology Fee Paid By DASOKDA SANDHAR City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000001146 Date: 11/17/2008 Item Total: L:heck Number Authorization Received By Batch Number Number How Received nJm 017478 In Person Paymeut Total: Page 1 of 1 10:29:39AM Amount Due, 100,00 100.00 20.00 5.00 $225,00 Amount Paid $225,00 $225.00 11/17/2008 .~ \..S ..~ ~ "...~ 'Q ~ ~ ..~ ~ ~ ~ ~ ~ ..~ I ,~ II I, '. .*~~ s ~ ~ ~i ~ ~:0) "~ ~ ~ ~ i ~ ~ 1 M 225 FIrm STREET. SPRINGFIEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 City Job Number ~. f( /' 0 / f.t r; '/ Job Location /514,,,,\ /}/()/:JAi, 'J/( ../0/ v~ Assessors MaT) Tax Lot Owner of Property Addres. 1<';65 fYloiJ~wlL dJ / gli/J Phon" 5Y 1- ~ 7<//~ 7%3/ oJ<. ZiJ: ,q '7Cf 77 State Contract"T AddT".. PhoTl" City l;Itate Zip Construction Contractors License # Expif". Descriptiop:2 ,)41A ~a~_ I fY)/--IYl"".rJ;J1 . f I ;;z rJ.IA<t::f...!vI p/JUi/1j~ w;..[ola ul,~(?, Date of Removal /;l, - (;l...D tS 75 Date of lnstallatioTl / / - J.. D ~ 6 '6 Permit Fee: $225.00 incl~dmg $100.00 Deposit and applicable fees. By signature, I state and agree that I have carefully completed this application and hereby certify that all information herem 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) arid/or portable sign is not removed within the timeline specified, I win 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. Signau"'" V<1~" J7.?1' 4 , j )tlt,dld Dat~ J)- \7- 11 g Date of Application / / - /7-0 ISSUe~/Y1(.A.j M,./' '! ()'. LrJ' O/~tb 7 Amount Collected rJ :;::;)0" Job # Receipt # o---.J Shared Drive (T:)lBuilding FormslBanner]ortable Sign Permit eSD 7-08.doc I