HomeMy WebLinkAboutPermit Signage 2013-6-5 ' SPRINGFIELD - 225 Fifth St
..its 1]�., CITY OF SPRINGFIELD Springfeld,OR 97477
17,v Phone: 541-726-3753
OREGON Building / Sign Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01104
www springfield-or.gov permitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/05/2013 EXPIRES: 12/01/2013
STATUS DATE: 06/05/2013 APPLIED: 05/30/2013
SITE ADDRESS: 442 MAIN ST,Springfield,OR 97477 SCOPE: Sign
ASSESOR'S PARCEL NO: 1703353107900 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Sign-wall sign for Hearts for Hospice
OWNER: ROMBACH JAMES L&MARYANN Phone Number:
ADDRESS: 501 NW 161STCIR •
RIDGEFIELD WA 98642
CONTRACTOR INFORMATION `
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Sign Contractor OWNER CCB 000000 08/01/2025
L INSPECTIONS 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 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.
—3-- /3
6wner or Contractor Signature Date
ATTENTION: Oregon law requires you to NOTICE:
follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK
Notification Center. Those rules are set 952-forth 001-
AUTHORIZED UNDER THIS PERMIT IS NOT
in OAR 952-001-0010 through OAR
0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR
calling the center. (Note. the telep,:.r` ANY 180 DAY PERIOD.
numbercfeonr 2344)i.licauon
Springfield Building Permit 6/5/2013 12:55:38PM Page 1 of 1
. SPRINGFIELD CITY OF SPRINGFIELD 1 hitt......L...._sal
225 Fifth St
`e OREGON TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
811-SPR2013-01104
www.springfield-or.gov 442 MAIN ST permitcenter@spdngfield-or.gov
RECEIPT NO: 2013001124 RECORD NO: 811-SPR2013-01104 DATE:06/05/2013
[DESCRIPTION _ACCOUNT CODE/TRANS CODE AMOUN,T-DUE
Admin fee(10% of applicable fees) 224-00000-426605 1098 8.00
Sign Plan Review 224-00000-425602 1018 42.00
Signs: 0-35 Square Feet 224-00000-425602 1007 80.00
Technology fee(5%of permit total) 100-00000-425605 2099 4.00
_-�-�—TOTAL DUE: 134.00
LRAYMENT TYPE. - - PAYOR'_CASHIER:CCARPENTER COMMENTS 1--„a ?x. AMOUNT PAID' , • -I
Credit Card ROMBACH JAMES L&MARYANN _ — — �.. 134.00
211347
TOTAL PAID: 134.00
{ -°e - �]ELD� OREG ON ms , .
225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 •FAX:(541)726-3689 l '?,
0 City Job Number S 1 - O ( O
C3FM Site Address: 442/444 m.a4vt I', //'� �+
Assessor Map 7°33 C�53 ( Tax Lot: 07 /O O
iii Owner: ri M �L�00.yn"` A4�A 2'-�� Phone: L/.S` - o2..o 5- / 7 g
II�1 Address: 4`("2/44 $4d21't 54• ( /C )
City��1'V{ 1L�i 1'P�4Ld Statel4�' Zip—/i l��' /
Business Name,Firm,etc _`r M��s -( ' --7-7 67 ice.
Description of Proposed Sign(s): (Please check and complete all appropriate information)
Pr—
ii ✓' /Wall Freestanding Projecting Roof Marquee
1 V Single Face 0-- Double Face Billboard Other
Square Footage: 2-1 Total Height above Grade: �2 Ore/Lox)
e-0"
S/ ti
i Vertical Dimension of Sign or Enclosure: 3 c, Horizontal Width of Sign or Enclosure:
iDimension from Grade to Bottom of Sign Enclosure / ��"4 Electrical Installation: Yes �o
(If yes additional electrical permit required)
�J4'rmrbd
Material Sign is Constructed of: W GO D/ Value of Sign:
COI
r List ALL existing signage and attach a photograph of each sign:
r (a) Type Sq. Ftg. (b) Type Sq.Ftg
r (c) Type Sq.Ftg. (d) Type Sq.Ftg.
^ I Contractor/Installer: °(" "V Phone:
Address:
pr City: State: Zip:
Construction Contractors Registration Number: Expires:
(—
��----{{�� T // OFFICE USE
Sign District: " i / C G Zoning: m VC C
t r-''�111i11
4 By signature,I state and agree,that I have carefully examined the completed application and do hereby certify that all
information herein 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 of Oregon pertaining to the work described herein. I
01F11 further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time,that project address is readable from the
Er IIICICICl//////!JJJ 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 duel! th. 'nstallation of the sign(s). ''GG
Signa� Date __ _ ((//�/// /3
C - , a. -3q 5 G) Shared Drive(T:yBuilding Fonn&Sign Permit Applicaionl-02.doc