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Home My WebLink AboutPermit Signage 2014-08-29SPRINGFIELD- 225 Fifth St '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-SPR2014-01873 w i.spdngfieldorgov permitcenter@spdngfield-of.gov PROJECT STATUS: Issued ISSUED: 08/29/2014 EXPIRES: 09/26/2014 STATUS DATE: 08/29/2014 APPLIED: 08/29/2014 SITE ADDRESS: 3738 MAIN ST, Springfield, OR 97478 SCOPE: Banner, Portable Sign ASSESOR'S PARCEL NO: 1702314202406 TYPE OF STRUCTURE: Commercial -PROJECT- DESCRIPTION: Temp- Sign --- removal date -092614---— - -- -- OWNER: OWNER UNKNOWN Phone Number: ADDRESS: 3289 SAINT THOMAS ST ' EUGENE OR 97408 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lic No Lic Exp Phone Sign Contractor OWNER CCB 000000 08/01/2025 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. P. Owner or Contractor Signature Date Springfield Building Permit 8/29/2014 11:22:52AM Page 1 of 1 SPRINGFIELD"�' CITY OF SPRINGFIELD OREGON TRANSACTION RECEIPT 225 Fifth St Spdngfeld,OR97477 541-726-3753 811-SPR2014-01873 w .spdngfieldocgov 3738 MAIN ST permitcenter@spdngfield-ocgov RECEIPT NO: 2014001904 RECORD NO: 811-SPR2014.01873 DATE: 08/29/2014 ffiws-tR FTIL�t� Af30 N C DSTfRJ1T DI MI 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 l E AXOQ qua v+Ls�y �O MNTC Check karla g soto patine refund deposit to: 225.00 1139 karla g soto patine 3738 main at apt 1 springfield or 97478 TOTAL PAID: 225.00 NOW 225 FIFFH STREET o SPRINGFiELD,OR997477 • PH:(541)726-3753 e FAX: (541)726-3659 City Job Number �'+' � C) Job Location Assessors Map Business 1Vatne 313MW/) 5-1--C q] Tax Lot Business Contact Name J om tuv, V C G�y Phone 5� 3 5 7 C b 8I Owner of Property Address /• 32-0 S r` �'► M 5 57—. p Phone City e?l(twel t State c)1`— Zip ')*7q09' fl Contractor/Installer Address City Construction Contractors License # State Zip Expires Date of Installation 4 / �� 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 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 30'' 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 temporary sign(s) have been removed. Proper0i Owner Signature l �+1�t_r� s vat P Date (5" Z -,j - I y For Office Use Date of Application ` ` r Job # c�)1 " 01973 Receipt ,vv Issued By Amount Collected 01 Shared Drive (T.yBu➢ding Forms?empo`my Sign Permit CSD 3-12.dw