HomeMy WebLinkAboutPermit Signage 2014-5-14 SPRINGFIELD - - 225 Fifth St
4i CITY OF SPRINGFIELD Springfield,OR 97477
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OREGON Phone: 541-726-3753
Building / Sign Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01062 ,
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 05/14/2014 EXPIRES: 06/08/2014
STATUS DATE: 05/14/2014 APPLIED: 05/14/2014 •
SITE ADDRESS: 4198 MAIN ST,Springfield,OR 97478 SCOPE: Banner, Portable Sign
ASSESOR'S PARCEL NO: 1702323201501 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Complance temp sign permit Ref COD14.307
OWNER: BELL CO LLC Phone Number:
ADDRESS: PO BOX FF
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
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Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
L INSPECTIONS REQUIRED
II
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.
I / 1 2 s///by
Owner or Contractor Signature Date
Springfield Building Permit • 5/14/2014 1'.53'.13PM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
. AA ,,....-\ 225 Fifth St
-ryOREGON TRANSACTION RECEIPT Springfield,OR97477
541-726-3753
811-S P R2014-01062
www.springfield-or.gov 4198 MAIN ST permitcenter @springfield-or.gov
RECEIPT NO: 2014001054 RECORD NO: 811-SPR2014-01062 DATE:05/14/2014
%DESCRIPTION- , - „;._—AC000N11CODE/TRANS.CODEc ' . ,,_ AMOUNT DUE4_1
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
L PAYMENT TYPE_ _PAYO:_ CASHIER:CCARPENTER • COMMENTS- - -..AMOUNT PAID a _A
Credit Card -anda I Jefferis 225.00
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—/�—�,`yT� TOTAL PAID: 225.00
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CITY OFrSPRINGFIE=W, OREGON :M )-,,.
225 FIFTH H STREET • SPRINGFIELD,OR 97477 • PIL(5,11)726-3753 •FAX: (541)726-3689 ��
0 City.Job Number /i7 —2OO `
• .. . Job Location /I 4/17 A)
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Owner
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C) Owner of Property
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Address CI i `7 r 41 ili d C Phone
City S7�12//vl vLO State Da-- Zip 97'17
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. - Contractor/Installer .
Contractor /1/ 1
Address Phone
_ ' City State Zip
Q Construction Contractors License# Expires
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1: Description P,/.-6.- t# cfl / F-c.c/rn F
^"1 Date of installation-- Date of Removal
,Sj• Permit Fee: $225.00 including 5100.00 Deposit and applicable fees.
C.
1 By signature, I state and agree that I have carefully completed this application and hereby certify that
all information herein is true and correct. I further agree and understand that the above described
' banner(s) and/or portable sign(s) is not larger than 60 square feet, and will he removed within 30 CIO) from the date listed above. If the banner(s) and/or portable sign is not removed within the timeline
specified, I will forfeit the $100.00 deposit. I also understand that this special permit can be issued
only twice per calendar year per development area. I also agree to call the inspection line at 726-3769
-- by the end of the 30111 day to request an inspection to verify the removal of the banner(s) and/or portable
sign(s). This inspection will begin the process to return the $100.00 deposit if the banner(s) and/or
yen Ct' portable sign(s) has been removed. e�
Signature a� �wh! v 7,9'— Date s —1K—Z/
For Q(/ice Use
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Date of Application S AY//V Job# eS7i /6°' Receipt#
M Issued By Amount Collected
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Shared Drive 4Ta/l4uilding FarmdHanner_Ponahle Sign Pemin£5177(18 duc