HomeMy WebLinkAboutPermit Signage 2010-2-5
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CITY OF SPRINGFIELD, OREGON
SPRINGFIELD.
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ZZ5 Flrrn STREET. SPRINGFlELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)7Z6-:~689
Ci~JOb Number Co W'\ ZC 10 - DO IS "r
Job Location
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1703Z53!
Tax Lot
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Assessors Map
Owner
Owner of Propert:'
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State
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COlltractorllhsta/ier
Contract,,-
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Addres<
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City
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Construction Contractors License # Expirp<
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Descriptio' !:::>>'IN, / /'oCr
Date ofInstallation ~ 'l c::> note of Removal Y y c:>
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
specified, I will forfeit the $100.00 deposit. I also understand that this special permit can be issued
only twice per calendar year per deyelopment area.. I also agree to call the iospe'ction 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.
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Date of Application
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For Office Use
Job # C/O -001 S" '1
OrO,
Issued B."
Amount Collected
Receipt # /20/-
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Shared Drive (T:)lBuilding FormsfBanner]ortable Sign Permit CSD 7-08.doc
Status
Finaled
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2010-00159
ISSUED: 02/08/2010
APPLIED: 02/08/2010
EXPIRES: 08/08/2010
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
Commercial
PROJECT DESCRIPTION: Banner- ref:COD2010-00113
Owner: MCDONALDS CORP 036-0023
Address: 1565 MOHAWK BLVD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Sign
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
. Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
u/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC ~MPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
It .
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descrintion I
DescriPtion
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value.
Date Calculated
Page 1 of2
Status
Finaled
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2010-001S9
ISSUED: 02/08/2010
APPLIED: 02/08/2010
EXPIRES: 08/08/2010
VALUE:
225 Fifth Street, Springlield, OR
541-726.3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~~s Paid I
Fee Description
***+ 100/0 Administra'tive Fee***
+ 5% Technology Fee
Banner Special Permit
Amount Paid
Date Paid
Receipt Number
$10.00
$5.00
$100.00
2/8/10
2/8/10
2/8/10
1201000000000000107
1201000000000000107
1201000000000000107
Total Amount Paid
$115.00
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 the same working day, inspections requested after 7:00a.m. will be made the following
work day.
R~oui~.ed ,In~~ecti?n~ ,
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 furthercertil'y 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 certil'y 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 aJl required inspections are requested at the pl'oper 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.
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Owner or Contractors Signature
Date
. Page 2 of 2
225 Fifth. Street
. .
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000107
Date: 02108/2010
1O:02:4IAM
Job/Journal Number
COM20 I 0-00 159
COM20 I 0-00159
COM20 I 0-00 159
Payments:
Type of Payment
CreditCard
Paid By
SANDHAR CORP
Item Total:
Check Number Authorization
Received By Batch ~umber Number How Received
Amount Due
100.00
5.00
10.00 .
$115.00
Description
Banner Special Permit
+ 5% Technology Fee
***+ 10% Administrative Fce***. .'
Amount Paid
djb
218020 In Person
Payment Total:
$115.00
$115.00
cReceintJ
Page 1 of 1
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