HomeMy WebLinkAboutPermit Signage 2013-10-24 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
ert Phone: 541-726-3753
OREGON Building / Sign Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02073
www.springfield-or.gov permitcenter @springfiel d-or.gov
PROJECT STATUS: Issued ISSUED: 10/24/2013 EXPIRES: 04/22/2014
STATUS DATE: 10/24/2013 APPLIED: 09/16/2013
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SITE ADDRESS: 1486 18Th ST,Springfield,OR 97477 SCOPE:
ASSESOR'S PARCEL NO: 1703253403900 TYPE OF STRUCTURE:
PROJECT DESCRIPTION: Sign -Wall Sign-Time Travelers of Oregon
OWNER: MERCURY DIME,LLC Phone Number:
ADDRESS: PO BOX 26125
EUGENE OR 97402
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Sign Contractor OWNER CCB 000000 08/01/2025
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.
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.
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Owner or Contractor Signature Date
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Springfield Building Permit 10/24/201 1:03:06PM Page 1 of 1
SPRINGFIELD - CITY OF SPRINGFIELD
-° 225 Fifth St
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TRANSACTION RECEIPT Spnngfield,OR 97477
00.EGON 541-726-3753
811-SPR2013-02073
wv w.springfield-or.gov 1486 18TH ST permitcenter @spnngfield-or.gov
RECEIPT NO: 2013002035 RECORD NO:811-SPR2013-02073 DATE:09/16/2013
(r] li];y(ntlCor:G` `' .iga ittate SeiXiS - `WACCOUNTiCODE/TRANS;CODE: --€' AMOUNT-DUET
Admin fee (10%of applicable fees) 224-00000-426605 1098 8.00
Sign Plan Review 224-00000-425602 1018 42.00
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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
BAY-M NTETYPE nPAYOR 0E
c R:irtaso._ . :COMMENTS s2;.P, y. .dMOUNTPAID
Check Time Travelers of Oregon Wall Sign-Time Travelers of 134.00
5003 Oregon
TOTAL PAID: 134.00
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eliFY mot:,R OaTat D 'OREGONW
r' 225 FIFTH STREET • SPRINGFIELD, OR 97477 • PH:(541)726-3753 • FAX: (541)726-3689 _
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5/ 3 - C z-07:: Plan Review Fee of$42 per sign is due with application.
J City Job Number
Op r Site Address: I t _t ( e• Cailli aICM tt q'I 1
44711 Assessors llMap 1^ r Tax Lot. `u ^ C'1
i'. 1 Owner. `\e \' CN \e.� r�`1 cc1 ■511 \ Phone\�, I `) Siy', cT �
Address: TQ _ 1 (1 ` 1� d� (s4kD 51S•aa14
,P��1 City -`C�1 � o1 ���_ •� State Zip "1 1 n
Ot Business Name,Firm, c. V !-a'17 0- • ili 4d a at - 1 (
pol\ Description of Proposed Sign(s): (Please check and complete all appropriate information) �o V(\`
Wall Freestanding Projecting Roof Marquee �C�rac---CAIZ.
Single Face Double Face Billboard — Oth r I tt
Square Footage: ���Total Height above Grade: I
' I ` Vertical Dimension of Sign or Enclosure: d' D Horizontal Width of Si or Enclosure:
t ��
' ( Dimension from Grade to Bottom of Sign Enclosure I O ( 1 Electrical Installation. Yes No
(If yes additional electrical permiyrequired)
Material Sign is Constructed of: S aST,c.—) ovf ve'Y � Value of Sign:
00 1
j List ALL existing signage and attach a photograph of each sign:
i. e (a) TypeF b Sq. Ftg.
(c) T, q. F (d) Type Sq. Ftg.
r t S4Fi 5.0-9 0
Contractor/Installer: a .•_ ■ ► Phon
1 'S 1 O e S* n t '�3Cfl�_
Address: `^ n Q✓'��/�
City: Q, Vl State: O1\ Zip: t ` t " °-
i Construction Contractors Registration Number: Expires:
t- 1
(/' OFFICE USE
Sign District: ` C_—' Zoning: C
By signature, I state and agree, that 1 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
4 a 06�{
further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project.
.t I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the
I ,{ I 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
ai ( times durin th installation oft sign ). I
Signature /KJ Date q " `3 , ( -3
Shared ndvelT VRuiidine Forma/Se m Permit Annheaiinnl-fl dnr.
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