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Permit Signage 2014-5-28
di SPRINGFIELD----- 225 Fifth St t ° CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building I Sign Permit Inspection Phone: 541-726-3769• Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01106 www.springfield-or gov permilcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05128/2014 EXPIRES: 11/23/2014 STATUS DATE: 05/28/2014 APPLIED: 05/20/2014 SITE ADDRESS: 359 42ND ST,Springfield,OR 97478 SCOPE: Sign ASSESOR'S PARCEL NO: 1702322400300 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Sign-freestanding sign on HI zoned property OWNER: RICHARD L CROOK REVOCABLE LIVING TRUST Phone Number: ADDRESS: 481 42ND ST SPRINGFIELD OR 97478 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Sign Contractor JR ZUKIN CORP CCB 118370 11/05/2015 541-296-9684 INSPECTIONS REQUIRED Inspections 6900 Sign Location Sign Location: To verify the location of the proposed sign_ 6910 Sign Footing Sign Footing: After excavation and forms are in place, but prior to concrete. 6930 Sign Structure 6940 Sign Attachment 6999 Final Sign Sign Final: After all required inspections are conducted and approved and the sign installation is completed. 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. /C .3--20- /9 Owner or Cont actor Signature Date NQi.'CE ATTENTION: Oregon law requires you to THIS PERMIT SHALL • follow rules adopted by the Oregon Utility EXPIRE IF THE WORK• Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 5/28/2014 313:37PM Page 1 of 1 or i SPRINGFIELD - CITY OF SPRINGFIELD %A.1 _.is, 225 Fifth St `{,b TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811 SPR2014-01106 www.springfield-or.gov 359 42ND ST permitcenter©springfield-or.gov RECEIPT NO: 2014001159 RECORD NO:811-SPR2014-01106 DATE:05/28/2014 iDESCRIPTION _ _ _ _ :- ACCOUNT,CODE/TRANSCODE:L..____ -__AMOUNT DUE_-' Admin fee(10% of applicable fees) 224-00000-426605 1098 14.00 Sign Plan Review 224-00000-425602 1018 42.00 Signs:61 - 100 Square Feet 224-00000-425602 1007 140.00 Technology fee(5%of permit total) 100-00000-425605 2099 7.00 TOTAL DUE: 203.00 i_PAYMENT TYPE_, __ PAYOR CASHIER:CCARPENTER ' 't COMMENTS ' AMOUNT PAID ..J 1557 ' TOTAL PAID: 203.00 • • CITY 01 SPRINGFIELD, OREGON �+ 1` I 1 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 • FAX (541)726-3689 CO a��/�`(� `?D \\-\ I City Job Number Sig.-01106 1j'` '� Site Address: 3S- 1 b tiA-1 ri- 1 t-j Assessors Map 17 62 3 z 2 9 Tax Lot 00 3 00 4 Owner: RI'd/Y-rot Glom( t Phone: -cc', Ire -3?15 4 Address: gip 4/2,4 s1. /j�� City SAn'..�'IIo� �// State et Zip 9)975 �� Business Name,Firm,etc. J 1 4 1 Description of Proposed Sign(s): (Please check and complete all appropriate information) clijWall X Freestanding Projecting Roof Marquee Single Face Double Face Billboard Other { 2B I Square Footage: 98 Total Height above Grade: /� Vertical Dimension of Sign or Enclosure: Horizontal Width of Sign or Enclosure: ?!Dimension from Grade to Bottom of Sign Enclosure Electrical Installation:(Yes _No :,� _/ (If yes additional electrical permit required) � r) Material Sign is Constructed of: SfetI Value of Sign: i 0 co MI • 11ril r 1 List ALL existing signage and attach a photograph of each sign: /%one • i i (a) Type Sq.Ftg. (b) Type Sq.Ftg. r 1 (c) Type Sq. Ftg. - (d) Type Sq.Ftg. JJ r Contractor/Installer: Peet-Clot.) ail,VOr /Unfit Phone. SYf296-96tV V) Address: eO Igor 331 Al J City: balls State: 0R Zip: 970x1 psi,I Construction Contractors Registration Number: // g 3 70 Expires: /1-S-- a' ^J!!!!! ( OFFICE USE Ilc'i Sign District: 4 ( Zoning: I ' / By signature,I state and agree,that I have carefully examined the completed application and do hereby certify[hat all with r information herein is true and correct,and 1 further certify that any and all work performed shall be done in accordance the Ordinances of the City of Springfield,and the Laws of the State of Oregon pertaining to the work described herein. I II01 further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time,that project address is readable from the U1 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 1 times during the install ion of a Sgn(s). p Signature / Date ���O- /9 Shared Drive(T:yBuilding Forms/Sign Permit Application1-02.doc