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HomeMy WebLinkAboutPermit Signage 2014-5-20 • SPRINGFIELD 225 Fifth St -" — CITY OF SPRINGFIELD Spnngfield,OR 97477 vy Phone: 541-726-3753 OREGON Building / Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01113 www.springfeidor.gov permitcenter @spdngfieid-or.gov • PROJECT STATUS: Issued ISSUED: 05/20/2014 EXPIRES: 11/15/2014 STATUS DATE: 05/20/2014 APPLIED: 05/20/2014 SITE ADDRESS: 255 S A ST 1,Springfield,OR 97477 SCOPE: Banner, Portable Sign ASSESOR'S PARCEL NO: 1703353207300 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banners-See COD14-00311 OWNER: BUCKRIDGE MICHAEL H&SHERRIE L Phone Number: ADDRESS: 1905 AGATE ST - EUGENE OR 97403 CONTRACTORINFORMATION• 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 5/20/2014 1:35:24PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD '� A •�Ir. 225 Fifth St TRANSACTION RECEIPT Spdngfield,OR 97477 541-726-3753 OREGON 81 1-SPR201 4-01 1 1 3 www.springfield-or.goy 255 S A ST 1 permitcenter©springfield-or.goy RECEIPT NO: 2014001106 RECORD NO:811-SPR2014-01113 DATE:05/20/2014 floc "- — . ,: �:� r.:.a_ii'AGCOUNT CODE/TRANStODE v;i1L~.�� --AMOUNT oC1�J��z Admin fee(10%of applicable fees) 224-00000-426605 1098 10.00 Banner, Portable 224-00000-425602 1065 100.00 Technology fee(5%of permit total) 100-00000-425605 2099 5.00 y,..�.. TOTAL DUE: 115.00 Orlra,MENTaTYFE f?AYOR cnsNteiM aRPEN1ER COM'T' AMOUNT PLAID ,_ Check Sun Auto - 115.00 4050 TOTAL PAID: 115.00 SPRtt[G-FEELD �u._rZ y`4� 'x�'8' g°' +�w�� .2� `-t7n.H��2r�'iSff'7.'1-rs:�''..'3e�.'°1a.t� ,v -•- � i l 3 are F SP • �. GBTBLD;�®REG,O P t-a� .vhT »aFaY?':1'�° s^ aa.i..a� a�trian. mee 8 . ic'{La 4 (�+" 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)72G-3753 •FAX: (541)726-3689 ti1'..LE11 City Job Number S 14-I l( 3 0, C Job Location ,_;255 9J STI��! /��;���{ c . 011, 7y? 7 •..rte; Assessors Map Tax Lot Business Name c 1 /-1-LX0 vv oTI c/e C/3; Business Contact Name 1C„ A/o(F( Phone Ged-. 54( j— /55S (1 6cs- 5 4 4- 7'1 6 -6 9 3 e, •„ Owner of Property /I le • / � - 6;4 _ • 2:5- Address Silt/44,E AS Phone City State Zip . , Contractor/Installer Cpl 4f Address Phone City State Zip cpConstruction Contractors License # Expires Description y Z c E Ce0/V- 00 3 Date of Installation Date of Removal _—i —4 Permit Fee: $225.00 including $100.00 Deposit and applicable fees. F -By By signature, I state and agree that I have carefully completed this application and hereby certify rtAA all information herein is true and correct. I further agree and understand that individual banners and portable signs subject to this permit may not be larger than 60 square feet. I also agree and understand ; 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 inspection to verify the removal of the temporary sign(s). This inspection will begin the process to CRS" return the$100.00 deposit if the temporary sign(s) have been removed. Q.) Property Owner Signature Date c For Office Use Date of Application )72 2/Y Job # S/ — /// .1 Receipt# Qua ( Issued By -- Amount Collected // 5 Shared Drive(T)/Building Farmarremporary Sign Permit CSD 3-12 doe