HomeMy WebLinkAboutPermit Signage 2014-2-21 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
`o EGOH Phone: 541-726-3753
Building / Sign Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00206
www.springfield-or.gov permitcenter@springfield-or.gov
- PROJECT STATUS: Issued ISSUED: 02/21/2014 EXPIRES: 08/20/2014
STATUS DATE: 02/21/2014 APPLIED: 01/31/2014
SITE ADDRESS: 1488 18TH ST,Springfield,OR 97477 SCOPE: Sign
ASSESOR'S PARCEL NO: 1703253403900 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Sign -wall sign for Time Travelers of Oregon Antique Mall •
OWNER: MERCURY DIME, LLC Phone Number:
ADDRESS: PO BOX 26125 -
EUGENE OR 97402
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Sign Contractor OWNER GCB 000000' 08/01/2025
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 fru, of the property, and the approved set of plans will remain on the site at all times during
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construction.
Owner or Contractor ignature Date
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Springfield Building Permit 2/21/2014 9:08:24AM • Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
j k -,..Jw 225 Fifth St
s' `O OREGON
TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
811-S P R2014-00206
www.springfield-or.gov 1488 18TH ST pennitcenter@springfield-or.gov
RECEIPT NO: 2014000373 RECORD NO:811-SPR2014-00206 DATE:02/21/2014
tDESCRIPTION' .- t.' ^.. "- . ,. ,-, ;ACCOUNT_CODE/TRANSCODE . ' - AMOUNT DUE
Admin fee(10%of applicable fees) 224-00000-426605 1098 8.00
Sign Plan Review 224-00000-425602 1018 42.00
Signs:0-35 Square Feet 224-00000-425602 1007 80.00
Technology fee(5%of permit total) 100-00000-425605 2099 4.00
•
—�--- - - --�-- - - -TOTAL DUE: 134.00
•
„:PAYMENT TYPE ` PAYOR 'CASHIER:DBOWLSBV . _` COMMENTS__., ___', ;"` AMOUNT PAID -- " -`f
A
Check time travelers of oregon 134.00
5136
TOTAL PAID: 134.00
<-. CITYrOFI SPRINGFIELD;AOREGON
4 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH (541)726-3753 • FAX (541)726-3689
r-
C)j City Job Number 5711'6 0 2cc
1}11*( Site Address: 14S \tj Ar\O e-k 1 p k y-N g C1 612_
Assessors Map '7 O3 ZrS3' Tax Lot: 0 0 in
It � [` 1 t� C.� Q'
` Owner: @` 1�C' t� CY�l \1e,\\�Y � Phon `�—r � .��� ll
Address: \ `� \ � �, We.* �Q Q �\
' � City xI�q \� State 0,\ Zip I 149 rl
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�� Business Name, Firm, - rY`� V�' 0 CM - • ea Aka . - .4 V_
r
r Description of Proposed Sign(s): (Please check and complete all appropriate information)
clik i Wall Freestanding Projecting Roof >4 Marquee
((ASC(A)
Single Face Double Face Billboard Other
1 Square Footage: 2:7 Total Height above Grade: 13 ID 2
1 IO
iltVertical Dimension of Sign or Enclosure: 2. 8 Horizontal Width of Sign or Enclosure:
Dimension from Grade to Bottom of Sign Enclosure I I i 2 L Electrical Installation:_Yes No
(If yes additional electrical permit required)
i Material Sign is Constructed of: 1)3/445116 evbe_ in-eAteD 01-Y Value of Sign: 4 5
030/
r.. List ALL existing signage and attach a photograph of each sign:
(a) Type Sq. Ftg. (b) Type Sq. Ftg.
l
( (c) Type Sq. Ftg. (d) Type Sq. Ftg. qq
•1 Contractor/Installer: S A ■ 1i Phone— Ca
_I
fAddress::
prP �p
City: ` N A V\R_— State: OY_ Zip:
1 Construction ontractors Registration Number: Expires:
OFFICE USE /+
Sign District: (Ti` C Zoning: l(—
)
' , i 1 By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all
r information herein is true and correct,and I further certify that any and all work performed shall be done in accordance with
J the Ordinances of the City of Springfield,and the Laws of the State of Oregon pertaining to the work described herein. I
a
trill further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project.
/, I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from the
. i
street,that the permit card is located a e front of the pro rry,and the approved set of plans will remain on the site at all
( times during th st Hatton of the sig ),I
Signature Date I 1
•Shared Drive(T:)lllullding FormsSign Permit Application I-02doc
LAN 01-09-9: S-Cevt& \ n1 is AwAa.t OF %UopusfD SivN