HomeMy WebLinkAboutPermit Signage 2013-10-24 •
SPRINGFIELD-- 225 Fifth St
CITY OF SPRINGFIELD
Springfield,OR 97477
Phone: 541-726-3753
O0. °°" Building / Sign Permit Inspection Phone: 541-726-3769
• Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02344
w's .springfield-or.gov - permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 10/24/2013 EXPIRES: 11/22/2013
STATUS DATE: • 10/24/2013 . APPLIED: 10/22/2013
SITE ADDRESS: 3192 GATEWAY LOOP,Springfield,OR 97477 SCOPE: Banner,Portable Sign
ASSESOR'S PARCEL NO: 1703222002502 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Temporary sign permit valid for 30 days from issue
OWNER: SHEILA S LLC Phone Number:
ADDRESS: 2390 LARIAT DR
EUGENE OR 97401
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Sign Contractor OWNER COB 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.
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Own•r or Contractor Signature Date
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Springfield Building Permit 10/24/201 12:06:30PM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
225 Flkh St
,Scot, TRANSACTION RECEIPT Spnngfiel oR97477
541-726-3753
OREGON 811-SPR2013-02344
www.spnngfieldar.gov 3192 GATEWAY LOOP permitcenter @spnngfield-or.gov
RECEIPT NO: 2013002347 RECORD NO:811SPR2013.02344 DATE: 10/24/2013
DESCRIPTION I 2° F " 't . ,-: ACCOUNT CODEITRANS=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
k�,,,,,,,,,�-� TOTAL DUE: 225.00 11
p:InnYMENTeTYP.E P.AYOR ASRISR:�t3ow sev . COMMENTS ,„_.- _ �;AMQUNVI-A.IU ; .1
Check sterling furniture 225.00
48163
TOTAL PAID: 225.00
•
`(,)` SPRINGFIELD
CITY.OF SPRINGFIELDrOREGON r
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225 FIFTH STREET • SPRINGHELD,OR 97477 • FH:(541)726-3753 •FAX: (541)726-3689 ��- -_ t
ti City Job Number Sfs 'OZ .S I( LI •
•sO� Job Location 319/ Ca-iv/day
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) Business Contact Name I \/haU( „ht K( C� Phone( \I ), -7LLD -W
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4 Address I J' '(/o Phone� > I(-Ul ��-I
City '3 9 Y,'\ . State ( Zip "/ 7( ,7�
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.. Contractor/Installer John Thnc b — panty ee
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i Address 2-0C\k') cl ( s“—t- . \ Phon: a q— ; g
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l City iVUL i State 6?--\ Zip 01 1 yD 2
4 '�' Construction Contractors License # ��323\ Expires I 1 S ��
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Description
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ei i Z Date of Installation Date of Removal �� j / 3
Permit Fee: $225.00 including $100.00 Deposit and applicable fees.
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4 By signature,I state and agree that I have carefully completed this application and hereby certify that
4 all information herein is true and correct. I further agree and understand that individual banners and
nportable 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 spec' led, I will forfeit the $100.00 deposit. I also
understand that this special permit can onl if ssued four(4)times per calendar year per development
�, area. I also agree to call the inspection I' (541)-726-3769 by the end of the 30th day to request an
x°.°'14 inspection to verify the removal of the : , •orary sign(s). This inspection will begin the process to
return the $100.00 deposit if the tete o y j• ) have been removed.
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Q Property Owner Signature /// Date
4 For Office Use
4 Date of Application f6 2
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J / / 7 Job # 5/3-021t�C'� Receipt#
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'--! Issued By �J� Amount Collected 2 z�
Shared Drive(T:}Building Forms/Temporary Sign Permit CSD 3-12 doe