HomeMy WebLinkAboutPermit Signage 2014-5-15 SPRINGFIELD—•— • 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
<i.....j�` Phone: 541-726-3753
ONEGON Building / Sign Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2 01 4-01 070
www.Springfield-or.gov pe rmitce nter@s pringfield-or.gov
PROJECT STATUS: Issued ISSUED: 05/15/2014 EXPIRES: 11/10/2014
STATUS DATE: 05/15/2014 APPLIED: 05/15/2014
SITE ADDRESS: 3626 OLYMPIC ST,Springfield,OR 97478 SCOPE: Banner,Portable Sign
ASSESOR'S PARCEL NO: 1702300001903 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Compliance permit for flag signs
OWNER: LANGELIERS LYLE J&SHANDOLIN Phone Number:
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ADDRESS: 669 53RD ST -
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
INSPECTIONS REQUIRED
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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.
Skr//y
ner or Contractor Signature Date
Springfield Building Permit 5/15/2014 11:26:06AM Page 1 of 1
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SPRINGFIELD - CITY OF SPRINGFIELD
225 Fitth St
r TRANSACTION RECEIPT Springfield,OR97477
�-�t'v 541-726-3753
OREGON 811-SPR2014-01070
wwwspringfield-or.goy 3626 OLYMPIC ST permitcenter@springfield-or.gay
RECEIPT NO: 2014001066 RECORD NO:811-SPR2014-01070 DATE:05/15/2014
DESCRIPTION �__ =_ -ACCOUNT_CODE/TRANS.CODE___'-__AMOUNTDUE,_I
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
TOTAL DUE: 115.00
LPAYMENTT;YPE PAYOR CASHIER:CCARFENTeR, �;: ,<,COMMENTS . - AMOUNT PAID..
Check North West Gallery 115.00
1149
TOTAL PAID: 115.00