HomeMy WebLinkAboutPermit Signage 2018-10-29 (2)SPRINGFIELD
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Web Addressr www.sp.ingfield'o..qov
Building Permit
Commercial Sign
Permit Number: 81 1 -18-002559-5IGN
IVR Number: 811072404052
City of Springfield
Development and Public \6lorks
225 Fifth Street
Springfield, OR 97477
54L-126-37 53
Email Addressr permitcenter@spri.9fi€ld-or.9ov
Permit lssued: October 29, 2018
Category of Construction: Commercial Type of Work: None Specified
Submitted Job Value: $0.00
Description oI Work: Temporary Sign - Oate of lnstallation: 1O|29DO18 and Dale of Removal: 12131/2018. ADOED 2 more
months...new removal dale 228h9
Worksite address
3831 MAIN ST
Spdngfield, OR 97478
Parcel
1702314102700
Owner:
Address:
KRYL TRISTAN M FBO
3474 SPRING BLVD
EUGENE, OR 97405
Business name
SEE PROPERTY OWNER
INFORMATION - Primary
License number
OWNER
Phone
lnspec0on
6972 Banner Removal
lnspection 6latus
Pending
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 nlmber: 811072404052
Schedule using the Oregon ePermitting lnspection App, search'epermitting" in the app store
Permits hust be posted in ctear view on the worksite. Permits expire if work is not staned within 180 Days of issuance or if work is
suspended for 180 Days or longer depending on the issuing agency's policy.
All provisions of lau/s and ordinances governing this type ofworkwillbe complied with whether specitied herein or not. Granting of
a permit does nol presume lo give authority to violate or cancel the provisions of any othe. state or local law regulating construction
or the performance of construction.
ATTENTION - CALL BEFORE YOU Dlc: Oregon law requires you lo rollow rules adopted by the Oregon Utility Notilication Center.
Those rules are set fonh in OAR 952-001-0010 through OAR 952-001{090. You may obtain copies of the rules by calling the Cente. at
(877) 6684001 or dial 811.
All persons orentities performing wort underthis permil are requi.ed lo b6licansed unless exempted by ORS 701.010
(St.uctural/ echanical), ORS 479.5,10 (Electrical), and ORS 693.010-020 (Plumbing).
Prinled on 1Z2Ol18 Pag.1ot2 std-Bu,ldingPermit-pr
.rl"
TYPE OF WORK
JOB SITE INFORT|ATION
LICENSED PROFESSIONAL INFORTIAIION
License
Owner (Property)
PENDING INSPECTIONS
lnspection group
Signs
SCHEDULING INSPECTIONS
Page 2 ol2
Fee Description
Technoloqy Fee
City Admin Fee 10olo - enter fee amount
City Admin Fee 10o/o - enter fee amount
Temporary sign, per permit
Temporary sign, per permit
Temporary sign - security deposit
318
212
2
2
1
Total Fees:
Quantity Fee Amount
$26.50
$31.80
$21.20
$212.00
$212.00
$106.00
$609.s0
Ptin'ted o 1Z20l1A Page 2 a12 std_EulldingPermit_pr
Permit Number: 81 l.'18-0025595|GN
PERMIT FEES
SPRINGFIELO
,!i
0lltG0il
www.springf ield-or. gov
Worksite address: 3831 MAIN ST, Springfield, OR 97478
Parcel 17O23141O27OO
Development and Public Works
225 Flfth Street
Sprlngfield, OR 97477
541-726-3753
permitcenter@sprlngfield-or.gov
Transaction Receipt
811-18-002559-StGN
Receipt Number: 468935
Receipt Date: 12120/18
City of Springfield
Fees Paid
Transaction dato
12120t',18
'12120t18
12t20t14
Unit8
2.00 Ea
1.00 Automalic
212.00 Amount
Account code
22 4 -00000- 425602 - 1 030
'100-00000425605{000
224-00000-426605-0000
Paid amount
$212.00
$10.60
$21.20
De8cription
Temporary sign, per permit
Technology Fee
City Admin Fee 10% - enter fee amount
Fee amount
$212.00
$26.50
$21.20
Payment Method: Credit card authorization: Payer: julio olivares
008266
Transaction Comment: mail deposit to payor
3831 Main St Ste 105
Payment Amount $243.80
Receipt Tolal:$243.80
Pti.,\ed: 12l2ol1a 2:17 pm FIN_T€nsaclionReceipl_pr
Cashie. Katrina Anderson
CITY OF SPRTNGFIELD, OREGON
"**-t225 FIFIH STREET .
Cirl Job Number lb -<t:2{9?
'D - :ou Location
O - Bzsine.s.s Name Ac.crAon{6 Boat ?tt,t C'|,ru't
!Q - Business Contact Name J c., lio R. O /rrzr,rcr z. phsn()O
G)
SPRIN"G ELD.OR 97477 . PHt(3411726- 3753 . rA)i: (541)726-3689
Tax Lot
.- Owner of ProperS'
Address Phone
Zip(t) cit
.= - Contractor/Installer 9qF
-t Address
Ci
Phone
State Zip
U
Construction Contractors License #Expires
- Description B-'-^-'.-9I
()
Date of lnstallarion \\q
Permit e: 5243.8{l inc ding S I 06.(Xr Deposit and applicable fees-
50
(t)
d
C)aF
Bl signature. I state and agree that as o\\'ner or o\ Trers' agent I have carefull1' completed this
applicarion and herebl'certiS that all information herein is true and correct. I further agree and
understand that individual banners and ponable signs subject to this permit mal not be larger than 60
square feet. I also agree and understand that lemporan signs shall be removed *'ithir 30 da-vs from the
date listed above. Ifthe temporary signls) are not removed within the timeline specified. I u,ill forfeit
the S106.00 deposir. l also understand that this special permit can onll'be issued four (4) times per
calendar year per development area. I also apree to call the inspection line at (888)-299-2821 bl the
end ofthe 30s da1,to schedule an inspection to verif the removal ofthe temporar), si$(s). This
inspection u,ill begin the process to retum the deposit if the temporar) sigrr(s) have been removed.
Proper|t Ob,ner /
Date E_2a-/EOv,ners Agc aturc
For Olfice Dat tlon
L:Amount Collected E2q3,Bo Receip
.lob #
3831 l/.o,n "J. .rle- to5 .C-,,," /?ol,t. nR-
I
State
DareorRemorat ,l23I11_---..----------
issued By