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HomeMy WebLinkAboutPermit Sidewalk 2013-9-20 SPRINGFIELD • 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ,k‘so • Phone: 541-726-3753 ` OREGON Building I Public Works Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-PW2013-00183 wvrw.sprngfield-of.gov permitcenterQspringfield-or.gov • PROJECT STATUS: Issued ISSUED: 09/20/2013 EXPIRES: 03/19/2014 STATUS DATE: 09/20/2013 APPLIED: 09/20/2013 SITE ADDRESS: 346 D ST,Springfield,OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703352406700 TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk Repair OWNER: WILSON-HAMAKER ADELE L Phone Number: ADDRESS: 346 DST SPRINGFIELD OR 97477 OWNER: WILSON-HAMAKER KATHERINE K Phone Number: ADDRESS: 346 DST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone #1 NORTHWEST MOBILE HOME SERVICE INC CCB 107081 07/17/2014 541-689-3151 INSPECTIONS REQUIRED Inspections 9506 Sidewalk-Setback Sidewalk-Setback: After forms are erected but prior to placement of concrete. • 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 e front of the property, and the approved set of plans will remain on the site at all times during constr ion. qara O ner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTICE: in OAR 952-001-0010 through OAR 952-001- I; 0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the telephone -.UTHORIZED UNDER THIS PERMIT IS NOT -number for the Oregon Utility Notification ;OMMENCED OR IS ABANDONED FOR Center is 1-800-332-2344). ANY 180 DAY PERIOD. Springfield Building Permit 9/20/2013 3:08.30PM Page 1 of 1 SPRINGFIELD- CITY OF SPRINGFIELD CI , 226 Fifth St TRANSACTION RECEIPT 225 R97477 'OREGON 541-726-3753 811-PW2013-00183 www.springfield-or.gov 346 D ST permitcenter©spnngfield-or gov RECEIPT NO: 2013002104 RECORD NO: 811-PW2013-00183 DATE:09/20/2013 DESCRIPTION CODE/TRANS CODE"-:+.,Aigbati7AMOUNT DUE=J Sidewalk up though 90 Feet 201-00000-428060 1142 102.00 Technology fee(5%of permit total) 100-00000-425605 2099 5.10 TOTAL DUE: 107.10 KPAYMET.rp THE P,AYOR- caSwER kwainDN ' . COMMENTS AMOUNTAPAID; t 1-ftS?Y. Check Northwest Mobile Home 107.10 7851 TOTAL PAID: 107.10 ■