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HomeMy WebLinkAboutPermit Sidewalk 2013-9-12 SPRINGFIELD .._ 225 Fifth St 4' CITY OF SPRINGFIELD Springfield,OR97477 2. , Phone: 541-726-3753 —`',OREGON Building / Public Works Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-PW2013-00173 www.springfield-or.gov permitcenter @spnngfield-or.gov PROJECT STATUS: Issued ISSUED: 09/12/2013 EXPIRES: 03/11/2014 • STATUS DATE: 09/12/2013 APPLIED: 09/12/2013 SITE ADDRESS: 737 E ST,Springfield,OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703351305300 TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk replacement. • OWNER: KANE DONALD P 8 SHELLEY R Phone Number: ADDRESS: 5405 SUMMIT WEST LINN OR 97068 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED II Inspections By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct,and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street,that the ' permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. at, 9 / ke Owner or Contractor Signature Date • • Springfield Building Permit 9/12/2013 10:33:58AM Page 1 of 1 Ciry" of5pringfield' : `"..'-, � , ,.. ,:' � . ". .. Driveway/St dewa;lk ,Permit, ALpp;Iicat'ion ; t.t . .4., Application Date: J Iallz! 3l 225 Fifth Street,Springfield,Oregon 97477 SPRINGFIELD Tr nsportation&Engineering Section,Public Works Department • Permit Number ekk pW2o 0©17 -r_ I �' Phone: 541 726-3753 - �+ Issue Date: I G{112f` O\ � , OREGON SITE INFORMATION Location of Work: [,"7 (' STp �{- Applicant: .t 2J\ i .A..uIZ Phone: ,,n/� � Ise!-s0��083`2 Address: e, Aox OW ZT. � Q Tax Map City: 91=0 State: l.L . ZIP: 97es- Tax Lot Subdivision Owner: NV\ T01 to Phone:II !�N�A Address: I City: State: ZIP: REQUESTED PERMITS: Fees ./ ' Sidewalk Amount of sidewalk in excess of 90 feet $102.00 @S0.09 SF IT Sidewalk Repair $18.00 ❑ Curb Cut/Driveway: Number of Driveways X$102.00 1st Cut X$54 2nd Cut ❑ Multiple Permit Discount each:(Maximum 2) $35 Multi permit discount good for one site and one site inspection only applies to 2nd and 3rd permits only. Not sidewalk repairs • 5%Technology fee O Proof of Insurance: $500,000 Minimum if work is done by property owner. Total due with permit$ • CONTRACTOR'S INFORMATION Name: C<<,t$ h(ri1ke1-5 m • Celta, Phone:sy/ _Sill a077 Address: SP FD 'MO g7 City: 51YF State: OA ZIP: g7NOS- Contractor Registration# 6 :7 c Expiration date: Project Supervisor / v( O 3oYJ Phone:559 (_ 56/ -o R9 77 INSPECTIONS: An inspection request should be made prior to pouring concrete,after the proposed work has been formed and made ready to pour. Curb cut and sidewalk inspections call: 541 726-3769(recording)State your designated City job number/permit number,job address, type of inspection requested,and when you will be ready for inspection. Contractor's or Owner's name and phone number. Requested received before 7:00 am will be made the same day,requests after 7:00 am will be made the next working day. Inspections are to be called in after excavations are made and form work is in place,but prior to pouring concrete. You are required to call: The Lane Utilities Coordinating Council's"One Call Number" 1-800-332-2344, 48 hours before before digging. SIGNATURE: 9— /2 / '