HomeMy WebLinkAboutPermit Signage 2018-10-29OitlG0ri
Web Addressi www.spnngRe{d-or.qov
Building Permit
Commercial Sign
Permit Number: 81 1 -1 8-002559-SIGN
IVR Number: 81 1O724O4O52
City of Springfield
Development and Public Works
225 Fifth Street
Spnngfield, OR 97477
541-726-37 53
Email Address: permitcenter@springfield-or.gov
SPRIN6fI6LD
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Permit Issued: October 29, 2018
Category of Construction: Commercial Type of Work: None Specified
Submitted Job Value: $0.00
Oescription of Work: Temporary Sign - Date of lnstallation: 1012912018 and Dale of Removal: 1A3112018
Worksite address
3831 MAIN ST
Springfield, OR 97478
Parcel
17023141027 00
KRYL TRISTAN IVI FBO
3474 SPRING BLVD
EUGENE, OR 97405
Business name
SEE PROPERTY O\A/T..IER
INFORMATION - Primary
License
Owner (Property)
License number
OWNER
Phone
lnspection
6972 Banner Removal
lnspection group
Signs
lnspection status
Pending
Various inspections are minimally required on each project and often dependent on lhe scrpe of work. Contact the issuing
jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspeclions at www.buildingpermits.oregon.gov
Schedule by phone call 1-888-299-2821 use IVR number: 811072404052
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
Fee Description
Technology Fee
City Admin Fee 10olo - enter fee amount
Temporary sign, per permit
Temporary sign - security deposit
Quantity Fee Amount
$ 15.9 0
$ 31 .80
$212.00
$ 105.00
$365.70
318
2
1
Total Fees:
Permits must bg postod in cloaa view on thg woaksito. Permils expiro if work is not started ryithin 180 Oays of issuanco or if wo* is
suspqnded to.'180 Days or longer dspending on th€ issuing agency's policy.
All p.ovisions of laws and ordinances governing this type of work will be compliod with whelher specifiod he.sin or not Granting of
a permit does not presume to give authority to violato or cancel tho provisions of any othqr statE or local law rEgulating construction
or thq performance of construction.
ATTENTION - CALL BEFORE YOU olc: Oregon law roquires you to follow rules adopted by the Oregon Utility Notification Cento..
Those rules are set forth in OAR 952-001-00'10 through OAR 952{01-0090. You may obtain copie3 of the rules by calling the Centor at
(877) 668.(001 or dial 8l'1.
All pe.sons or ontities performing work under lhis pormit aro requirod to be licensod unlo3s exempted by ORS 701.010
(StructuraUMechanical), ORS 479.5i10 (Electrical), and ORS 693.0't0-020 (Plumbing).
Pflnted on: 10/29118 Page 1 ol1 std_BuildingPennit pr
TYPE OF WORK
JOB SITE INFORMATION
Owner:
Address:
LICENSED PROFESSIONAL INFORMATION
PENDING INSPECTIONS
SCHEDULING INSPECTIONS
PERMIT FEES
SPRINGFIELO
OREGON
www.springfield-or.gov
Worksite address: 3831 MAIN ST, Springfield, OR 97478
Parcel: 1702314102700
Transaction Receipt
81 1-18-002559-StGN
Receipt Number: 468467
Receipt Oate: 10129118
City of Springfield
Development and Public Works
225 Fifth Street
Sprinqfield, OR 97477
547-726-3753
permitcenter@sprinqfield-or.9ov
Fees Paid
Transaction date
10t29118
10t29t18
10t29t18
10t29t',!8
Unlts
2.00 Ea
1.00 Ea
1 .00 Automatic
318.00 Amount
Account cods
224-00000-425602-1 030
224 -OOOOO - 425602- 1 030
100-00000425605-0000
224-00000-426605-0000
Descrlption
Temporary sign, per permit
Temporary sign - security deposit
Technology Fee
City Admin Fee 10% - enter fee amount
Fee amount
$212.00
$106.00
$ 15.90
$3'1.80
Paid amount
$212.00
$106.00
$15.90
$31.80
Payer:iulio olivaras Payment Amount;$ 365.70
Cashaer: Toste Muniz Recelpt Total:$365.70
Printed: 10/29/18 4:0'l pm Page 1 of 1 FIN_TransaclionReceiptjr
tb
Payment Melhod: Credit card authorization:
0'154'13
SPFI'N GFIELD
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225 FIITH STR[rr . SPRINGFIELD,OR 97477 . PH:(541)726-3753 . FA)L (541)726-3689
Job Location '\ b3 i /,4a,r, s"/, s<pb itS-;ru' L-lrt' ' 44 lzyzf-/n
Tax LotAssessors Map
Business Name A cc, d-Ut L *,.a1 B c.-,tc ccln r c,ltvic
CITY OF SPRINGFIELD, OREGON
Business Contact Name Jrtio Q.., A/, io ro s Phone
Ou,ner of PropertJ k. r, i3 I 'A L/6J la onlg
Cit\,
R.l d-p Phone
({?-
Contraclor/Installer
Address Phone
C itv Srate zip
Construction Contractors License #Expires
(r)
a)(.)
a)(t)
Q
I
(.)
50
(t)
e)rr-,t
Description @,rtnZr3'
Permit Fee: 5243.80 including S106.00 Deposit and applicable fees.
B1'signature. I state and agree thal as orrler or owners' agem I have carefulll' completed thrs
applicarion and herebl certiS'thal all information herein is true and correct. I firther agree and
understand that individual banners and ponable signs subject to this permit ma) not be larger than 60
square feer. I also agree and understand that temporaD signs shall be removed u'ithin 30 days from the
dare lisred above. If the temporar-\" sign(s) are not removed within the timeline specified, I u'ill forfeit
the $ 1 06.0tt deposir. i aiso understand that this special permit can onll be issued four (4) times per
calendar year per development area. I also agree to call the inspection line at (888)-299-2821 by the
end of the 306 da-v to schedule an inspection to verif;'the removal of the remporar-v sign(s). This
inspection u'ill begin the process to rerum the deposit if the temporary sign(s) have been removed
Proper4 Owner-!
Owners ,{ent Signature "F
5.
/o
For Olfice ase Date of Appiicatior.
Date
l8*Jss?
Amount Collecre
7(>
Receipl:
Job =
lacinJobNumbe. IX - ]tt?
Address I I {n ll-ltt U P
sarc Ctft- zip qTvD(
Dateofrnsrauari., W f>q ltf> DateorRemo'al f aia,tf g
Issued By