Loading...
HomeMy WebLinkAboutPermit Sidewalk 2014-08-14VN F'IE OREGON Building / Public Works Permit PERMIT NO: 811-PW2014-00119 w .springfieldor.gov PROJECT STATUS; Issued STATUS DATE: 08/14/2014 SITE ADDRESS: 618 D ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703352407800 OWNER: KALLUNKI LIVING TRUST ADDRESS: 618 D ST 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@spdngfield-or.gov ISSUED: 08/14/2014 EXPIRES: 02/09/2015 APPLIED: 08/14/2014 SCOPE: TYPE OF STRUCTURE: Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie 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 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. ILOwner or Contractor Signature Date Springfield Building Permit 8/14/2014 11:55:07AM Page 1 of 1 Application Date: ' ' 225 Fifth Street, Springfield, Oregon 97477 Permit Number O (� ��j�01e� �pTransportation & Engineering Section, Public Works Department U \ Phone: 541726-3753 Issue Date: 1 61 W 12011 SITE INFORMATION Location of Work: l 1 7 L d S Qr c n 5 1 1 Applicant: Address: C9 l SZ roe City: Subdivision _ Owner: _ Address: City: REQUESTED PERMITS: NZ State: ZIP: ❑ Sidewalk Amount of sidewalk in excess of 90 feet aSidewalkRepair7$ Sy F(u�tS n Curb Cut/Driveway: Number of Driveways ❑ Multiple Permit Discount each: (Maximum 2) Multi permit discount good for one site and one site inspection only applies to 2nd and 3rd permits only. Not sidewalk repairs 011% Technology fee n Proof of Insurance: $500,000 Minimum if work is done by property owner. CONTRACTOR'S INFORMATION 04.00 19.00 $104.00 1st Cut Phone: s' -7yt •,g� Tax Lot Phone: Fees @$0.09 SF X $67 2nd Cut Total due with permit $ �? `(' , !� (D Name: KI (L bc d(0SIC/ U\ -D C-0-\S(�y�( Address: V C e- A L I J C. \ City: I,-0 �e —1 Stater 9, ZIP: I p y Contractor Registration # (� �� Expiration date: Project Supervisor M cr 1 INSPECTIONS: Phone: SC) I - S l'- `J Y GO Phone: S cl ) — C 17—`! V00 An inspection request should be made prior to pouring concrete, after the proposed work has been formed and made ready to pour. Curb cut and sidewalk inspections call: 541 726-3769 (recording) State your designated Cityjob number/permit number, job address, type of inspection requested, and when you will be ready for inspection. Contractor's or Owner's name and phone number. Requested received before 7:00 am will be made the same day, requests after 7:00 am will be made the next working day. Inspections are to be called in after excavations are made and form work is in place, but prior to pouring concrete. are required to call: The Lane Utilities Coordinating Council's "One 48 hours before before digging. SIGNATURE: e& 0-