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Home My WebLink AboutPermit Signage 2013-9-10 . I 44. SPRINGFIELD +w�sw..w.- ; CITY OF SPRINGFIELD, OREGON` ` - 225 FIFTH STREET • SPRINGFIELD,OR 97477 • FH:(541)726-3753 •FAX: (541)726-3689 . . .. j City Job Number Sf3- ° Z/O.3, ei cZ ''`� Job Location Ito?) ),`;1l-- ' .eeid- •• Assessors Map 176 3 3S (L Tax Lot D S f U e R +1 Business Name � L] _L/. alto i-"a V D Wes LITHI i'I ' I ` 1 'RINGFIELD f1 Business Contact Name n O A rice_ Phone ' '7 - 593Q 4i •., Owner of Property i___.I I IA.C,I.Ii �,4 la Address Iii(o? S S. "I 1 � ''(� Phon� f e 7q 1 r3.a7zJ �/.J"�1 City Sp i et State oR Zip q- q77 `', .,r�m-y{� Contractor/Installer CC f'V& Z g Address Phone City State ' Zip 1 Construction Contractors License # Expires y • • Description j—. ,/At Si I L a w, "SI_ _ : !1e)a A • Q 2 Date of Installation - 1- 1 I. — ", ) Date of Removal 10" I I _ 13 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 cesti all information herein is true and correct. I further agree and understand that individual banners and o,O portable signs subject to this permit may not be larger than 60 square feet. I also agree and understand that temporary signs shall be removed within 30 days from the date listed above. If the temporary sign(s) are not removed within the timeline specified, I will forfeit the $100.00 deposit. I also understand that this special permit can only be issued four(4) times per calendar year per development tbl area. I also agree to call the inspection line at (541)-726-3769 by the end of the 30th day to request an r p inspection to verify the removal of the temporary sign(s). This inspection will begin the process to return the $100.00 deposit if ta ary sign( have been removed. Q fn Property Owner Signature �, ( t � / Date -/iA For Office Use p a ` Date of Application //: Job# S/3' 02030 Receipt#20I3 -0 I ¶?y Issued By -- Q Amount Collected Z Z 5' Shred Drive(T:yBuilding Forms/Temporary Sign Permit CSD 3-12.doc SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 • Phone: 541-726-3753 's Building / Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02038 -wrrx.springfield-or.gov - permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 09/10/2013 EXPIRES: 10/11/2013 • STATUS DATE: 09/10/2013 APPLIED: 09/10/2013 SITE ADDRESS: 163 S 9TH ST,Springfield,OR 97477 SCOPE: Banner, Portable Sign ASSESOR'S PARCEL NO: 1703354209800 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Temporary signs-install 091113 removal date 101113 , OWNER: CAR LIT OR SPRING LLC Phone Number: ADDRESS: 360E JACKSON ST MEDFORD OR 97501 CONTRACTOR INFORMATION - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED 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 forfiet the deposit. 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 oft e property, and the approved set of plans will remain on the site at all times during construction. 91--10._I 3 Owner recto Signature Date • • Springfield Building Permit 9/10/2013 10:50:35AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 6 t - 225 Fifth St TRANSACTION RECEIPT Springfteld,OR9477 OREGON 541-726-3753 811-SPR2013-02038 www.springfield-or.gov 163 S 9TH ST perrnitcenter @spdngfeld-or.gov RECEIPT NO: 2013001994 RECORD NO:811-SPR2013-02038 DATE:09/10/2013 'US ACCOUNT CODETRANS CODE., =r�- '- AMOUNT DUE Admin fee(10%of applicable fees) 224-00000-426605 1098 20.00 Banner, Portable 224-00000-425602 1065 100.00 Banner, Portable Deposit 821-00000-215500 1049 100.00 Technology fee(5%of permit total) 100-00000-425605 2099 5.00 TOTAL DUE: 225.00 "_PAYMENTFTtYPE . PAYOR- casRTeR oeowLSer COMMENTS . AMOUNWAID'- 7 tr 'L fr;., , Check lithia auto stores refund to; 225.00 59460 Lithia Motors Attn;Cathy 163 s 9th st springfield,or 97477 TOTAL PAID: 225.00 • • • 1.