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HomeMy WebLinkAboutPermit Signage 2014-08-07SPRINGFIAEG 225 Fifth St f - CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 ORON Building / Sign Permit Inspection Phone: 641-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01707 v wv .spnngfield-orgov permitcenler@springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/0712014 EXPIRES: 09/07/2014 STATUS DATE: ' 08/07/2014 APPLIED: 08/07/2014 SITE ADDRESS: 4136 MAIN ST, Springfield, OR 97478 SCOPE: Banner, Portable Sign ASSESOR'S PARCEL NO: 1702323201400 TYPE OF STRUCTURE: Commercial OWNER: FRISENDAHL RONALD & MARIE F ADDRESS: 475 RIVERVIEW BLVD Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie 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. 1&; 8�� Owner or Cotr cte ' a re Date Springfield Building Permit 80/2014 10:13:46AM Page 1 of 1 LNELD CI"PY OF SPRINGFIELD225 FAth St ` TRANSACTION RECEIPT Spn gfield,OR97477 OREGON 541-726-3753 811-SPR2014-01707 mm.spnngfield-or.gov 4136 MAIN ST permitcenter@spnngfield-or.gov RECEIPT NO: 2014001711 RECORD NO: 811-SPR2014.01707 DATE: 08/07/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Admin fee (10% of applicable fees) 224-00000-426605 1098 20.00 Banner, Portable Banner, Portable Deposit 224-00000-425602 1065 821-00000-215500 1049 100.00 100.00 Technology fee (5% of permit total) 100-00000-425605 2099 5.00 TOTAL DUE: 225.00 ' PAYMENT TYPE PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID Check Outback auto repair REFUND CHECK TO OUTBACK 225.00 1172 AUTO @ 4136 Main TOTAL PAID: 225.00 225 FIFFH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 • FAX: (541)726-3659 City Job Numbers/6/ /%d, Job Location Assessors Map Business Name vo F'G366 r6i�'r�d e� , f. SV q-7476 Tax Lot O� c\c (- tcko �e�ite UC . „ �6,L - (L.,n c _ r, C1. 1 _ / (2 G - n ct!, Owner of Property KO)") etet. x Address —(4-136 1' \Ctia S' - Phone �i City State 0 zip q �..(, Contractor/Installer Address Phone City State Zip Construction Contractors License # Expires t, 3�L� %r4opl(� r& S�t71f� Description 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 pernit 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 area. I also agree to call the inspection line at (541)-726-3769 by the end of the 30rh 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 ry sign(s) have been removed. Properly Owner Signature - _ `� Date c/ For Office Use Date of Application % l Job # 7 Receipt # Issued By Atnomit Collected ���