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Home My WebLink AboutPermit Signage 2009-1-23 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689 e: '. 9 City Job Number ~ Job Location ..~ "~ Assessors Map ~ ~ Owner of Property "~ ~; ~~ ~, City ~ ~ Conir" rtnr "~ ~ ~ ~ 'e.~ U '."1.' .,1 II I. >, ..~ ~ ~~il =: ~ ...~ ~ ,~ 1 ~ ~ I M (P~7_00 'l_oo/cO I c;' ~ r; ty) /) ~ fA <-u Ii... rd ti J ,5rl~_h.ejc! oA q 7L/ 77 ObgOa Date of Applicatiop Issued By b1. Amount Collected /703ZS:J'! Tax Lnt s-<-ll 7'16- 7'i5t Cf7LJ 77 Addres~ /1)65 fno4a. w)L, '<Sf'IP1f;'f/-ej,j ,{2.,lud p)1nnp Date of Installatinn I - 30 - 64 Date of Removal l-;l..}.- 6Cj Permit Fee: $225.00 including $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 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 specifie~, I will forfeit the $lOO.OOderwmt(~~so understandtlilltthis spec\al~n.mt c~ be issued only twIce per calendar year per develwm,e~\:Wfvfti S~2\!lIOOl\m:dml:lIe'l.r.,,~.on lme at 726-3769 by the end of the 30th day to request an.lffiWf6~fRiPoourntM~I\ililIilMIQ;fIth~ tmer(s) and/or portable sign(s). 'f.his inspection will begin the em~fv~~ltrt~ 1jlgei4lWQ~wSl.Rifthe banner(s) and/or portable Slgn(S) has been removed. ANY 180 DAY PERIOD. ' Signaturt> Va SOtA. d"1 { ~",jL/ Dav> 1-;' ~ - CJ "I t'JA State Zir OC.I,"r:'(L Addres< P)1wP Al I CI\lll\~)l~. vn::;8v" ;<;.4VY ,'-'-=1....;,'.:..:. ','S:"; ~a follow rules adopted by the Oregon Utility City ~~:~:~:::'.+:""''''' ""'';'ntor ThnC::A n,IAc;~tateetforth , in OAR 952'001-0010 through OAR 952-001- C tru t. C tr t n"Gr" v"" mBY obtain copies of the rules by ons c IOn on ac orS'l':Icense 'IT' ,. " ' callmg tne cemer. ~1\lU~~...l".H:;i ~~I~t-;IIVI"""_ numosr To~e VIt::YUII Ul1IllY r'llJ~II,V':'t...:... Description l2,L' "i1 -'" /' Ce~te)d$ i1 fOO'3~~1>J 7:ip Expirp< Receipt # zzs-- Shared Drive (T:)IBuilding FormslBanner]ortable Sign Permit eso 7-08.doc Status Iss u ed CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2009-00110 ISSUED: 01/23/2009 APPLIED: 01/23/2009 EXPIRES: 03/01/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1565 MOHAWK BL VD ASSESSOR'S PARCEL NO.: 1703253106800 Springfield TYPE OF WORK: Banner TYPE OF USE:' New PROJECT DESCRIPTION: Banner - install 013009 removal date 030109 Commercial Owner: MCDONALDS CORP 036-0023 Address: 1565 MOHAWK BLVD SPRINGFIELD OR 97477 I CONTRACTORINFORMATfON I Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: ' #ofStorie~es'fOuto Primary Occupancy Group: A2 onaelgh~~~~<!/.~t\Jj..i/,iWl'I Secondary Occupancy Group: :rH:.t-l-nOt-l', Ole~ed 1.)l!~\l elll~ set 101\. Primary Construction Type t\\oVJ IWls ad~~l. "'(IW5Ier Yl!jll:'i\ 952-00 b Secondary Construction Type:oo\\lication ce~_0010Rill'ili!~eS'll1'tne (UleS e 'I # of Bedrooms: t-l Dp.R 952-00 obtail!lIf~J. ~1'I~13le\lno~OIl \~090,:~~:ea~ent~I.~~~~ l)'t~lltf::~I\i~a nla ~~;;;beli,)' ifivh-QiMiNiiNI!ORMATlON , . (;1:.' . Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Pa ved Drive Rq d: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I' \\t '-NQ?~ "01\C~'. S\\~\..\.. ~?\?~~~l1a'l; \ifP\: 1\1IS l'e\'lWl\i 1.\I,me\'l i\1\~U~~~s/Drains: ~l.il\10\'llle~U 0\'1 IS ~'P~ COWlWlH\C ~'/ l'e\'l\OU. fo,t-\'/ \~\) U ....,;J Notes: I. Valuation Descri'ltion.1 Description Type of Construction $ Per Sq Ft or multiplier Square Footage' or Bid Amount Value Date Calculated Paee 1 of 2 Status Issued CITY OF ~rKll~"'J:<IELD . Building/Combination Permit PERMIT NO: COM2009-00110 ISSUED: 01/23/2009 APPLIED: 01/23/2009 EXPIRES: 03/01/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description ***+ 100/0 Administrative Fee-#** + 5% Technology Fee Banner Special Permit Deposit Amount Paid Date Paid Receipt Number $20.00 $5,00 $100.00 $100,00 1/23/09 1/23109 1/23/09 1/23/09 1200900000000000044 1200900000000000044 1200900000000000044 1200900000000000044 Total AmonntPaid $225.00 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 thee same working day, inspections requested after 7:00 a.m. will be made the following work day. I Re/luired Insnec~ions' Banner Removal: To be requested the day Jollowing the expiratiou ofthe permit. If inspection is not requested, the applicant 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 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 Commnnity 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. \;)&40Vt.J" 5 Gt1/Jia/ ~ner or Contractors Signatur; /-';;"3- a,! Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00110 COM2009-00 II 0 COM2009-00 110 COM2009_00 110 Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000044 Date: 01/23/2009 Description Banner Special Permit Deposit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By SANDHAR CORP Item Total: Check Number Authorization Received By Batch Number Number How Received djb 023316 In Person Payment Total: Page 1 of 1 11:29:47AM Amount Due 100,00 100,00 5,00 20,00 $225. UU Amount Paid $225,00 $225.00 1/23/2009