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HomeMy WebLinkAboutPermit Signage 2007-7-18 (2) 225 FIITH STREET . SPRINGFIELD, OR 97477 . PH:(541) 726-3753 . FAX: (541) 726-3689 ~,i C'O'IAA "7~07-0/0b3 ?6-..r ~Z007-()O -s. 7L/ CO) City Job Number HI c;...-....... :,:~.:..~:; Job Location /f)6:;- J')I)/)AtttV/L.. a f vJ~n/I/}e;:r{iJ ~ 0--'" ~' I tI - '," ~~ Assessors Map ( 70,\ ZS'J ( . 0,1 co) "'i""),. " Q,; ',,~_: ~. ~J (ll): zt;j,) ,.."",/ _,.~J ~- C'~ "'~:~i ,J ',,'~I r:;:' .-...; ~;.1. ~>- ~:: ~i ~.: ~l 7";- . "." ~) I_I ~\ '~e~! F-'- ", :(......._,~. ~. ~.. ~.l ~< ~;. ..~i. ~'~... """1_'-' (j:) ..j n\ --'~:, ~.~ e,; ~. . b ~' ~; C:), O. ~. C;:$". ~. ~~..,:_..~:'--.'~ , E:i;Q:J; lFa ML0,1 ~ &'=H mtLB;:i> Tax Lot 97~77 Dbfoo OWller Owner of Properly '~<"-~Y / 'Ja Vl)J, a /. . Address ~'2/t So (;Y/)oJpC/{.!-u y-€, }-.oo,O df j) //3 City r;~e)AQ- Statr oJ<- 5t1J I)oj- 1(6' 6 g- 77Lf6! P,hont;> Zip . "~~~~~ ..' . {fj.~ \~ ~o . . U \0 Contractor 0 ~ .-:~ -'V~ ~ \a'" fequ\te~~ \\\\\\'t . . ~. ~~\.\. \~\~ \00 ~t.'V l' ~egod' '0'1 the Ote~e set ,ottn Addre~(\"\\ti..o.~~ ~\\~~t.~ t>>~~'VfJ ~~~i%RPop~e '{hoSe f\1~e~~~ 9S2-00~~ ~\\\~ "~~\tt.\) ~~ \'0 ~. _______ ~~~"\C9.t\on ce~~~o'\O \t\tOU~~ 0\ tt\e tU\~~e City ~) \\~~~C,t.~, ~,,~\fJ ~ State ~f\ n).R 9S2~~'J ao\f:\n~~~i~._ the t?\~~~t\on c,t:::J~~ \ ro'V ~~ /" 0090. ~o~t\e cen\et. gol' U\\\\W N~). Constructio~~ontractors License # C9.\\\~t fnt tt\~P:~_~32-2.$ . nUll' r.el'\ef \Ii"' ' i2E; (:nh Z007- CD37<{ Contractor/Installer DescriptioI' Date of Installation Date of Removal Permit .Fee: $161.75 including S100.00 Deposit. 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 time line 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 ofthebanner(s) and/or portable sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or portablesign(s) has been removed. Signature <-<" '( , ~"".P t ... / Date of ApplicatioD "7 ~ ~7 I !. Issued By ~~ DatI" 7- It - 11 7 For Office Use Tob# c7-%6 "3 Receipt # S(7.r Amount Collected Shared Drive (T,)/Buildillg Forms/Ballller~Portable Sigll Permit CSD 8-06.doc Status Finaled CITY OF SPRINGFIELD I Building/C om bioa tionPermit PERMIT NO: cOM2007-01063 ISSUED: 07/18/2007 APPLIED: 07/18/2007 EXPIRES: 01118/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1565 MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703253106800 Springfield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner - RE: COD2007-00374 Owner: MCDONALD'S-MOHA WK Address: PO BOX 51060 EUGENE OR 97405 I CONTRACTOR INFORMA nON I Contractor Type Sign Contractor OWNER License Expiration Date Phone BUILDING INFORMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMA nON I ATTENTION: Oregon law requIres you.t.o follow rules adopted e,-tttnnOilagon UtIlity Notification Center. Tl1bStrmt~[.>8 mfdorth in OAR 952-001-001 0 tl"6)\'ijJ~~-OO1- 0090. You may obtaino.oopib~ft4,4$ bV calling the center. (Note: the telephone I . the QF9iS'" 'Itm." ....ntlfinAtion UUUILlul .'''''. '-~'- C~nte~~a-:JlmP~HMENTS I REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspou ts/Drains: Notes: Description Type of Construction NnT~~~~ . .. -nAll EXr1Rt F IHt: WUHI\ 11 Ii II . I' . RMIT 1S NOT COMME~~D OR IS ~~MPP~o~PgfOR ArtY tiI80ifilAV PERIOc...: Bid Amount Value Date Calculated Pal!e 1 of 2