HomeMy WebLinkAboutPermit Signage 2013-9-30 SPRINGFIELD - 225 Fifth St
w CITY OF SPRINGFIELD Springfield,OR97477
7"Fmx io.'`� ,.? Phone: 541-726-3753
°t'".7° OREGON Building / Sign Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02188
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/30/2013 EXPIRES: 11/01/2013
STATUS DATE: 09/30/2013 APPLIED: 09/30/2013
SITE ADDRESS: 3270 GATEWAY ST,Springfield,OR 97477 SCOPE: Banner,Portable Sign
ASSESOR'S PARCEL NO: 1703222002001 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Temporary banner-REMOVAL DATE 11/1/2013
OWNER: GATEWAY 4 INVESTORS LLC Phone Number:
ADDRESS: PO BOX 10066
EUGENE OR 97440
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Sign Contractor OWNER GCB 000000 08/01/2025
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 of the property, and the approved set of plans will remain on the site at all times during
construction.
SsKECC tit 4 assail IC. 1.6 //7
Owner or Contractor Signature Date
Springfield Building Permit 9/30/2013 11:55:57AM Page 1 of 1 •
SPRINGFIELD- - CITY OF SPRINGFIELD
�((t�
TRANSACTION RECEIPT Spn Fifth ld`OR97477
A OREGON 541-726-3753
811-SPR2013-02188
www.springfield-or.gov 3270 GATEWAY ST permitcenter @spnngfield-or.gov
RECEIPT NO: 2013002169 RECORD NO:811-SPR2013-02188 DATE:09/30/2013
�DESCRI6TION ACCOUNT CODE/TRANS CODE, 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
LPAYMENLTYPE . PAYOR- .CASHIER:oeOWLSBY °Y COMMENTS '`. -.- • - :-'AMOUNT PAID
Credit Card Mark Franks refund to: 225.00
034547 Castle Megastore Group Inc
Attn: Kelly Pinta
1045 8:Edwards Drive
Tempe,AZ 85281 _
TOTAL PAID: 225.00
. . Se.p 26 2013 15: 08 p• 2
SF•RgP7cr t&RO 12"!t•
CITY OF SP RIN CI.IF La- C,f)N ; as:
. iii
225 FIFTH S T R E E T • SFRINGFIELD,OR 97477 • Y1-1:(541)726-3753 •FAX: (541)72G-3689 ;6F...4 i ill t'- ••
t City Job Number 51 -0Z( Fe
'tea Job Location 57:70 Ga t ui t S4itt.f
) q
., 3 Assessors Map )70 3 ZZto Tax Lot O ZOO
Din V t s -ory
•�� Business Name C
rC1e�. Business Contact Name 1\1\DA ` CO-VAVS Phone ' 91( - loos
ca
Owner of Property G0.{'e. watt) 4 Trot eS+orS} i_LL.
4 Address PO 30 X IOO(0L, Phone
C4.) City
Eu0]uyle. State Ott. Zip Mm- -/4-o
b S ,
, j Contractor/Installer -n
1 31A
Address 2S e C . 3t AN)e_, Phone 54-i " 4 " 0242
;;;;11 City Eup,ene- State Ore- Zip °I'14OS
Construction Contractors License # Expires
h Description &Q1(ov3a9-Yt acv- vim
4'14"11 lO O( 13 Date of Removal l> , OI • 13
a Date of Installation Permit Fee: $225.00 including $100.00 Deposit and applicable fees.
sil By signature, I state and agree that I have carefully completed this application and hereby certify that
04 all information herein is true and correct. I further agree and understand that individual banners and
`�imI1S��3� 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. lithe temporary
VIIII 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
4." area. I also agree to call the inspection line at(541)-726-3769 by the end of the 30th day to request an
inspection to verify the removal of the temporary sign(s). This inspection will begin the process to
return the$100.00 deposit if f th emporary st (s) have been r emoved.
Property Owner Signature Date
��Z�F
l3
F '
rrr Office U
�
, 7 73 Job# S/J '0 0( a Receipt# Z0/� 65-
Date of Application t
e�
4 Amount ZZ S
Issued By ount Collected
Blared Drive rr:yauilding Forms/ernpmUy Sign Permit CSD 3-12.doz
•