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HomeMy WebLinkAboutPermit Signage 2014-5-14 SPRINGFIELD - - 225 Fifth St 4i CITY OF SPRINGFIELD Springfield,OR 97477 k. 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 - 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 03806b �j_ —/�—�,`yT� TOTAL PAID: 225.00 pe e30/ es 5tYO a.A... 57477 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) ;,....74 Assessors Map / 7c 2 5 2 ) Z Tax Lot / ��/ Owner Cl) CO Lt_ C- C) Owner of Property 0 ._, Address CI i `7 r 41 ili d C Phone City S7�12//vl vLO State Da-- Zip 97'17 to . - Contractor/Installer . Contractor /1/ 1 Address Phone _ ' City State Zip Q Construction Contractors License# Expires �rl, W- 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 s--t 2 Date of Application S AY//V Job# eS7i /6°' Receipt# M Issued By Amount Collected w Shared Drive 4Ta/l4uilding FarmdHanner_Ponahle Sign Pemin£5177(18 duc