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HomeMy WebLinkAboutBuilding Signage 2014-6-18 SPRINGFIELD _ 225 Fifth St ' - �°- CITY OF SPRINGFIELD Springfield,OR 97477 _,-k Phone: 541-726-3753 • _4s' OREGON Building / Sign Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01328 www.springfield-or.gav perm itcenter @ springfield-or.gov PROJECT STATUS: Finaled ISSUED: EXPIRES: 12/14/2014 STATUS DATE: 06/18/2014 APPLIED: 06/18/2014 SITE ADDRESS: 697 HARLOW RD,Springfield,OR 97477 SCOPE: Banner,Portable Sign ASSESOR'S PARCEL NO: 1703271202900 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Compliance permit for COD14-00213 OWNER: FAIRCHILD DONALD Phone Number: ADDRESS: PO BOX 788 SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone L INSPECTIONS REQUIRED ll • Inspections 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 6/18/2014 1:41:34PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD hir-((.45 ' TRANSACTION RECEIPT 225 Fifth St Springfield,OR 97477 OREGON 541-726-3753 811-S PR2014-01328 www.springfield-or.gov 697 HARLOW RD permitcenter©springfield-or.gov RECEIPT NO: 2014001342 RECORD NO:811-SPR2014-01328 DATE:06/18/2014 ;DESCRIPTION _._ _ _ _ __ ■ __ __ - ;ACCOUNT CODE/TRANS CODE._ . _ _ `, _AMOUNT DUE 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 PAYMENT WPE, ._PAYOR. - CASHIER:CCARPENTER _.____COMMENTS- _ . _ - 'AMOUNT PAID Check Bookkeepers Ult 115.00 13658 TOTAL PAID: 115.00 er . NE n Sl PRGPELD -w ` . r^_ CjirtI'OF NrKI C- ILLA-j; ' GO 4 7. = = 225 FIFTH STREET • PRINGFIELD,OR 97477 • PH:(541)726-3753 •FAX: (541)726-3689 r aA- N g lCity Job Number '/''r,� Job Location C0'l1 gar-1 Ow M S r l 'I c/ 6 � QeC?2' b`P _c C Assessors Map Tax Lot b , al Business Name 1,4 ..2_,,, . ' a 'di Business Contact Name 7)o/ores. 02hetn-eel-oe.t Phone .6134/ 716/-)41-0 I!t✓ .0R�- , Owner of Property ( JL\ouni Liar,Q.once' d0. �n/a TT Address 4q7 A4rtoco /2 a .,/ 0• aetr st7 Phone ' /- `2*/-/9Fd 4) City $ofriurfe..,ldi- State Ott Zip 995`77 I �b j o Address Phone =l City State Zip m- • Constructio : ractors License # Expires ( ) It Description f loct. ?J LEa,lo©rb 15 12K blli 0 Date of Installation 777afgw AS /ti Date of Removal I- 5.-/i 4 Permit Fee: $225.00 including$100.00 Deposit and applicable fees. nab_, By signature, I state and agree that I have carefully completed this application and hereby certify that i all information herein is true and correct. 1 further agree and understand that individual banners and f ��. portable signs subject to this permit may not be larger than 60 square feet. I also agree and understand b that temporary signs shall be removed within 30 days from the date listed above. If the temporary f.� 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 ie.- 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 to return the $100.00 deposit if then temporary sign(s) have been removed. tai, Property Owner Signature ,&Oa4 e> 4sit l Q-4c� Date 6 - I if-19 p _ ---- /----or O — ffice e Usk e ,tl Date of Application Job # Receipt# itil Issued By Amount Collected Shared Drive(T:YBuilding ForrWfemporary Sign Permit CSD 3-12 dec