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Permit Signage 2014-08-07
LSPRINGFIELD CITY OF SPRINGFIELD OREGON Building / Sign Permit PERMIT NO: 811-SPR2014-01714 w .spnngfield- r.gov PROJECT STATUS: Issued ISSUED: 08/07/2014 STATUS DATE: 08/07/2014 APPLIED: 08/07/2014 SITE ADDRESS: 1300 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703354100202 PROJECT DESCRIPTION; --Temp slgns= 01 OWNER: SCHIEDLER ROBERT F ADDRESS: 21177TH ST 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@spdngfield�r.gov EXPIRES: 09/08/2014 SCOPE: Banner, Portable Sign TYPE OF STRUCTURE: Commercial Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone Sign Contmctor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 6971 Blimp, etc. Removal 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��u���'/%t,��".ate �' ! - ► L� Owner or Contractor Signature Date Springfield Building Permid 8!7/2014 2:33a1PM Page 1 of 1 SPRINGFIELD- CITY OF SPRINGFIELD 1 - TRANSACTION RECEIPT 225 Fifth St Spnngfield,01i97477 OREGON 541-726-3753 811-SPR2014-01714 v .spdngfieldor.gov 1300 MAIN ST permitcenter@sp6ngfield-or.gov RECEIPT NO: 2014001715 RECORD NO: 811-SPR2014.01714 DATE: 08/07/2014 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 E O Check hines automotive Ilc refund to: hines automotive Ilc 225.00 4330 1300 main at - springfield, or 97477 TOTAL PAID: 225.00 225 FIFTH STREET o SPRINGFIELD,OR 97477 e PH* 541)726-3753 • FAX: (541)726-3659 City Job Number 5 / q- o / 7/ � Job Location BOO k-4 \ Assessors Map 17 d � 3 S Business 1Vatne oaf='Fltt C-t-LEL.i� t: Tax Lot (_5 6 2 d Z Business Contact Name V" k. Skv sku-t Y-�:s Phone ::;(/ I -_� Uto -85I S Owner of Propero) Address c10 dt k-\ ` Phone S'I I City ContractorQnstaller ©Wt's C P Address s�Q City State C39\ Zip q7l -V`-1 % State Zip Construction Contractors License # Expires 1 Description �a1\c,olv\S i \l�rrv� do\tc'cs / City �G�CvtSCKa� ti Date of Installation Date of Removal Permit Fee: $225.00 including $100.00 Deposit and applicable 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 J 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. 1 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 return the $100.00 deposit if the tem orary sign(s) have been removed. Propergl Owner Signature �l,l iLt Date For Office Use Date of Application ` Job # 5� ��" 017/L( Receipt #261 0 Issued By Amount Collected 2 7 S Zi Shared Thive(T:yBw]ding Formdremporaxy Sign Permit CSD 3-12Am