HomeMy WebLinkAboutPermit Sidewalk 2014-6-24 •
SPRINGFIELD 225 Fifth-St
' t CITY OF SPRINGFIELD Springfield,OR 97477
'�''`o ecor4 Phone: 541-726-3753
Building / Public Works Permit Inspection Phone: 541-726-3769
• - Fax: 541-726-3676
PERMIT NO: 811-PW2014-00084
. www.springfeldor.gov permitcenter @springfield-or.gov •
PROJECT STATUS: Issued ISSUED: 06/24/2014 EXPIRES: 12/20/2014
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STATUS DATE: 06/24/2014 APPLIED: 06/24/2014
SITE ADDRESS: 918 NORTHRIDGE AVE,Springfield,OR 97477 SCOPE:
ASSESOR'S PARCEL NO: 1703261204312 TYPE OF STRUCTURE:
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PROJECT DESCRIPTION: Operations repair of sunken driveway approach and gutter bar.
OWNER: .GORTON DAVID R Phone Number:
ADDRESS: 1708 1ST _
SPRINGFIELD OR 97477
OWNER: GORTON KATHY JO ATTENTION: Oregon law requires you to Phone Number:
ADDRESS: 1708 1ST follow rules adopted by the Oregon Utility
SPRINGFIELD OR 97477 Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
OWNER: TERRELL BARBARA 0090. You may obtain copies of the rules by Phone Number:
ADDRESS: 1708 1ST calling the center. (Note: the telephone
SPRINGFIELD OR 97477 number for the Oregon Utility Notification
OWNER: TERRELL ROLAND Center is 1-800-332-2344). Phone Number: •
ADDRESS: 1708 1ST
SPRINGFIELD OR 97477 •
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type • Lic No Lic Exp Phone
INSPECTIONS REQUIRED
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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.
•
•
Owne or Contractor Signature Date
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD
Springfield Building Permit 6/24/2014 9:56:35AM , Page 1 of 1