HomeMy WebLinkAboutPermit Signage 2019-01-02SPRINGFIELO
?,
City of Springfield
Development and Public Works
225 F fth Street
Sprngfre d, OR 97477
541-726-3753OREGO N
web Address: www.springneld-or.gov
Building Permit
Commercial Sign
Permit Number: 81 1 -19-000002-SIGN
IVR Number: 81 1O1 4193241
Email Address: permitcenter@springfield-or-Sov
Permit lssued: January 02,2019
TYPE OF WORK
Catogory of Construction: Commercial Type ot Work: None Specified
Submitted Job Value: $0.00
Oescription of Work: Temp Signs/Banners 112119 - 512119 Liberty Tax Service
JOB SITE INFORMATION
Wo*site address
152 MAIN ST
Springfield, OR 97477
Paacel
1703353204600
Owner:
Address
DUNN FAMILY TRUST
127 HILLVIEW 1
EUGENE, OR 97408
LICENSED PROFESSIONAL INFORMATION
Business name
OWNER - Pflmary
License
ccB
License numbe,
000000
Phone
PENDING INSPECTIONS
lnspection
6972 Banner Removal
lnspection status
Pending
SCHEOUL!N9 INSPECTIONS
Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issurng
jurisdiction indicated on the pe.mit to determine required inspections for this p.oject.
Schedule or track inspections at www.bulldingpermits.oregon.gov
Schedule by phone call 1-888-299-2821 use IVR number: 811014193241
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
PERI'lIT FEES
Quantity
530
1
I
3
Total Fees:
Fee Amount
$26. s0
$53.00
$ 106.00
$ 106.00
$318.00
$609.50
Permits must be posted in clear view on the worksite. Permits expire if work is nol sbned withjn 180 Days of issuance or if work is
suspended for 180 Oays or longer depending on the issuing agency's policy.
All provasions of laws and ordinances governing this type of wori will be cornplied with whether specitied herein or not. Granting of
a pemit does nol presume to give aulhority to violate or cancel the provisions of any other state or local law regulating construction
or the performance of construction.
ATTENTION - CALL BEFORE YOI,J DIG: Oregon law requires you to tollow rules adopted by the O.egon Utility Notilication Center.
Those rules a16 set forth in OAR 952401-0010 through OAR 952-001{090. You may obtain copies of th€ rules by calling the C€nter at
(077) 668400'l or dial 811.
All persons or entities psrforming wo* under this permit a16 r€quired to b€ lacenssd unless exempted by ORS 701.0'10
(SlructuraUMechanical), ORS 479.t40 (Electrical), and ORS 693.010-020 {Plumbing}.
Pnnted on: 1/2/19 Page 1 or 1 sld_BuildrngPerm _pr
lnspction group
Sig ns
Fee Description
Technology Fee
City Admin Fee 10ryo - enter fee amount
Temporary sign - security deposit
Temporary sign, per permit
Temporary sign, per permit
l&pl
ww springrield-or gov
Transaction Receipt
81 1-19-000002-StGN
Recelpt Number:468986
R.ceipt Date: I/2/19
Development and Public Works
225 Ffth Stret
SpnngneE, OR 97477
54t-7 26-3153
perm(center@spnngneld-or.qo!
Wortsde address 152 MAIN ST. Springfierd. OR 97477
Parcer 1703353204600
Fees Paid
'112119
'r2119
'112/19
1t2119
112t19
1.00 Ea
1.00 Ea
3.OO Ea
1 .00 Aulomalic
530-tl0 Amolnl
Tsmporary sign. per permit
Temporary sign - security deposil
Temporary sign, per permit
Cily Admin Fee 10% - enter loe amounl
22+00000,425602,1030
22+000W-425602-1030
224-{XXD0-425602-1 030
l qxxxxx)-12560toooo
22ZHXXXX)-126605-0000
$106 00
$106 00
$318 00
$26 50
$53 00
s106 00
s106 00
9318 0O
$26 50
$53 00
Payrnenl Melhod Check number 2329
Transaclion Commeni: iemp sign
Payer T&C lax servicas s609 50
ca3h'or Kehne Anderson \I-)-._.,1 )- S ,.*-
r{ }- tf,n." 'v. St
c1*w rC*
L,l-\{Zv, S4"tviLtz
$609.50
Ciiy ot Springfield
fv"-z->
22s FIFrH STREET . SPNNGFIELD.OR 97477 . PH:(511)726-3753 . F.Oi: (541)726-3669
Ciry' Job \umber
\5-) r-.c\q;n .+-- l$ci ^...Gr-f d.
CITY OF SPRINGFIELD OREGON
a Job Location
Assessors Map \Tax Lot
Business Nume LE--<tv -1? { f:,-<rviQ!-
Business Contact Name
r
\<.E ffiGrp1 6+pr,on"g!( .q.{0'133 t
)<-\Ny \.: n nOwner of Proper1'
Address 11
_
v\l\\ tlir..., Ln PhoneS{\, 5iO ( }Uit
Crn E,.;rxl,l-\StatetO Zrp 0Ar
Contractor/l nstaller Y\snF\
Address
Cin State Zip
(t)q)
O
(.)(t)
Q
I
()
50
(t)
.e)r<
Construction Contractors License #Expires
Description a- f\ y_--l-<Y-r\( {\
Dateoflnstallati"" t - J - r4 Date of Removal
Pcrmit Fee: 5243.80 including $106.00 Deposit and applicable fees
Bl signature, I state and agree that as owrer or owners' agent I have carefulll completed this
application and hereby certi$ thar all information herein is true and correct. I further agree and
understand that individual banners and ponable sigru subject to this permit ma),nol be larger than 60
square feet. I also agree and understand that temporar) signs shall be removed u'ithin 30 da1's from the
date Iisted above. lfthe tempora[ sign(s) are not removed u'ithin the timeline specified. I u,il] forfeit
the Si06.00 deposit. I also understand thar this special permit can onll be issued four (4) rimes per
calendar year per developmem area. I also apree to call the inspection line at (88E)-299-2821 by the
end ofthe 30'n dal to schedule an inspection to verifl the removal ofthe temporaq' sign(s). This
inspection will be,sin the process,o."tr- tbe deposir if the temporary sign(sj have beln removed.
\q
Proper4' Owner /
Ot'ners Agent Signature C-,.-^*!-u D Date \,). \q
ForOficc Ase Date of Application
Amount Collecred Receiprf
.lob +
issued Bv
Phone