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HomeMy WebLinkAboutPermit Sidewalk 2013-11-12 SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,0R 97477 yT� Phone: 541-726-3753 itli 'OREGON Building / Public Works Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-PW2013-00219 www.springfield-or.gov permitcenter @spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 11/12/2013 - EXPIRES: 05/11/2014 STATUS DATE: 11/12/2013 APPLIED: 11/12/2013 • SITE ADDRESS: 4910 D ST,Springfield,OR 97478 SCOPE: ASSESOR'S PARCEL NO: 1702332304500 TYPE OF STRUCTURE: PROJECT DESCRIPTION: Moving driveway 12 inches to north and replacing sidewalk panels OWNER: PACIFIC CONIFERS LLC Phone Number:( ADDRESS: 1959 ANTHONY WAY • EUGENE OR 97404 CONTRACTOR INFORMATION • Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone CCM PROPERTY MNTC 8 REMODEL CCB 178512 - 09/24/2015 564-1-6-88-1 INSPECTIONS REQUIRED Inspections 9506 wel4c- t 1r6tide 0.2.)-kb<-ax--r Sidewalk-Curbside: 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 at the front of the property, and the approved set of plans will remain on the site at all times during construction. • Owner or Contractor Signature • Date • • • • • Springfield Building Permit 11/12/201 11:56:55AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 1f 225 Fifth St TRANSACTION RECEIPT SpnngfielaOR 97477 11117\- OREGON 541-7263753 811-PW2013-00219 www.spnngfieldor.gov 4910 D ST permitcenter©spnngfieldor.gov RECEIPT NO: 2013002480 RECORD NO: 811-PW2013-00219 DATE: 11/12/2013 ]a]�.`Io3:l(:hd[el`!I F,,.4,.+',."b an.i'_,'= ai' re.'AGCOUN7...60DERRANS CODE ��ga;: • tMCo1��IoI�gi�ei Curb Cut/Driveway 1st Cut 201-00000-428060 1141 102.00 Sidewalk Repair 201-00000-428060 1142 34.00 Technology fee(5%of permit total) 100-00000-425605 2099 6.80 . TOTAL DUE: 142.80 OrPAYIVIENTpITlPE, PAYORcASRIER:rI(Wll!soaOMMENTS r,..ICW(4?. ' .e.,4,,-,±=='?AMOUNT PAID,*:i4 , Check CCM Property MNTC&Remodel 4910 D 142.80 7487 TOTAL PAID: 142.80