HomeMy WebLinkAboutPermit Sidewalk 2014-08-11SPRINGFIELD ......
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OREGON
CITY OF SPRINGFIELD
Building / Public Works Permit
PERMIT NO: 811-PW2014-00115
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PROJECT STATUS: Issued
STATUS DATE: 08/11/2014
SITE ADDRESS: 636 D ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703352407900
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 641-726-3769
Fax: 641-726-3676
permilcenler@spdngfield-or.gov
ISSUED: 08/11/2014 EXPIRES: 02/06/2015
APPLIED: 08/11/2014
OWNER: WILLIAM G & RITA S VANDENBURGH LIV TRUST
ADDRESS: 3972 AMYX CRT
SCOPE:
TYPE OF STRUCTURE:
Phone Number:
HAYWARD CA 94542
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone
INSPECTIONS REQUIRED
Inspections
By signature, I stale 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 r ontractor Signature Date
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I !;IS PERMIT SFIALL EXPIRE IF THE WORK
All 1 I IORIZED UNDER THIS PERMIT IS NOT
COiJ[,HNCED OR IS ABANDONED FOR
ANY ISO DAY PERIOD.
ATTENTION: Oregon law requires you to
follow rules aclopted 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
callinq the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 8/11/2014 11:42:54AM Page 1 of 1