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Home My WebLink AboutPermit Signage 2014-1-13 SPRINGFIELD 225 Fifth St 6CITY_ OF SPRINGFIELD Springfield,OR 97477 ;c� Phone: 541-726-3753 OREGON Building I Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 . PERMIT NO: 811-SPR2014-00060 www.springfield-or.gov permitcenter @Springfield-or.gov PROJECT STATUS: Issued ISSUED: 01/1312014 EXPIRES: 07/12/2014 STATUS DATE: 01/13/2014 APPLIED: 01/09/2014 SITE ADDRESS: 1865 OLYMPIC ST,Springfield,OR 97477 SCOPE: Sign ASSESOR'S PARCEL NO: 1703253107400 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign-Hawaiian Time OWNER: NADINE L BURGE EXEMPT MARITAL TRUST Phone Number: ADDRESS: 830 MCKENZIE CREST DR SPRINGFIELD OR 97477 L. CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Sign Contractor IMAGE KING INC GCB 161313 09/01/2014 541-484-1492 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. CI ICAC Cam— / 1/ . 17 Li Owner or Contractor Signature Date ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by •ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit 1/13/2014 11:02:32AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD h :Cti zzs N TRANSACTION RECEIPT 541-726-3753 811-S P R2014-00060 www.springfield-or.gov 1865 OLYMPIC ST permitcenter @springfield-or,gov RECEIPT NO: 2014000066 RECORD NO:811-SPR2014-00060 DATE:01/13/2014 . - )DESCRIPTION ACCOUNT_CODE/TRANS CODES :1-AMOUNTDUE,._ Admin fee(10%of applicable fees) 224-00000-426605 1098 14.00 Sign Plan Review 224-00000-425602 1018 42.00 Signs: 61 - 100 Square Feet 224-00000-425602 1007 140.00 Technology fee(5%of permit total) 100-00000-425605 2099 7.00 TOTAL DUE: 203.00 _._ . . ;' '�. 'AMOUNT PAID C,_ ...:.f I�.'PAYMENT TYPE PAYOR � casNlER�ccpRPERTER,=i , „-COMMENTS', - ' - Check IMAGE KING INC 203.00 20974 TOTAL PAID: 203.00 • .,. ,'r I' gsr t ry+ M"'M tv -ay 1fiNq 5 i Sx. v1S ' F- i ` x _, CL ®FFSPRINGFIELD :OREGON ,e S .' o- ' . vKii.n 4*+rt,,,_..Feinr > f ._ ,:itet ., ,. i,a . `^ '[ :<s '. i 225 FIFTH STREET • SPRII/NGFIELD,OR 97477 • PH:(541)726-3753 •FAX (541)726-3689 0 City Job Number / / ^0-0—v` D •Imii} Site Address: / 4d-erO/y� /c I /� '/ I Assessors Map 1 ! 03 ZJt / Tax vz`I ®C Owner: c C -ra-ut S �y // �?�, J Phone: U Address: O 30 pi/ice-tn. &ter L-vtec T 2 J ! 7ct77 1p�i Business Name, Firm,etc / State H l✓41�.4 7 7n' r Cr- .1, Zip Yr i ; Description of Proposed Sign(s): (Please check and complete all appropriate information) 4✓ VWall Freestanding Projecting Roof Marquee 1 cati 1 ti Single Face Double Face Billboard Other r 1 / Square Footage: 2047 Total Height above Grade: /1 / 1/ '5-4 / / t! r f ' Vertical Dimension of Sign or Enclosure: 6 Horizontal Width of Sign or Enclosure: Dimension from Grade to Bottom of Sign Enclosure // d !' Electrical Installation:�tS'es No� - - (If yes additional electrical permirequired)---mod • - r ) Material Sign is Constructed of ti �/e /4 I V /'I LiC. Value of Sign: °�JW 1401 List ALL exis 'n signage and attach a photograph of each sign:- I I (a) Type / a 0 .5/.9/1 Sq. Ftg. /IR)4 (b) Type Sq. Ftg. r (c) Type -7 �,, Sq.Ftg. (d) Type Sq. Ftg.�I �,/ (/C UA1 Contractor/Installer: -1-1 /\�9 e em? 5!��'/)5 Phone:-- `ll Yi w( 'YFt Address: /CI /, J �il� — A`�'� //'' p ,/ � \ City: Eyy-e./�i� State:0, Zip: /Z`Ev2 Construction Contractors Registration Number: /61 3/ 3 Expires: q_I -IC/ r- OFFICE USE 1 Sign District: C /�- - Zoning: ' , t By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all Ai information herein is true and correct,and I further certify that any and all work performed shall be done in accordance with 0 ; the Ordinances of the City of Springfield,and the Laws of the State of Oregon pertaining to the work described herein. I ii* further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. r ! I further agree to ensure that all required inspections are requested at the proper time,that project address is readable from the t�1 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 j 1 times during e i stallation of the si V / Signature Date id--/G//3 Shared Drive(T:)/Building Forms/Sign Permit Application I-02 doc