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HomeMy WebLinkAboutPermit Signage 2013-11-5 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfeld,OR 97477 . ' Phone: 541-726-3753 • { OREGON Building / Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02454 www.springfield-or.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 11/05/2013 EXPIRES: 12/31/2013 STATUS DATE: 11/05/2013 APPLIED: 11/05/2013 SITE ADDRESS: 1010 POSTAL WAY,Springfield,OR 97477 SCOPE: Banner, Portable Sign ASSESOR'S PARCEL NO: 1703222002602 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Temporary sign-110513 removal date 123113 OWNER: DOUBLE S FOODS Phone Number: • ADDRESS: 302 SHELLEY ST STE 2 SPRINGFIELD OR 97477 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 • truction. • _ _ w �. _' 11 - .s -; 3 Owner or Contractor Signature Date • Springfield Building Permit . 11/5/2013 2:45:58PM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 OREGON 541-726-3753 811-SPR2013-02454 • www.springfield-ar.gov 1010 POSTAL WAY permitcenter @spnngfield-or.gov RECEIPT NO: 2013002437 RECORD NO:811SPR2013-02454 DATE: 11/05/2013 DESCRIPTION .,4i.s'�.L ua:la ;;5nit aw mx imareari.ier ?A6GOUNTECODE/TRANS,CODE;_ie.��*_� AMOUNT:.DUE'v; Admin fee(10%of applicable fees) 224-00000-426605 . 1098 30.00 Banner, Portable 224-00000-425602 1065 200.00 Banner, Portable Deposit 821-00000-215500 1049 100.00 Technology fee(5%of permit total) 100-00000-425605 2099 10.00 TOTAL DUE: 340.00 19-6PAYMENTd:TYPEM PAY,OR. dgsweR:lccgReENriar�"v: s'COMMEN;fS MOUNTP.AIUgart Credit Card dan begin 340.00 05061c • TOTAL PAID: 340.00 • SPRINCFAELD rw,T I;�C T, itk 2 ve '"46"`CFY s:;-..�5,.r+c p>",.,w-'+" r .eG.87�kr y f-""` L'G.'TfR 'Tµ ° "x'-,+ 0 k„ y r v,;7s' M« .M F OE SP'.0 GH 4 D;w®REG n l�W i s� 1 .� ; i x-, a :s"�,a..wYrntrnF *"s a::i9� ±t.Q.,A : ?SY�Y ill, '?,c5ier i "�..ut.n '��,a 3v) J ., d;-j ttt4 / i 225 FIFTH STREET • SPRINGFIELD,OR 97477 • FH:(541)726-3753 • FAX: (541)726-3689 N '� _� . City Job Number S) 3—6 Z2-/5-1 ':O Job Location /o /e ?e Sf o, 1 C,( )4\, .. �. Assessors Map 1 7 0 3p a � f� Tax Lot a 6a Business Name 51 2 2 1.e 1(o ' Business Contact Name Th c. ,� ��1 ✓1 Phone y — 9© 3 9 3S •,. -; Owner of Property J�)�� \..0 Fe CM A_, t Address a s k. - `\(� y S1 • p� Phone S Li I -714 Li- loci 3 V- / City c P r I •. Tie\ \ State C ) Q. Zip / -7 y 7 7 Contractor/Installer 1/q 311(\ Address 1 f j I O i e Si a 1 �,e ) 4::: . Phone c' q ) -7 a 6)— cj 3 3 E. City (� ,.-�) 1Q._ State( 0 R , Zip 1 7 LI 7 7 0:, Construction Contractors Lic Expires Le ,.vLS Jr Description • Date of Installation / ff Date of Removal /Z 3/ 1 - Permit Fee: 5225.00 including 10070 Deposit and applicable fees. Q4 al By signature, I state and agree that I have carefully completed this application and hereby certify that all information herein is true and correct. I further agree and understand that individual banners and t-�'i 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 cony r 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 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 vex; the remo . of the temporary sign(s). This inspection will begin the process to CCj return the $100.0, deposit if the to porary si ye c have b n removed. O.. Property Owner Signa ) Date I 5 —1 For Office Use / ` Date of Application ���// 3 Job# _,,</ 3 -0 2-4-5-1 Receipt# Q - �( , Issued By -"fr Amount Collected 3 y1) Shared Drive(T)Building Forms/Temporary Sign Permit CSD 3-12 doe