The URL can be used to link to this page

Home My WebLink AboutPermit Signage 2014-5-12 SPRINGFIELD 225 Fifth St -i4 CITY OF SPRINGFIELD Springfield,OR 97477 1r =' L7-0 Phone. 541-726-3753 OREGON Building / Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01043 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/12/2014 EXPIRES: 06/06/2014 STATUS DATE: 05/12/2014 APPLIED: 05/12/2014 SITE ADDRESS: 1981 MOHAWK BLVD,Springfield,OR 97477 SCOPE: Banner,Portable Sign ASSESOR'S PARCEL NO: 1703251300500 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Temporary Sign permit for Oregon Community Credit Union, Ref COD2014-00313(T-mobile signs are separate busines)REMOVAL DATE 616/14,Refund Check to Oregon Community Credit Union,at 1981 Mohawk,Attn:Sara Palluck OWNER: M 8 M LAND COMPANY LLC Phone Number: ADDRESS: 101 E BROADWAY STE 103 EUGENE OR 97401 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 5/12/2014 1.14:28PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD .4 A ...oh.- 225 Fifth St .jk&sr TRANSACTION RECEIPT SpringfielchOR 97477 541-726-3753 ' OREGON 811-SPR2014-01043 . , www springfield-or gov 1981 MOHAWK BLVD permitcenter@springfielchor.gov RECEIPT NO: 2014001029 RECORD NO: 811-SPR2014-01043 DATE:05/12/2014 toSCRIPtION—: .±. ' . ' ' ':--',' • - , ACCOUNT cotEifRAi;i cabE: ; ,A11/161Jif1 DUE1 Admin fee(10%of applicable fees) 224-00000-426605 1098 20.00 Banner, Portable 224-00000-425602 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 i ' PAYMENT TYP,EJ:::. PAYOR CASHIER:CCARPENTER • ,;',1 1.COMMENTS &AMOUNT PAID Credit Card Sara Palluck 225.00 017697 TOTAL PAID: 225.00 SPRINGFIELD CITY OF SPR1NGFIFLD, OREGON ` t -- . 225 FIFTH STREET • SPRINGFIELD,OR 9747/7/ • PH:(541)726-3753 • FAX: (541)726-3889 Oy City Job Number S/V—- d /0`1 1 .°'_..,^-/"'-4(--" Job Location 1019\ flb V\A.w '� I2jWf) SP-CGd OZ 9 -1 1 ••••••t] Assessors Map Tax Lot • 1..-i C /1 ■ 1) Business Name CV(0 on l nth rl (.MI` Li Cre l,- On'01 — Business Contact Name It CL I 1 L C--e— J Phone 5-{ [ 1s8) is 30 g" U`� ` anti. t,Acr. ...- ; Owner of Property 'J∎ k V O— t'1 is r\Vic,Jain/NSA". �- J (1.9)I Address Phone J5� ■ 2z g ,3Zo I j City State Zip • ( Contractor/Installer S&(_ Z—; Address Phone r-.-(4 VZ:11 City State Zip Ei ' Construction Contractor cense # Expires ��rr l0) Ii Description { 4, S i Date of Installation J� -1- I Date of Removal �'a8" ■ Ql); Permit Fee: $225.00 including $100.00 Deposit and applicable fees. ( By signature, I state and agree that I have carefully completed this application and hereby certify that t 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 feetf also agree and understand •a � that temporary signs shall be removed within 30 days from the date listed above. If the temporary rcea 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 b area. I also agree to call the inspection line at(541)-726-3769 by the end of the 30th day to request an (( inspection to verify the rem vial of the to orary sign(s). This inspection will begin the process to Ci�; return the$100.00 deposit i the temporar s (s) have been removed. QI Property Owner Signatur Q } Date CI I 2..1 I'-I ' For Office Use . El dii Date of Application S/7//O/ Job# c/V— /C 67 3 Receipt# 2,2/t/0 o/OZ Issued By Amount Collected 22-5—°A2--- Shared Drive(T:yBuilding Forms/Temporary Sign Permit CSD 3-12.doc