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HomeMy WebLinkAboutPermit Signage 2014-4-2 SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 to OREGON Phone: 541-726-3753 Building / Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00710 www.springfield-cr.gov permitcenter@springfeld-or.gov PROJECT STATUS: Issued ISSUED: 04/02/2014 EXPIRES: 09/29/2014 STATUS DATE: 04/02/2014 APPLIED: 04/02/2014 • SITE ADDRESS: 3350 GATEWAY ST,Springfield,OR 97477 SCOPE: Sign ASSESOR'S PARCEL NO: 1703222001600 TYPE OF STRUCTURE: Commercial PROJECT:DESCRIPTION: Banner Permit • OWNER: ALIS HOSPITALITY Phone Number: ADDRESS: 107 F ST SALT LAKE CITY UT 84103 OWNER: SUNSET INVESTMENTS LTD PTRSP Phone Number: ADDRESS: PO BOX 10667 EUGENE OR 97440 • CONTRACTOR INFORMATION 1 Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General 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. 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 OCCUPANCYwill 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. :�a 4SC Owner or Contractor Signature Date • ATTENTION: Oregon law requires you to follow rules adopted by-the Oregon Utility - Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 4/2/2014 10:11:07AM Page 1 of 1 SPRINGFIELD -" CITY OF SPRINGFIELD 225 Fifth St 114, 4416. ° TRANSACTION RECEIPT Spdngfield,OR97477 OREGON 541-729-3753 811-SPR2014-00710 • www.springfield-or.gov 3350 GATEWAY ST permitcenter @spdngfield-or.gov • RECEIPT NO: 2014000714 RECORD NO: 811SPR2014-00710 DATE:04/02/2014 DESCRIPTION r -"ACCOUNSfCODEfLRANS:CODE+' ",M?_ Admin fee (10%of applicable fees) 224-00000-426605 1098 20.00 • Banner, Portable 224-00000425602' 1065 100.00 Banner, Portable Deposit 821-00000-215500 1049 100.00 Technology fee(5%of permit total) 100-00000-425605 2099 5.00 TOTAL DUE: 225.00 -P.AYMENTuTaYP_E,t, r P,AYR CASTE uRSOR- COMMEOT& _ AMOUNTPz/{Ip, ".f"I Check Elmers Install 04/02/14 225.00 1489 Removal 05/03/14 Refund Att: Elmers 3350 Gateway Street Spfld, Or. • 97477 TOTAL PAID: • 225.00 • • • • • • SPRINGFIELD • CITY OF SPRINGFIELD, OREGON 225 FIFTH STREET' • SPRINGFIEID,OR 97477 • P11:(541)726-3753 • FAX: (541)726-3689 A'��� • City Job Number q/Czot L/— Do)/ 0 •' 4 Job Location -3775 c-7 (77.....„1-0 C 4- ., • Assessors Map Tax Lot © Business Name if lriecs Re1 -{-o_td•t"a"'f" Business Contact Name MAC S - Phone 5(-11 -721.-1z-6 / cle .. Owner of Property at *✓V � / il f icy u (An ty S ' /0) Address 3 3_co 3- WA7 v S 4— ✓ Phone 5141 —1 74-6 — 121, / eu ca City . rell a'e ) State 0 I2 ' J Zip ! 7477 ., 4 Contractor/Installer 0 v c l' ii • ' Address Phone •-1 City State Zip 8 r��l! Construction Contractors License# Expires Q IJ Description T WA` f`' 6'V fr `4 Date of Installation 1 Z tic Date of Removal s-/TA y • 4 Cli24 Permit Fee: $225.00 including 5100.00 Deposit and applicable fees. I By signature, I state and agree that I have carefully completed this application and hereby certify that 4 all information herein is true and correct. I further agree and understand that individual banners and 1 portable signs subject to this permit may not be larger than 60 square feet. I also agree and understand ,. j that temporary signs shall be removed within 30 days from the date listed above. If the temporary - 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 .,---4 inspection to verify the removal of the temporary sign(s). This inspection will begin the process to �-; return the $100.00 deposit if the temporary sign(s) have b en removed. t 4 "44-1A _ Date y'�' I Property Owner Signature (� Zt4 For Office Use 4 r j 4 Date of Appll ion c/ Z, / r Job # Receipt# r Issued By “7—.-- I . Amount Collected ZZS Shared Drive(!:)Building Forms/Temporary Sign Permit CSD 3-12.due