HomeMy WebLinkAboutBuilding Signage 2018-11-09SPRINGFIELD
t6
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54 \-7 26-37 53ORE6OBuilding Permit
Commercial Sign
Permit Number: 81 1 -1 8-002642-5IGN
IVR Number. 81 1081269656
web Addressi www.springfield'or.9ov Ema,r Address: p€rmrtcenter@spnnqfield or.gov
Permit lssued: November 09. 2018
TYPE OF WORK
Category of Construction: Commerctal
Submitted Job Value: $0.00
Description oI Work: Temp Signs - Big Lols 1118118-1217 /18
Type of Work: None Specified
JOB SITE INFORMATION
Worksite address
5790 MAIN ST
Springfield, OR 97478
Parcel
1702334101900
Owner:
Address
POLEN DEVELOPMENT
LLC
PO BOX 71751
SPRINGFIELD, OR 97475
LICENSED PROFESSIONAL INFORMATION
Busaness name
OWNER - Primary
License number
000000
Phone
PENDING INSPECTIONS
lnspection
6972 Banner Removal
lnspection group
Signs
lnspection status
Pending
SCHEDULING INSPECTIONS
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 811081269656
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
Temporary sign - security deposit
Quantity
212
1
1
Total Fees:
Fee Amount
$ 10.60
$2t.20
$ 106.00
$ 106.00
$243.80
P€rmits must be posted in clear view on the worksite. Permits expire if work as not started within 180 Days of issuance or if work is
suspended for 180 Days or longer depending on the assuing agency's pollcy.
All provisions of laws and ordinances governing this type of work will be complied with whether specilied herein or not- Granting of
a permit does not presume to give authority to violate or cancel the provisions of any other state or local lau, regulating construction
or the pertormance of construction.
ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to tollow rules adopted by the Oregon Utility Notification Center.
Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies ol the rules by callang the C€nter at
(877) 668{001 or dial 811.
All persons or entities perlorming work uncler this permit are required to be licensed unless exempted by ORS 701.010
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010.020 (Plumbang).
Pnnted on: 11/9/1a Page 1 of 1 sld_BurldrngPerm _p.
License
ccB
PERMIT FEES
SPRINGFIELD
,b
OREGON
www springfield-or gov
Worksite address: 5790 iiAlN ST, Springfield, OR 97478
Parcel: 17023341 0'1900
Development and Public Works
225 Fifth Street
Springfield, OR 97477
s4t-7 26-37 53
permitcenter@sprin9fi eld-or.9ov
Transaction Receipt
811-18-002642-StGN
Receipt Number: 468559
Receipt Oate: '11l9/18
Fees Paid
Transaction date
11/9t18
11tgt18
11tgt18
1119t18
Units
1.00 Ea
1.00 Ea
1.00 Automatic
212.00 Amount
Description
Temporary sign, per permit
Temporary sign - security deposit
Technology Fee
City Admln Fee 10% - enter fee amount
Account code
224-00000425602-1030
224-00000425602-1030
1 00-00000425605-0000
224-00000-426605-0000
Fee amount
$106 00
$106 00
$10.60
$21 20
Paid amount
$106.00
$106.00
$10.60
$21.20
Payment Method: Credit card authorizalionr Payer: Brittany Ulrich
063540
Transaction Comment: Mail deposit refund to:
ASAP Events
425 Elliott Ave
Cincinnaii, OH 45215
Attn Eric
Payment Amount:$243 80
Cashier Katrina Anderson Receipt Total:$243.80
Prnted 11/9/18 11 25 am FIN TransaclionReceipt pr
City of Springfield
CITY OF SPRINGFIELD, OREGON
€n,225I'lt'III SIRIXT . SPRINGI'IDLI).OR 97477 . PHt(511)726-3753 . rA-\: (541)726-36a9
Ci(v Job Number S IqI\)
,"?10 MArr.J 9aJob Location
Asscssors Map \1or 33 I Tax Lot o\q oo
Rusiness Name blG Lot9
Busincss Contact Name Phone
Owner of Propert;(oueQ D€nLLo?fleP-r LLC
Address 51b$ 4lrtJ tf Phonc
Ci $ f rrt:6 Freuv State a?zip 't lc t s
Controctor/Inst ler
Address uzs
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Description alrc AAprteg/ '1 to 'l 6'oep, lLrLt, tl zxl wlpDo !, PoLE ,At\tNeLt
q 5 YL TaLe r'a,JN€zS
Date oflnstallatioa tl /g Date of Removal tLl)
Permit lce: $2,13.80 including $106,00 Deposit and applicatrle fees.
By signature, I state and agree that as owner or owners' agent I have carefully completed this
application and hcreby certiry that all information herein is true and correct. I further agree and
undcrstand 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 bc removed within 30 days fiom thc
datc listed abovc. [f thc temporary sign(s) arc not removed within the timelinc specified, I will forfcit
the $ 106.00 deposit. I also understand that this spccial permit can only be issued four (4) times per
calt-ndar year,pcr
end ot the 10"' day to schcdule an inspection to verify thc removal ofthe
development area. I also agree to call the inspection line a 888)-299-2821 by the
rary sign(s). This
t
inspection will begin the p
PtopertJ' Owner /
Owners Agent Signalure
For Offrce Use Date of Application
Amountcollected * aq ) go
S,t^*c.t'L4,)L ;'
thc deprocess to rctum osit ifthe tempora (s) have bccn removcd.
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