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HomeMy WebLinkAboutPermit Signage 2014-10-06ELD ISSUED: 10/06/2014 EXPIRES: 12/06/2014 225 Fifth St E"'IZORlir CITY OF SPRINGFIELD Springfield,OR97477 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Temporary sign - banners/portables. Removal date 120614 Phone:541-726-3753 ON Building /Sign Permit Inspection Phone: 541-726-3769 SPRINGFIELD OR 97477 Fax: 641-726-3676 CONTRACTOR INFORMATION PERMIT NO: 811-SPR2014-02166 Sign Contractor OWNER w .spdngfieldacgov permitmnter@spdngfield-ocgov PROJECT STATUS: Issued ISSUED: 10/06/2014 EXPIRES: 12/06/2014 STATUS DATE: 10/06/2014 APPLIED: 10/06/2014 SITE ADDRESS: 1010 POSTAL WAY, Springfield, OR 97477 SCOPE: Banner, Portable Sign ASSESOR'S PARCEL NO: 1703222002602 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Temporary sign - banners/portables. Removal date 120614 OWNER: DOUBLE S FOODS Phone Number: ADDRESS: 302 SHELLEY ST STE 2 SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lie No Lic Exp Phone Sign Contractor OWNER CCB 000000 06/01/2025 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 T on. Owner or Contractor Si ature V Dale Springfield Building Permit 10/6/2014 925:21AM Page 1 of 1 SPRINGFIELD-- CITY OF SPRINGFIELD ' Z' 225 Fifth St ; ; TRANSACTION RECEIPT Spdnggeld,OR 97477 OREGON 541-726-3753 811-SPR2014-02166 w .spdngfieldbr.gov 1010 POSTAL WAY permits nter@spdngfield-or.gov RECEIPT NO: 2014002197 RECORD NO: 811-SPR2014.02166 DATE: 10/0612014 OLi Admin fee (10% of applicable fees) 224-00000-426605 1098 30.00 Banner, Portable 224-00000-425602 1065 200.00 Banner, Portable Deposit 821-00000-215500 1049 100.00 Technology fee (5% of permit total) 100-00000-425605 2099 10.00 06172c doubles foods 302 shelley at N2 springfield or 97477 TOTAL PAID: 340.00 225 FIFTH STREET IN City Job Number Job Location SPRINGFIELD,OR 97477 • PFI:(541)726-3753 • FAX: (541)726-3689 C5 wa�e�lr�€��1u�e.t-r 6 , 7 Assessors Map ! 70 3 a / Tax Lot O z gnz Business Name 1 22 Z p Business Contact Name '► \ ra c, )' ---)" Phone <S L -9 10 3 Q 3 OwnerofProperly 60�-A WO S �� Address n r�) L City A x t 1 I Contractor/Installer Address PP> City Construction Contractors License # Date of Installation Phone S ((^ 7 'Itt - 169 3 State(n P�-- , Zip � % �) % 7 / el Date Phone (f71 q= Expires '/PV('// 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 301h day to request an inspection to ver the removal of the temporary sign(s). This inspection will begin the process to return the $10 .00 deposit if the temporaryAigo(s) ha}e)been removed. Property Ownerigna ure � � �%��--�/ r� , Date /o -I For Office Use Date of Application �® y Job # Issued By ✓� �(('b Z [� 9 Receipt # Zd/1/V �� 9 Amount Collected 3 `f a Shared Drive (T:)9luilding Forms/Temporary Sign remit CSD 3.12.dm