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Home My WebLink AboutPermit Signage 2014-6-14 SPRINGFIELD CTTY OF SPRINGFIELD, OREGON 225 FIFTH S1REEr • SPRINGGFIELD,OR 97477 • PH:(541)726-3753 •FAX:(541)726-3689 g City Job Number 5/L/ r 0 a S CI /_ CD %"4"-14 Job Location '3 > / SAG'`'/ &-- •• Assessors Map 170 3 Z�/C� / Tax Lot 7/0 Q) Business Name (A1 Sr()As--N-02_ 42,2/LC) R� ((��t`t;0 '..) Business Contact Name OA VA SC) L .�1(�cps Phone JSy1 6 �7a0 - r� V.. ,^i, Owner of Properly rn j1\ )(Z �I)QVbC • t�t Address M S , \ ' Phone SCti-6W-77od Issig YJ City Ark, _', 'as_ ,...... State OR-- Zip 9 ! 7l .,��-y Contractor/Installer � ('k-V U(J-P g ri Address Phone .-1I ?-114 City State Zip E^( �i 0 Construction Contractors License# Expires r 'q Descri p tion L&g 03S-en)? s � Date of Installation r Date of Removal //ti r Permit Fee: $225.00 including$100.00 Deposit and applicab a fees. Ca r 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 .4 r,4, 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 rU 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 to, area. I also agree to call the inspection line at(541)-726-3769 by the end of the 30th day to request an i inspection to verify the removal of the to • s. i• sign(s). t • inspection will begin the process to return the$100.00 deposit if th- -motor , si J(s),ave e -moved. ( Property Owner Signature W es S ►a fbrapr' i Date i For O ice Use `�+ Data of Application 6 � t pi Job# S'/"I —U/Z -) /7 Receipt# X01' 001263 Issued By f Amoumt Collected 2 71 S Shared Drive(ryauilding Fomuffwporuy Sign Permit CSD 3-12 doc • SPRINGFIELD-._..° 225 Fifth St " -�-- CITY OF SPRINGFIELD Springfield,OR 97477 (`v �, Phone: 541-726-3753 '\OREGON Building / Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01259 www.Springfield-or.gov permitcenteraspringfiel 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: 351 SHELLEY ST,Springfield,OR 97477 SCOPE: Banner, Portable Sign ASSESOR'S PARCEL NO: 1703271009100 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Temp signs -removal date 071414 OWNER: DEFOE RONALD MAJOR Phone Number: ADDRESS: 90751 PRAIRIE RD EUGENE OR 97402 CONTRACTOR INFORMATION 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 Contracto Si' ature Date Springfield Building Permit 6/10/2019 11:35:25AM Page 1 of 1 SPRINGFIELD---• CITY OF SPRINGFIELD }.1 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 -`OREGON 541-726-3753 811-S PR2014-01259 www.springfield-or.gov 351 SHELLEY ST permitcenter @springfield-or.gov RECEIPT NO: 2014001263 RECORD NO:811-SPR2014-01259 DATE:06/10/2014 DESCRIPTION : ACCOUNT.CODE/TRANS,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 L PAYMENT TYPE PAYOR CASHIER:DeowLser �,, ' COMMENTS ' AMOUNT PAID . ' • Check ore on horse center refund to. 225.00 12034 oregon horse center 90751 prairie rd eugene or 97402 TOTAL PAID: 225.00