HomeMy WebLinkAboutPermit Signage 2201-11-21 •
SPRINGFIELD 225 Fifth St
hit' CITY OF SPRINGFIELD Springfield,OR97477
�� Phone: 541-726-3753
.OREGON Building / Sign Permit Inspection Phone: 541-726-3769 •
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02557
www.springfield-ocgov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 11/21/2013 EXPIRES: 05/20/2014
STATUS DATE: 11/21/2013 APPLIED: 11/21/2013
SITE ADDRESS: 5790 MAIN ST,Springfield,OR 97478 SCOPE: Sign
ASSESOR'S PARCEL NO: 1702334101900 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Banner for Christmas tree lot
OWNER: POLEN DEVELOPMENT LLC Phone Number:
ADDRESS: 5768 MAIN ST
SPRINGFIELD OR 97478 •
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Sign Contractor OWNER CCB 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.
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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.
11\2k 'C3
Owner or tractor Signature Date
ATTENTION: Oregon law requires you to NOTICE: .
follow rules enter. Those os the rules are tfort THIS PERMIT SHALL EXPIRE IF THE WORK
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT
0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR
calling the center. (Note: the telephone ANY 180 DAY PERIOD.
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 11/21/201 9:21:29AM Page 1 of 1
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SPRINGFIELD CITY 017 SPRINGFIELD
4 i -4154.- 225 Fifth St
°:C ". TRANSACTION RECEIPT 5pringtield,OR97477
-&OREGON. 541-726-3753
811-SPR2013-02557
www.springfield-or.gov 5790 MAIN ST permitcenter @springfield-or,gov
RECEIPT NO: 2013002549 RECORD NO: 311-SPR2013-02557 DATE: 11/21/2013
IDESCRIPTION„L___ • ACCOUNT CODEITRANS CODE __;_-AMOUNT DUE` !
Admin fee(10% of applicable fees) 224-00000-426605 1098 10.00
Banner, Portable 224-00000-425602 1065 100.00
Technology fee(5%of permit total) 100-00000-425605 2099 5.00
TOTAL DUE: 115.00
PAYMENT TYPE PAYOR CASHIER:JLARSON — COMMENTS_ ;_• AMOUNT PAID
Check Jim Cantrell 115.00
3356
TOTAL PAID: 115.00
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SPRINGFIELD
=CV.SPININ WIELD, OREGON
225 FIFTH STREET • SPRINGFIELD,OR 97477 • Fl I:(541)726-3753 a FAX: (541)726-3689 OREGON
. 0. FIREWORKS SALES LOT/CHRISTMAS TREE LOT Banner/Portable Sign Permit i
BUSINESS INFORMATION
.lob Location 5-79 M City Job Number
Q(/1 s
qa Assessors Map
��} Tax Lot Hours of Operation: •
(11 -5
PROPERTY OWNER'S INFORMATION
•Property Owner's Nano (/ ' •! '(Pro)env Owner's Contact#:
{�^tt S�Sie foe/V 5yh �So5— 753Z
1J, *proper( 'owner's Address^^4tAale`is Iq be conducted: ��/ -.SS I - 2 2�S
111---'--111 L/4 Address
"l Cs t L
(Trec tor) 5790 MQ& S f
• app CONTRACT/INSTALLER INFORMATION
C1 Contractor's Name Full Name Phone#.
V/ 1 4aC�5 M4s niC�) (Sy! ) 79? 577
Residence Address(No P.O. Box)
Mailing Add ess if differl nt om 6593a
adore: rrd
Entail Addrk:
1 , 1 O. oz 2 <5 S,aspel/Or 9713 ) bobbofi.eao).
CaN
Construct on Con 0 aetot ss license H: Ecprcs.
20044 7/2 /�/
ADDITIONAL INFORMATION
Descripti t dui Tee 44:
Date of nsmllatinn w f 29 Date of RettAival 26 tk
® PERMIT FEE: $115.00
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 nod correct. 1 further agree and understand that the above described banner(s)and/or
A'`e1 portable sign(s) is not larger than 60 square feet.
i Applicant's Name( Please Print) ___._... Applicant's 'onah 'e — –_—
34M(.S T. 614,k-het\
Date
II /2iIi3 Phone Number
y/- 7ci3 - 5771
n FOR OFFICE USE ONLY
Date of Application .1o1H Receipt ll Issued By: Amount Received:
Shorted Drive(Tr ha nslucsa.ianrinµn iewor LJCLricunuc Tae Lot rcc Apr'I3