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Permit Signage 2013-6-20
SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfeld,OR 97477 hit_At Phone: 541-726-3753 . OREGON Building / Sign Permit Inspection Phone: 541-726-3769 Fax:541-726-3676 • PERMIT NO: 811-SPR2013-01333 www.springfield-or.gov permitcenter @spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 06/20/2013 EXPIRES: 12/16/2013 - STATUS DATE: 06/20/2013 APPLIED: 06/20/2013 SITE ADDRESS: 1310 MARKET ST,Springfield,OR 97477 SCOPE: Sign ASSESOR'S PARCEL NO: 1703253308300 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign-wall signs for State Farm Insurance. OWNER: GOURLEY STUART E 8 JANIE D Phone Number: - ADDRESS: 39091 MCKENZIE HWY SPRINGFIELD OR 97478 . CONTRACTOR INFORMATION • Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Sign Contractor E S 8 A SIGN CORP CCB 163470 03/16/2015 541-485-5546 • INSPECTIONS REQUIRED Inspections 6940 Sign Attachment 6999 Final Sign Sign Final: After all required inspections are conducted and approved and the sign installation is completed. 6900 Sign Location ' Sign Location: To verify the location of the proposed sign. 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. / / /a 6/x//3 c _ • Ow.•- Contractor Sig ature Date ilir wires you to law req Utility pregon Oregon : ppK pTTENT10Nadopted by th tiles are settorth • • SIT1"EW 0I . toilowrules Thoser hOAte952-p01- P1R 11 IS N otitication Oenter'10 throug rules by • ty�T1PE ZE SH DER BP PE D •FOR In OAR Yo;ea eobeai lNoteethe Nlechs tion ND 0090. ut,lay �A t1HOR GEO OR IS F ca111ng tot the O1$00-332-2344). • P \ ORI PEP'‘p �umberOenter 1s Springfield Building Permit 6/20/2013 1:39:38PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD TRANSACTION RECEIPT 225 Fifth St Spdngtield.0R 97477 OREGON 541-726-3753 811-SPR2013-01333 www.springfeldar.gov 1310 MARKET ST permitcenter©aspringflem-or.gov RECEIPT NO: 2013001286 RECORD NO: 811SPR2013.01333 DATE:06/20/2013 1073 i 71hitl[iik"SY_J1: ; Fi/ T i CODEJTRANS CODE' '"t t AMOUNT DUE Admin fee(10%of applicable fees) 224-00000-426605 1098 16.00 Sign Plan Review 224-00000-425602 1018 84.00 Signs: 0-35 Square Feet 224-00000-425602 1007 160.00 Technology fee(5%of permit total) 100-00000-425605 2099 8.00 TOTAL DUE: 268.00 .P.AYMENTeTYPE P.AY,OR cnsRtataowLSer COMMENTS AMOUTIMP Check E S&A SIGN CORP 268.00 59360 TOTAL PAID: 268.00 • , `° CIt ;:v SP.RI TGEIEI D, Q ,( GC3 i� °:, i .ac. 'a c 5 .gQ 's" #�'bL'`r.: ea .@� , r-t: X38._ Im c �1 1 225 FIFTH STREET • SPRINGFIELD, OR 97477 • PI-1:(54l)726-3753 • FAX (541)726-3689 Or) City Job Number C/'3 -o 13 3 3 4t 'l Site Address: 13)() TA ark2.t SF, � Assessors Map /700 ;2-5 3 31 Tax Lot: °U 5Ce r � l:`}� (or GoLAr Ie� S�11 717 �lZy Owner: Phone: QAddress: k�)U �a riCe± S-)- �l , City SprI✓Nj - p rtot State I Zip /7-7 77 ga s `J S-I-aie Farn✓I — CorkH U our leLi r , Business Name,Firm,etc. t , Description of Proposed Sign(s): (Please check and complete all appropriate information) Z 4, _ Wall(S) Freestanding Projecting Roof Marquee Single Face Double Face Billboard Other 1 Square Footage:����.('b (V 7 Total Height above Grade: _ Y / t Vertical Dimension of Sign or Enclosure(U21.% C� 17 t Horizontal Width of Sign or Enclosure�l)tL 5�L (t) l'-5,7 (_ n Dimension from Grade to Bottom of Sign Enclosure �� 0 Electrical Installation: Yes KNo /� / (If yes additional electrical permit required) Material Sign is Constructed of: / I LV l.!G Value of Sign:ThLtfr/ 850• PI List ALL existing signage and attach a photograph of each sign: i (a) Type 7/nO✓tkottw� Sq. Ftg. 2 (b) Type Sq. Ftg. r4 (c) Type Sq. Ftg. (d) Type Sq. Ftg. r ' Contractor/Installer: E'4.1 A airae Ci n a 47/t/hi/�� Phone: � �—��—��C.' 0//�� // �J Address: ����5 �YZt- 1e ICCI 1 City: _. 7 -e/7P State: Zip: l7��OZ iConswuction Contractors Registration Number: . /623117 Expires: ,V16/2-0/ JJ / OFFICE USE "1 � Sign District: s_PO / CC- Zoning: /16 °,f By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all r �� 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 t 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 street,that the the permit card is located sign at the front of the property,and the approved set of plans will remain on the site at all r j mes during ins lation of the (s). Signature '�L� Date 1°/1//2013 Shared Ihive(T:)/nnilding Forms/Sign Permit Application l-W.doc jo bens+ ees a r 13 el S , CG,--tt( SYl- 96 3-2387 cL fet_F-