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HomeMy WebLinkAboutPermit Signage 2014-7-9 • S?RINGFIELD'. • • 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 "OREGON Building / Sign Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811SPR2014-01476 w..w.springfieldor.gov permitcenter©a springfeld-or.gov • PROJECT STATUS: Issued ISSUED: 07/09/2014 EXPIRES: 01/04/2015 STATUS DATE: 07/09/2014 APPLIED: 07/09/2014 SITE ADDRESS: 3842 MAIN ST,Springfield,OR 97478 SCOPE: Sign • ASSESOR'S PARCEL NO: 1702314200300 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Banner -Violation is not putting banner back up. OWNER: DOBSON JAMES BRUCE Phone Number: ADDRESS: 3842 MAIN ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED 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 7/9/2014 12:10:25PM Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD hir 225 Fi(th St k` 'E�o14 TRANSACTION RECEIPT 225AfelSOR97477 541-726-3753 811-SPR2014-01476 www.springfeldorgov 3842 MAIN ST permitcenter @spdngfield-or.goy RECEIPT NO: 2014001483 RECORD NO:811-SPR2014-01476 DATE:07/09/2014 Io7XYo�:n71d[o/34:4 4 M-1:1-r bail s;4, � "e!' ; •CCOUNTCODEfnRANS CODE_ 1„?„fi t .AMOUNT DUE-Si 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 PAYMENTTYPE PAYORca swEi:-ainRSON _ I2.'�. ��°,'COMMENTS r�i r ? -7�r.a AMOUNT PAID �..� a [�.:,• ::€ Check James Dobson 115.00 9828 TOTAL PAID: 115.00 '+ 1' i33 A'e+ 4 ' vr`a". 5 L $ y 5. q 1. 'b £.? �fu..:£.- SS,' -SC' ... n.y., . ,..tear. ' r 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH.(541)726-3753 • FAX: (541)726-3689 _ _. t'F-=' City Job Number G I f '^n - '��; Job Location ' - Assessors Map y/�r' 1}' Tax Lot CI;; Business Name �5 C(�(� Business Contact Nam l W (3S C.DVl e Phone �( Uf ✓/ \ •,. Owner of Property _/° / Address i ` 'NCO k\ Phone ' City >p- State �( Zip 9 Ln? Contractor/Installer CS-e- 1 ! 1/ / �� Address Pho vo 17 — bp 0 City State Zip _ , E--, T \` Construction Contractors License# Expires lr Description ▪ rya • 1 Date of Installation Date of Removal l �V Permit Fee: $225.00 including $100.00 Deposit and app ica 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 a portable signs subject to this permit may not be larger than 60 square feet. I also agree and understand ,u 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 . 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 Pi return the $100.00 deposit if the to :.r.♦ sign(s) have been removed. C.7„ Property Owner Signature - Date c).; I' For Office Use air Date of Application Job # Receipt# Issued By Amount Collected Shred Drive(T:)/Building Forms Temporary Sign Permit CSD 3-12 doe