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HomeMy WebLinkAboutPermit Sidewalk 2014-1-24 SPRINGFIELD,_ 225 Fifth St iii lii,„,.. 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-PW2014-00009 www springfield-or gov permitcenter@sprIngfield-or gov PROJECT STATUS: Issued ISSUED: 01/24/2014 EXPIRES: 07/23/2014 STATUS DATE: 01/24/2014 APPLIED: 01/24/2014 SITE ADDRESS: 933 NORTHRIDGE AVE, Springfield,OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703261204324 TYPE OF STRUCTURE: PROJECT DESCRIPTION: City sidewalk repair of 30 feet, 20 feet per owner OWNER: JACKSON GERALD G&PENNY K Phone Number: ADDRESS: 933 NORTHRIDGE SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone ROGGE CONCRETE LLC CCB 183518 08111/2014 541-513-1075 INSPECTIONS REQUIRED III 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 at the front of the property, and the approved set of plans will remain on the site at all times during construction. : II-(— 1 ` Owner or Contractor Si nature Date Springfield Building Permit 1/24/2014 1 25.30PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD Ili SPRINGFIELD 11111L., 225 Frfth St TRANSACTION RECEIPT Springfield OR 97477 `OREGON 541-726-3753 811-PW2014-00009 wwwspnngfield-or.gov 933 NORTHRIDGE AVE permdcenter©spnngfield-or gov RECEIPT NO: 2014000158 RECORD NO: 811-PW2014-00009 DATE: 01/24/2014 DESCRIPTION ACCOUNT CODEfTRANS CODE AMOUNT DUE Sidewalk Repair 201-00000-428060 1142 68 00 Technology fee(5%of permit total) 100-00000-425605 2099 3 40 TOTAL DUE: 71.40 PAYMENT TYPE PAYOR CASHIER;KWILSON COMMENTS AMOUNT PAID --Select-- Tom Rogge 933 Northrldege 71.40 03479G TOTAL PAID: 71.40