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HomeMy WebLinkAboutPermit Sidewalk 2014-08-21to 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 Dale s p�RM/T /o e,SwoRl( 4b PO/? N0 ATTENTION: Oregon lawn Utility requires YOU tO follow rales adopted by the Oregon Notification Center. Those rules h OAR 952.001 in OAR 952-001-0010 throng 0090. You may obtain copies of the rules by calling the center. ontUtility Notiliication number for the Oreg Center is 1-800-332-2344). Springfield Building Permit 8/21/2914 9:37:29AM Page 1 of 1 SPRINGFIELD -- 225 Fifth St ` CITY OF SPRINGFIELD Springfield,OR97477 �i Phone: 541-726-3753 ` OREGON Building / Public Works Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-PW2014-00130 w .spnngfieldor.gov permitcenter@spnngfield-or.gov PROJECT STATUS: Issued ISSUED: 08/21/2014 EXPIRES: 02/16/2015 STATUS DATE: 08/21/2014 APPLIED: 08/21/2014 SITE ADDRESS: 190 51ST ST, Springfield, OR 97478 SCOPE: ASSESOR'S PARCEL NO: 1702333203701 TYPE OF STRUCTURE: -PROJECTDESCRIPTION—City sldeew 1k e� a-irW-27-feet around -mall OWNER: DELEON GUERRERO H C & M P Phone Number: ADDRESS: 190 N 51ST ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lie No Lie Exp Phone RODNEY TROY CUMMINS CCB 141771 03/24/2016 541689-8959 INSPECTIONS REQUIRED Inspections 9505 Sidewalk - Curbside 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. 1 further certify that only contractors and emnlovees who are in comnliance with ORS 701.005 will be used on this oroiect. 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 Dale s p�RM/T /o e,SwoRl( 4b PO/? N0 ATTENTION: Oregon lawn Utility requires YOU tO follow rales adopted by the Oregon Notification Center. Those rules h OAR 952.001 in OAR 952-001-0010 throng 0090. You may obtain copies of the rules by calling the center. ontUtility Notiliication number for the Oreg Center is 1-800-332-2344). Springfield Building Permit 8/21/2914 9:37:29AM Page 1 of 1