The URL can be used to link to this page

Home My WebLink AboutPermit Signage 2011-8-30 225 FIITH STREET .. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~: ~ City Job Number eo ~ < oo~ Job Location '~ o. ._<1< Assessors Map ~l ~.1 ~ e.~ i: ~ rtB!J ~ -..:~ i '1< ."... .~ ~< ~ Il I. h o.~< @ ~ .~ ~ ~ .",~ \tI)J .~ ~ i3: ~ ~ ~ i ~ ~ "0-'1\'">.-" '~:i6~ie''!l..J> <i ,!'!Cdf'~""<"'~"'A-> _Jfn:!>,,-"-l. "~_,,L,~ cl,;t;-<" ~ ~""~,.,~ ;:1;:/>'-"" ~""h '':'. ~J"."'-{!'~CITX'i'OF-SRtiTJ..TG:FIET """';:OREGb.M~~~#iliii.4,';&" '" ~iWf~<r:a1" )'F4.~~4fj '>-':-~'~t: l ~_ "i~;l~,~.>f 1.. I ~J?' . ;' ~\:1~~t;"rf~~'~~R~: ~ . 511- /C;lC; 203 ( (Y)tJt,c,wlL (2,(vJ 5pnnjflf/J r:JA 9?~77 Tax Lot 1703' Z::'- '3 ( CJG6'CJ () Owner of Property M c. Cf)~V\ 0.. I j , ~ Address It,;..< Z; ryl/) l--t?\ IN 1Lc. (hI u J PhODe 54/ )-05 -LjiO g City .~ ~f I~ f f"'/ d State CJfJ-.. Zip i 71../77' f~C~;~:R~i~4~~iHi~j~~,lfi!~i~~:(~Iit~~:~{~~;i;iy~~~i~~f~~i]~~~:fI7~r!r::~f~gil~~?31~iI~~~~~i;i~r.~i~,.'~ Contractor FTW N "'-~ Address PhODP City State Zip Construction Contractors License # Expire. , Description_~ Cl '1 V).e Y J" -+__LJ1~-e Date of Installation 1;.~ '1 '%-30-3-011 Date of Removal '/- :Jo-,pzc J) 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 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. Signaturp V4:) 61A dlA. _c:: ~0d ~<VV - Date Date Receipt #201/ DC> 2-:?S'D '" 2'" 00 Amount Collected .L- = Job # Issued By ~ Shared Drive (T:)lBuilding Forms/Banner ]Ortable Sign Permit CSD 7-08.doc ' SP~I~~~:.. ~ .'~~ ;.;.~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-02031 IVR Number: 811174236913 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 08/30/2011 ISSUED: APPLIED: 08/30/2011 08/30/2011 EXPIRES: VALUE: 02/25/2012 $0.00 SITE ADDRESS: 1565 MOHAWK BLVD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253106800 PROJECT DESCRIPTION: OWNER: ADDRESS: SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Phone Number: Temporary Banner w Removal date 9f30/11 - Refund to Dasonda Sandhar 2625 valley Forge Dr. Eug. 97408 MCDONALDS CORP 036-0023 1565 MOHAWK BLVD SPRINGFIELD OR 97477 Contractor Type # of Units: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Contractor Name OWNER CONTRACTOR INFORMATION I Lie Type CCB BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lie No 000000 Phone o Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal' Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: lic Exp 08101/2025 Lot Size: Sq Ft 1.t Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Information 8f30/2011 2:03:59PM ~ Page 1 of 3 . SP~IH..G.... FI.E. l~ ~,i~._. (~ -" OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Sign Permit PERMIT NO: 811-SPR2011-02031 IVR Number: 811174236913 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/30/2011 ISSUED: APPLIED: 08/30/2011 08/30/2011 EXPIRES: VALUE: 02/25/2012 $0.00 SITE ADDRESS: 1565 MOHAWK BLVD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253106800 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Te~porary Banner - Removal date 9/30/11 . Refund to Dasonda Sandhar 2625 valley Forge Dr. Eug. 97408 I DEVELOPMENT INFORMATION' Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Oist: # Street Trees Reqd: Paved Drive Reqd: % 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: Valuation Description . Descriotion Tvee of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Description ~,dm!,,!_ fee .~~% of a~E~~_~~~~~es) TeChnology fee (5% of permit total) Banner, Portable_u Banner, Portable Deposit Amount Paid $20.00 _._----_.........--~-- $5.00 $100.00 $100.00 Total Amount Paid $225.00 Date Paid 08/30/2011 08/30/2011 08/30/2011 08/30/2011 Recipt # 2011002350 2011002350 2011002350 2011002350 Springfield Building Permit 8/30f2011 2:03:59PM Page 2 013 SPR.I;...:. F:E. L~ ~^"- ., ,1,,', !If; i'..C'~ OREGON CITY OF SPRINGFIELD Buil~ing I Sign Permit PERMIT NO: 811-SPR2011-02031 IVR Number: 811174236913 www.cj.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: 08/30/2011 08/30/2011 Issued 08/30/2011 ISSUED: APPLIED: EXPIRES: VALUE: 02/25/2012 $0.00 SITE ADDRESS: 1565 MOHAWK BLVD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253106800 SCOPE: Banner, Portable Sign WORK INVOLVED: New TYPE OF STRUCTURE: Commercial Temporary Banner - Removal date 9130/11 ~ Refund to Dasonda Sandhar 2625 valley Forge Dr, Eug. 97408 I Plan~vi~ ~ PROJECT DESCRIPTION: Deoartment Received Due Date Comoleted Result Sign Review 08/30/2011 08/30/2011 08/30/2011 Nol Required Comments: Refund 10 Oasonda Sandhar 2625 valley Forge Dr. Eug. 97408 [AP.PliC}!IIOD,A~'ie0...n.ce11:!;,.~108/~012"0.1:1,.:;08/3O/2q1t0:'0~/3.0/.20n:' ov~r.;t~~:.counle'"'' l ~"C^6m1nJ;~s:~'~ :~~tYritt?~Da~o~d:~~~~.cdh~! ;26;r5"y~iLeY,;f?~~jqr:!'~~9j,97~Q~i~',;;i~~~"i€ Permit Issuance 08/30/2011 08/30/2011 08/30/2011 Issued Comments: Refund to Dasanda Sandhar 2625 vaHey Forge Dr. Eug. 97408 Reviewer Chris Carpenter INSPECTIONS REQUIRED ~ Chris Carpenter Inspections 6972 Banner Removal Banner Removal: To be requested the day following the expiration of the permit. If inspection is not requested, the applicant may fomet the deposit. By signature, I stale and agree, that I have carefully examined the completed applicalion and do hereby certify Ihat 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. y. ). _ ~hJ;~t?VV ~ - ? v~ ;7.cJ{ / Owner or Contractor Signature Date Springfield Building Permit 8/30/2011 2:03:59PM Page 30f3 SP~~N~._FIE~ ~..~ ., <:iD ~X,",- OREGON www.ci.springfield.or.us TRANSACTION RECEIPT .811-SPR2011-02031 1565 MOHAWK BLVD CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield,or.us 224.00000-426605 224-00000-425602 821.00000-215500 100-00000-425605 TOTAL DUE: LF!&N1ENT,;fy.eE.:0;::".eAy.OB;S~~~~~j;~jI~iJ~<;.c5MMI;N:r~0'~t;. , . " ,- ". Credit Card Dasonda Sandhar RECEIPT NO: 2011002350 tOESCRIP-TION;':' ~,~- -"'':',_''" _ ." Admin fee (10% of applicable fees) Banner, Portable Banner, Portable Deposit Technology fee (5% of permit toIal) ;<f; ;.t;. .' ~."",. .~. . ..'-. RECORD NO: 811-SPR2011-02031 DATE: 08/30/2011 ~i'''',''~1r'~'l'':-, 'ACC'OUNfj';ODE ',)f~I--.' h _.AMOUNT.DUEl. 20.00 100.00 100.00 5.00 225.00 AMOU"tlJ.1'.AID"":," " ,.: I 225,00 '.:J 610300 TOTAL PAID: 225,00