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Home My WebLink AboutPermit Signage 2014-6-14 I SPRINGFIELD CITY OF SPRINGFIELD, OREGON 325 FIFTH STREET • SPRINGFIELD,OR 97477 Z.-S-8• PH:(541)726-5753 •FAX:(541)726-3639 t � 11 City Job Number 5/y-o 1 '• Job Location 3 0 S G 64 r L tv// .. Assessors Map 1 7 0 3 ZZz O / Tax Lot z (i Business Name t--e_ .-JL.tJ 17-0aeD /�G • i J Business Contact Name in .= L] ► I - Phone 91fr 6 s t -9-706 i ► •.r11 Owner of Properly M n-a(5 , D sli- ��t,,,i Address c2,7 b CciQ a Phone ijR/1/'17 O L� rCn City 6) (. � t ` State Zip CI-7 ••iwil Contractor/Installer Ze.te\-0- 0..0 Cl tJCJu_- 1 gAddress Phone City State Zip I ao Construction Contractors License# Expires r t Y 7 Description �� ' , . 1..-• ,r • % as a ..12.1i Date of Installation 6��( Date of Removal �®1 t( I! Permit Fee: $225.00 including $100.00 Deposit and applica le fees. °' 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 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 , a area. I also agree to call the inspection line at(541)-726-3769 by the end of the 30h day to request an 4�' inspection to verify the removal of the tem a or. sign(s). Thi .ection will begin the process to return the $100.00 deposit if the em.. . ��TII.)have bee remo -d. O Properly Owner Signature • _ re r- _ Date Zr, + or Or eUse h/ • • n Date of Application / u �� Job# S-Wr 0(Z J 1S Receipt# Zeiy - OO/26 y �( Issued By / Amount Collected - Z Shred Drive(I:yaudding Formsfrempomy Sign Permit CSD 342 doe SPRINGFIELD _. • 225 Fifth St ti . CITY OF SPRINGFIELD Springfield,OR 97477 ay�� Phone: 541-726-3753 OREGON Building I Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2 01 4-01 2 58 www.Springfield-or.g ov pe rm itcenter@springfiel d-or.gov PROJECT STATUS: Issued ISSUED: 06/10/2014 EXPIRES: 07/14/2014 STATUS DATE: 06/10/2014 APPLIED: 06/10/2014 SITE ADDRESS: 3256 GATEWAY ST,Springfield,OR 97477 SCOPE: Banner;Portable Sign ASSESOR'S PARCEL NO: 1703222002300 TYPE OF STRUCTURE: Commercial. PROJECT DESCRIPTION: Temp signs-removal date 071414 OWNER: DEFOE FAMILY IRREVOCABLE TRUST Phone Number: ADDRESS: 93370 HWY 99S JUNCTION CITY OR 97448 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone 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 to s . , • i. I 2) 7- /0—/j1 Owner or Contractor •ig .:ture Date Springfield Building Permit 6/10/2014 11:38:00AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St fi n e TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 OREGON 811-SPR2014-01258 www.springfield-or.gov 3256 GATEWAY ST permitcenter @springfield-or.gov RECEIPT NO: 2014001264 RECORD NO: 811-SPR2014-01258 DATE:06/10/2014 !DESCRIPTION_________ - ___ ___ _____-:_._._ _._..ACCOUNT CODEITRANS CODE;_.` ____ AMOUNT DUE ,-. 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 i._ PAYMENT TYPE,_APAYOR_ cnsHIER:DBOWLSBY ` ' . -+COMMENTST�_ . AMOUNT PAID - �. J k Chec oregon horse center refund to: 225.00 12034 oregon horse center 90751 prairie rd eugene or 97402 TOTAL PAID: 225.00 •