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Home My WebLink AboutPermit Signage 2010-9-29 225 FIFI'H STREET. SPRINGFIEW, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ~o ~ City Job NumberS j) (l 'ZOIC- 0 <:::0 5 9 b 00 ~ Job Location r '7 6' ') /Y) 0 h CI v 1-'- {2, ( u cl oo~. Assessors Map '70 J Z $" 1 ~ Q 00 ~ Owner ~ Address ~ ~ ~ ~ ~ .~ II I~. o.~ I ~ ~ -o~ ~ ~ ~ ~ o ~ I m . . , , CITY OF' S~RINGFIEl':,D, OREGON" ,,;":.', , '. . - 5r/J1?/J r;~ lei cJA 97tj77 c/ .... Tax Lot C b 800 g State ciA 77'-/77 Zip Contractor C::>W' N t:YL. Address PhoD" City State Zip Construction Contractors License # Expire. Description - l<o\Jv Date of Installation '1-]0-/0 Date of Removal . 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 larg\'r 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 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. !ir~i!~iJi~i~~j~~1 ~j!,p44:llffiid~,:;:,~~:1 - " '~~;e~~~pp~~a~:~"~7i #f;o";~~;;; .:~ c.3'-1bb;:C:;;~:'2 01 t) - If 2 $" -z..2 f - Issued By ~ Amount Collected Shared Drive (T:)IBuilding FormslBanner _Portable Sign Permit CSD 7-08.doc . , www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00396 IVR Number: 811154207075 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,sprjngfield.or.us PROJECT STATUS: Issued ISSUED: 9/29/10 APPLIED: 9/29/10 EXPIRES: 3/28/2011 VALUE: $0.00 SITE ADDRESS: 1565 MOHAWK Springfield ASSESOR'S PARCEL NO: 1703253106800 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Portable signs - install 093010 removal date 103010 OWNER: ADDRESS: MCDONALDS CORP 036-0023 1565 MOHAWK BLVD SPRINGFIELD OR 97477 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION I Lie Type Lie No Lie Exp Phone BUILDING INFORMATION I # of Bedrooms: Hazmat: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: # of Units: o # of Stories: I Height of Structure: . Type of Heat: Water Type: Range Type: Sprinkled Building: Fire Alarms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal' Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Spe)::ialty Code Edition: Site Information I Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 9/29f2010 1:49:28PM , Page 1 of 3 www.cl.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SpR2010-00396 IVR Number: '811154207075 . 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/29/10 APPLIED: 9/29/10 EXPIRES: 3/28/2011 VALUE: $0.00 SITE ADDRESS:. 1565 MOHAWK Springfield ASSESOR'S PARCEL NO: 1703253106800 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Portable signs - install 093010 removal date 103010 DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: , Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspo!ltlDrains: ValuaJion Description I Descriotion Tvee of Construction Unit Amount Unit Tvee Unit Cost Value W^;>~,.::_ '"~ ",'\~G:"":::;J DescriDtion Banner, Portable Dep~~~_ Banner, Portable Technology fee (5% of permit total) Permit Fee Adjustment - Admini.strative Fee Admin fee (10% of applicable fees) Total Amount Paid ,~. +'7f"....~.. ",",",.- ';i~:-'-..' ""T?""~,r.:l;'~';.:lj"'-~-~~'E':;.''f f;:,--:;~~~.;;tFi:iiiS-~, '" -';"j"-.<,. . '~11:"CP1f1::-=''' . ~"""--1 & <"lye- ..'?F,l;"1$'q(~~:\.--7!"- ;,,,^~; 't:",;.'::,"*';:::FEES__~-f0':~':!~j;;'" ,,"r'EE~;. "'>'CooYi0'7 -". :~,,'~' {' -~::JL2i-id ',,;}i;,n;;i; ".i.;'. '~'.1 Amount Paid Date Paid $100.00 09/29/2010 $100.00 0912912010 $5.00 09/29/2010 $10.00 09/29/2010 .,'-,~~,._-_...'---,-_._-----"---_. $10.00 . 09/29/2010 . $225.00 Receiot # 374432 374432 374432 374432 374432 r ,""~;:7-dn:,'?~;'~':iri,"iiw~,~Tti,~~;~~~'__~:',~~~~, : 'PI;W-Re~iew ~:r2:(::T~~~:C:~_~i:;:;~~_"';}::;1~:~i;~~W;/t::-~ ".;:.'_ ,>'4'~:' C:,0:' frr- ' ~,Y-1 Deoartment Application Acceptance Sign Review Perm!! Issuance Received 09/2912010 09/2912010 09129/2010 Due Date 09/2912010 09/2912010 09/29/2010 Comolete 09/29/2010 09/2912010 09/29/2010 Result Over the Counter Approved Issued Reviewer David Bowlsby David Bowlsby David Bowlsby Comments Springfield Building Permit 9/29/2010 1 :49:28PM Page 2 of3 . ' . WWW.ci.5pringfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2010-00396 IVR Number: 811154207075 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permltcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/29/10 APPLIED: 9/29/10 EXPIRES: 3/28/2011 VALUE: $0.00 SITE ADDRESS: 1565 MOHAWK Springfield ASSESOR'S PARCEL NO: 1703253106800 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Portable signs - install 093010 removal date 103010 INSPECTIONS' REQUIRED ~ Inspections 6972 Banner Removal By sIgnature, \ state and agree, that \ 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 or 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. 5,'1,^~ '-- k)'V!~Ci'( Owner or C ntractor Signature 1-ac; Date 1,(;) Springfield Building Permit 9/29f2010 1:49:2BPM Page 3 of 3 . . www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00396 1565 MOHAWK BLVD CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permitcenter@ci,springfield,or.us RECORD NO: 811-SPR2010-00396 DATE: 09/29/2010 '-:i-'::'~~-"';:,:;'::~L. . '-;-.:::.'l~~";'AC.CPl.tNJ'~COI:if:~";:';',~~:"~M.Qj1.NT D'UE;' ". - t", .1 . 224-00000-425602 $100.00 224-00000-425602 $100.00 100-00000-425605 $5.00 224-00000-426605 $10.00 ,~--~--- 224-00000-426605 $10.00 TOTAL DUE: $225.00 r::,: P'AYMENT!J'YPE;:~..;r.pAY0R"~'."iC;'SHIER:DB()WCS~Y',1.':;'~QMI'!'I.!;:~Ts;iig51~'.:'PJr:r ?,!.'" ~:"":,AI\II0DNT.P'AI[):*+,','" ;'::"1 RECEIPT NO: 2010000425 f.!:l.ESCRIPTlQW' -;.. Banner, Portable Deposit Banner, Portable .:r~~_0109Y fee (5% of permit total) Permit Fee Adjustment - Administrative yee Admin fee (10% of applicable fees) Credit Card 519224 sandhar corporation refund deposit to: sandhar corp 1565 Mohawk blvd, springfield or 97477 $225.00 $225.00