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HomeMy WebLinkAboutPermit Sidewalk 2013-10-21 SPRINGFIELD+++ • 225 Fifth St lir CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building [Public Works Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-PW2013-00203 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/21/2013 EXPIRES: 04/19/2014 STATUS DATE: 10/21/2013 APPLIED: 10/21/2013 SITE ADDRESS: 1318 CENTENNIAL BLVD,Springfield,OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703253307100 TYPE OF STRUCTURE: PROJECT DESCRIPTION: Sidewalk repair of 3 panels OWNER: MURPHY DENNIS M &MARY ANN .. Phone Number: ADDRESS: 88000 RUNNING SPRING DR • SPRINGFIELD OR 97478 • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone ROGGE CONCRETE LLC CCB 183518 08/11/2014 541-513-1075 _ INSPECTIONS REQUIRED Inspections 9508 Sidewalk 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. ro-.a 1- 13 • Owner or Contra or Signature Date • • ATTENT!ON: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone • 1' 1(1D DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit 10/21/201 9:41:59AM - Page 1 of 1 • • • SPRINGFIELD SpRINGFIELDsgss. CITY OF SPRINGFIELD 225 Fifth St S.' OREGON TRANSACTION RECEIPT Spnngfield.OR 97477 541-726-3753 811-PW2013-00203 wvwespnngfleld-ar.gov 1318 CENTENNIAL BLVD permitcenter©springfield-or.gov RECEIPT NO: 2013002312 RECORD NO: 811-PW2013-00203 DATE: 10/21/2013 L] 1ol:�laldto7 Lt_ `_' . -<. '`_ `_ :`z '_` n o CODE/LRANS:CODE z r_.ia Sidewalk Repair 201-00000-428060 . 1142 51.00 Technology fee(5%of permit total) 100-00000-425605 2099 2.55 TOTAL DUE: 53.55 <w SP'AYMENT�TeYP,E. . " PAYOR� etru : tes rti _- , COMMENTS - ,AMOUNTAINE Credit Card Tom Rogge 1318 Centennial Sidewalk Repair 53.55 07756G TOTAL PAID: 53.55 • • • • • • • • •