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Home My WebLink AboutPermit Signage 2011-1-6 /. www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/06/2011 CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00038 IVR Number: 811156049717 ISSUED: APPLIED: 01/06/2011 01/06/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield,or.us EXPIRES: VALUE: 02/10/2011 $0.00 SITE ADDRESS: 5701 MAIN ST, Springfield, OR 97478-5426:1 ASSESOR'S PARCEL NO: 1702334103101 PROJECT DESCRIPTION: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Banner permit REMOVAL DATE 2/10/2011 , Refund to McDonalds at 5701 Main Phone Number: OWNER: ADDRESS: MCDONALDS CORP 36-113 2896 CRESCENT AVE STE 105 EUGENE OR 97408 Contractor Type Contractor Name CONTRACTOR INFORMATION I Lie Type Lie No Lie Exp Phone # of Units: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: o BUILDING INFORMATION' # of Stories: Height of Structure: , Type of Heat:' Water Type: Range Type: I Hazmat: Electrical Spe:cialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I OJvelopment Code: Plumbing Sp~cialty Code Edition: Residential S~ecialty Code Edition: Structural Sp~cialty Code Edition: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occ~pancy Load: o Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Sfte Information 1/6f2011 2:49:49PM , I Page 1 of3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00038 IVR Number: 811156049717 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: STATUS DATE: Issued 01/06/2011 ISSUED: APPLjED: 01/06/2011 01/06/2011 EXPIRES: VALUE: 02/10/2011 $0.00 SITE ADDRESS: 5701 MAIN ST, Springfield, OR 97476-5426 , ASSESOR'S PARCEL NO: 1702334103101 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Banner permit REMOVAL DATE~/10/2011 Refund to McDonalds at 5701 Main DEVELOPMENT INFORMATION ~ Overlay Dist: , # Street Trees'Reqd: Paved Drive Reqd: I % of Lot Coverage: Highest point on structure to north property line::; REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: . Downspout/Drains: Valu~tion Description ~ Description Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value ,FEES PAID ~ Description Permit Fee Adjustment - Administrative Fee Technology fee (5% of permit total) Admin fee (10% of applicable fees) Banner, Portable Banner, Portable Deposit Amount Paid " $10,00 $5,00' $10,00 $100,00 $100,00 $225.00 Date Paid 01/06/2011 01/06/2011 01/06/2011 01/06/2011 01/06/2011 Recio! # 2011000059 2011000059 2011000059 -.--- 2011000059 2011000059 Total Amount Paid Springfield Building Permit 1/6/201'1 2:49:49PM Page 2 of 3 .. SP, :IN" G, FIE~ ~_I'~' ^ :;~-~:~f ~ :;",~ OREGON CITY OF SpRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-00038 IVR Number: 811156049717 www.ci.springfield.or.U5 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: STATUS DATE: ISSUED: APpliED: 01/06/2011 01/06/2011 155 ued 01/06/2011 EXPIRES: VALUE: 02/10/2011 $0.00 ;; SITE ADDRESS: 5701 MAIN ST, Springfield, OR 97478-5426 'I ASSES OR'S PARCEL NO: 1702334103101 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner permit REMOVAL DATE 2/10/2011 Refund to McDonalds at 5701 Main Plan Review ~ Department Application Acceptance Received Due Date 01/06/2011 01/06/2011 Completed 01/06/2011! Result Over the Counter Sign Review 01/06/201 Approved 01/06/2011 01/06/2011 Reviewer Chris Carpenter Chris Carpenter INSPECTION~ REQUIRED ~ Inspections 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 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 arid 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, ~i ~ I (-:flrr , <--.. ~ ~ ---- Owner or Contractor Signature Date Springfield Building Permit 1/6f201'1 2:49:49PM Page 3 of 3 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ . ~' City Job Number ~ - 0 3 "b '. ~~ Job Location 570 l f'v\ rr--I ~ :~ ~ Assessors Map Q ~ ~ Owner ..~ ~ ~ ~ City rw:tl ~ ... .,--14. ~ ~ I ,~ Ii I, ~. ..~ ~ ~ , 1 d ~ "~ rw:tl ~ ...Ji:,)) ! ~ ~ ~ ~ ~ ~ ~ < -~_: - 'CIT}T.'OF:SPRn.,j"OFIEtJ:), OREGJ0N' ,.,:~ \ .' . _ ~ ~'. " I r - ... . " ._ , . '. 0_ Tax Lot Address 516\ IllA~/J; "21-, ~JNkrteuO Phone ~\/ICJ3 Zip tt~ State f1lL Address , Phonp City State Zip Construction Contractors License # Expire. tl^iNM:L. Date of Installation \ / \l9 II \ , Description 2-~O Ivi Date of Removal , Permit Fee: $225.00 inclnding $100.00 Deposit and applicable fees. By signatnre, 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) 1md/or portable sign is not removed within the timeline specified, I will forfeit the $100.00 deposit. :1 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 $100.00 deposit if the banner(s) and/or portable si~(~ I1f11 f~ r~v~d. ~ Signaturp ~ /. / uJ' III . Date of Application Issued By C-c.~ L- Job# Sid - u5 ~ Receipt # ;2)il O<YJO "-7 Amount Collected :2 2. -:::-~ Shared Drive (T:)lBuilding FormslBannCf_Portable Sign Permit eso 7-08.doc S~~~H~.lfL~.. . -~ . ~.OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00038 5701 MAIN ST permitcenler@cLspringfield.or.us RECORD NO: 811-SPR2011-00038 DATE: 01/06/2011 .. '~-'''~~",0;;0$;;;~;1L>'- :\;t~C'C'0\.JNT~C:0DE _c ';.~:;<;~MQUNTcDUE;c'rif ct. ;', 224-00000-426605 10.00 224-00000-425602 100.00 821-00000-215500 100.00 .--._-..--,------~-.----_....-_..~-- 224-00000-426605 10.00 M~________"~_. 100-00000-425605 5.00 -_._---,,--~..._.....- .-.---..... TOTAL DUE: 225.00 .:'.: ~. ....o.o'-iAM<'i.U.j\iT.P.A.lD.. .'.' ';;~",>; I $225.00 RECEIPT NO: 2011000059 lOESCRIP..TION '';.j,..-,,,..<'A-f.'' Admin fe". (1 0% of applicable fees) _~~!nner,...Port~?I.:._ _~.::~:_~ort~ble Deposit Permit Fee AdJustment. Administrative Fe~ Technology fee (5% of p_,,!:mit total) L:.:~A YIViENT'TY~E", - PA;f<fR:,: ~':: . CASHIER: cCAlii'ENTE~'~C0J:o:1:rlEt.lTSY': . Credit Card Mark Whittington 002630 TOTAL PAID: $225.00