HomeMy WebLinkAboutPermit Signage 2018-09-20SPilNGTIELD
ORIGON
Web Address: www.spnngfi eld-or.qov
Building Permit
Commercial Sign
Perm it Number: 81 1-18-002250-SIGN
IVR Number: 81 103410A234
City of Springfield
Development anc, Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Email Address: permrtcenter@sprinqfield or.gov
Permit lssued: September 20, 20'18
Category of Construction: Commercial
SubmitGd Job Value: $0.00
Description otWork: Banner 5/19/18-9/19/18 (retro no deposit required)
Type of Work: None Specified
Worksite addresg
5395 MAIN ST
Springfield, OR 97478
Parcel
17023U203301
Owner:
Address:
BEAUBIEN MARK J
PO BOX 303
vtDA, oR 97488
Business name
OVVNER - Pramary
License
CCB
License number
000000
Phone
Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing
jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www.buildingpermits oregon.gov
Schedule by phone call '1-888-299-2821 use IVR number: 811034100234
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
Fee Description
Technology Fee
City Admin Fee 10o/o - enter fee amount
Temporary sign, per permit
318
3
Total Fees:
Fee Amount
$ 1s.90
$31.80
$318.00
$36s.70
Quantity
Permits must be posted in clear view on the worksite. PermiE expirc if work is not started wilhin 180 Oays of issuance or if work is
suspended for 180 Oays or longer depending on the issuing agency's policy.
All provisions of laws and ordinances goveming this type of work will be complied with whether specilied herein or not. Glanting of
a pemit does not presume to give authority to violate or cancel the provisions ot any other state or local law regulating construction
or the pedo.mance of construclion.
ATTENTION - CALL BEFORE YOU DIG: Oregon law requir6s you to follow rules adopted by the Oregon Utility Notification Center.
Those .riles are set fonh in OAR 952{014010 through OAR 952-001-0090. You may obtain copies ot the rules by calling the Center at
(877) 6684001 ordial 811.
All peEons or entities performing work under this permit are required to bs licensed unless exempted by ORS 701.0'10
(StructurauMechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing).
Printed on: 9/20118 Page 1 of 1 sld-BuildingPerm(-pr
TYPE OF WORK
JOB SITE INFORMATION
LICENSED PROFESSIONAL INFORIIATION
SCHEDULING INSPECTIONS
PERI.IIT FEES
5PRINGiIIELD
&
Ort!G0il
wtw sprngfeid-0r gov
Transaction Receipt
611-18-002250SrGN
Receipt Numbsr: 468093
Receipt Date: 9/20/18
Cny of Springtield
oevelopment and P!blic works
225 Fifth Street
Spnngfield, OR 97477
547-)26-17 53
p€nitcenter@spnngiield-or.gov
vlb*site addr€ssr 5395 MA|N ST, Springlietd, oR 97478
Parcelr 170233203301
9t2At1A
9t20l1a
9t20t1a
Unit
318 00 Amount
30O Ea
F€es Pald
Dolcriprion
c'ty Admin F€e
lo% I
enrer
lee
amounr
Tcmporary sign, per pemn
531.E0
$15.90
5318.00
t31.60
$15.90
$318.00
Paymenl Melhod: Cash
Transaclion commenl: 365.70
$365.70
Cash er: Kairina Anderson s365.70
FrN TEnsadionR.@iplrr
22+00000{256050000
10G@000-12560so000
22+00000-125602- 1 030
225 FIF|H STREET . STRINGFIELD.OR 97477 . PHli4l)726-3753 . rA-X: (541)726-3689
Cin Job \umber -Cx +)\c SYrAJ
CITY OF SPRINGFIELD, OREGON
- Job Location
Assessors Map
tq5 Q
Tax Lot
- Business -\ame
- Business Contacl Name
L t
aLl,^)J-(\crroke-Rirone 5! I 'Atlrt -1113'1
- Owner of Proper4'Mr".k
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-Address 53qS N,\a,n Scz-<-l Phone 5!I a
"ciR f>?ciuA oil state @ Zip Qt 1-f,
6!-- Conlraclorlnstuller
Address Phone
Cin State Zip
Construction Contractors License #Expires
b a-',..r,-o(- Description
Date oflnstalladon t-Ia8Date of Removal
50
(n
Ot-L
Permit Fee: 524-3.80 including S106.0(l Deposit and applicable fees.
Bl,signature, I state and agree that as owrer or oumers' agent I have carefully' completed thrs
application and hereby cenii'that all informarion herein is mre and correct. I further agree and
understand thar individual banners and ponable sigls subject to this permit ma) not be larger than 60
square feer. I also agree and understand that temporary signs shall be removed within 30 days from the
date iisred above. If the temporar) sign(s) are not removed within the timeline specified. I will forfeit
the S106.00 deposir. I also undemtand that this special permit can onll be issued four (4) times per
calendar year per developmenr area. I also agree to call the inspection line at (8881-299-2821 b1, the
end ofthe 30s da1'to schedule an inspection to verif'the removal ofthe temporary sign(s). This
inspection u,ill begin the process to relum the deposit if the temporall sign(s1 have been removed.
Proper4 Owner /
Owners Agent Signature Snl*) S lJ"--'
faOffceU Date of Application
Amounr Colecred .5(o ct ."i C'
a Job #-N>>f o
t#9(,8O'l 3 rssued BrReceip
€F 9-2
a
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c2/'-t. /rtt
Date Lt c4 lF
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