HomeMy WebLinkAboutPermit Signage 2013-11-18 SPRINGFIELD 225 Fifth St
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ii . CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
°' OREGON Building I Sign Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02526
www.springfield-or.gov permitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 11/18/2013 EXPIRES: 12/26/2013
STATUS DATE: 11/18/2013 APPLIED: 11/18/2013
SITE ADDRESS: 1321 S A ST,Springfield,OR 97477 SCOPE: Banner,Portable Sign
ASSESOR'S PARCEL NO: 1703363207700 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Temporary signs for tree lot-Install date 11129,removal date 12/26
OWNER: COFFMAN MARION A&B L Phone Number:
- ADDRESS: PO BOX 371
SPRINGFIELD OR 97477
' 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 of the property,and the approved set of plans will remain on the site at all times during
construction.
Owner or Contractor Signature Date
Springfield Building Permit 11/18/201 11:46:36AM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
hir..... 225 Fifth St
TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
: ' OkEGON
811-SPR2013-02526
www.springfield-or.gov 1321 S A ST permacenter@springneld-or gov
RECEIPT NO: 2013002517 RECORD NO:811-SPR2013-02526 DATE: 11/18/2013
[DESCRIPTION , ' ' -.- ACCOUNT CODEITRANSACODE : ;,t.'.: - AMOUNT DUE I
Banner, Portable 224-00000-425602 1065 100.00
Permit Fee Adjustment-Administrative Fee 224-00000-426605 1098 10.00
Technology fee(5%of permit total) 100-00000-425605 2099 5.00
TOTAL DUE: 115.00
1,...PAYMENT TYPE ' ''PAYOR CASHIER:CCARRENTEH,1COMMENTS....w .._ . 4.4 4' , 1:,, , , AMOUIF 17..,AID'
Check COFFMAN MARION A&B L 115.00
10795
TOTAL PAID: 115.00
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SPRINGFIELD-
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225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 • FAR: (541)726-3659 OREGON
4 TO, FIREWORKS SALES LOT/CHRISTMAS TREE LOT Banner/Portable Sign Permit
BUSINESS.INFORMATION
` Job Location City Job Number S T 2�.7 �,
31 .1 3k A 51. 1 2 .
Assessors Map
Tax Lot Hours1
Operation:
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t
% � � C j d
PROPERTY OWNER'S INFORMATION
(0:{ *Property Owner's Name: •Property Owner's Contact#:
C�x.t.Q C .rs..m 5-"H-Id �I -2 _24
*Property owner's Address where sale is to bee ducted:
r : I /32/ soLc-f 2. S�'i.
•' CONTRACT/INSTAL • INFORMATION
Contractor's Name Full Name /� n Phone#: /`
Geo-{-en.usl . , i. ,h :< 1. .n..; ( ) G_QSA
Residence Address(No V.O.Box) 3SI J
�s(� \ 34 K 3�t,a1-
hloilingAddress if different from above: Email Address:
ri Roc 371
Construction Contractors License#: Expires:
ADDITIONAL INFORMATION
Description: jj/
x 8 Oi vaeee,Q 518 Ir.
Date of Installation Date of Removal
II - -2 9 - i3 /2.-026 - 13
0: PERMIT FEE: SI15,00
SIGNATURE AND INFORMATION .
.".,,,,, 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 the above described banner(s)and/or
portable sign(s)is not larger than 60 square feet.
Applicant's Name(Please Print) Applicant's Signature
/3074 '?7/ P It, ( Ol7---( lL4cz- •"Ae....1 .-um ber crU — ` Q Date //_/ v^/ 3 P 7�r- 57 ? - .a21,
D FOR OFFICE USE ONLY
Date of Application Job# Receipt# Issued By: Amount Received:
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Shared Drive I T:}Huslness licensinc fire‘‘elks/Christmas Tree To; ev Apr'I;.