HomeMy WebLinkAboutPermit Sidewalk 2014-07-22_-.
225 Fifth St
LSPRINIGIFIELD
CITY OF SPRINGFIELD
Springfield,OR97477
Phone: 541-726-3753
OREGON Building / Public Works Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811 -PW2014-001 00
v .springfieldocgov
permitcenter@spdngfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/22/2014
EXPIRES: 01/1712015
STATUS DATE: 07/22/2014 APPLIED: 07/22/2014
SITE ADDRESS: 3810 CHEROKEE DR, Springfield, OR 97478
SCOPE:
ASSESOR'S PARCEL NO: 1802061101500 TYPE OF STRUCTURE:
-PROJECT DESCRIPTION:Replacement-of-drivewayand-approach.
OWNER: THOMAS ROBERT A R LISA K
Phone Number:
ADDRESS: 3810 CHEROKEE DR
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type
Lie No Lic Exp Phone
INSPECTIONS REQUIRED
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 eyyployees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required in potions are requested at the proper time, that each address is readable from the street, that the
permit card is locatent of the property, and the approved set of plans will remain on the site at all times during
construction. /
Owner or Contractor Signature
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1.800.332-2344).
Dale
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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