HomeMy WebLinkAboutPermit Signage 2014-08-21SPRINGFIELD,q 225 Fifth St
t CITY OF SPRINGFIELD Springfield,OR97477
' c Phone: 541-726-3753
OREGON Building / Sign Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01814
w .spdngfield-ocgov permitcenter@spdngfeld-ocgov
PROJECT STATUS: Issued ISSUED: 08/21/2014 EXPIRES: 09/21/2014
STATUS DATE: 08/21/2014 APPLIED: 08/21/2014
SITE ADDRESS: 1174 Gateway LOOP, Springfield, OR 97477 SCOPE: Banner, Portable Sign
ASSESOR'S PARCEL NO: 1703222002410 TYPE OF STRUCTURE: Commercial
—PRO-JECT-DE-SCRIPTION. Banner=30-day1mrmituxpire"/211201
OWNER: SHEILA S LLC Phone Number:
ADDRESS: 3194 GATEWAY LP
SPRINGFIELD OR 97477
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 Safely. 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
ipdngfield Building Permit 8/21/2014 9:34:53AM Page 1 of 1
SPRINGFIELD "'- CITY OF SPRINGFIELD
5 - 225 Fifth St
z TRANSACTION RECEIPT Spdngfield,OR97477
OREGON 541-726-3753
811-SPR2014-01814
mm.spdngfieldor.gov 1174 Gatewav LOOP permitcenter@spdngfield-or.gov
RECEIPT NO: 2014001829 RECORD NO: 811-SPR2014.01814 DATE: 08/21/2014
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
Credit Card
02498d
Sterling furniture
225.00
TOTAL PAID: 225.00
R
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225 FIFTH STREET • SPRINGFIELD,OR 97477,• PH:(541)726-3753 • FAX: (541)726-3689
City Job NumberT/y,�',
Job Location
Assessors Map
Business Name
Business Conta
uivner of t
Address
Tax Lot \1-03-?2-:K�-OZ
State_Zip q-19-11
contrac
Address
CiState
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Zip
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Construction Contractors License # �� \ Expires Z1 7
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Date of Installation ��7T/ / Date of RemovalT
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
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 specificM will forfeit the $100.00 deposit. I also
understand that this special permit can only be i four (4) times per calendar year per development
area. I also agree to call the inspection line a 4 -726-3769 by the end of the 30a` day to request an
inspection to verify the removal of th m sign(s). This in ection will begin the process to
return the $100.00 deposit if the or s' have emoved.
Property Owner Signature
Date
1
M1
For Offree Use I
Date of Application�2`� Job #h�� 6- Receipt #'�D_[Q���Z f
Issued By Amount Collected ;7_
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