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HomeMy WebLinkAboutPermit Sidewalk 2014-09-08L ELD - �m OREGON ,� 1111"Q&1:3NI�Crldl���7 Building / Public Works Permit PERMIT NO: 811-PW2014-00142 w .spdngfield-ocgov PROJECT STATUS: Issued STATUS DATE: 09/08/2014 SITE ADDRESS: 822 57TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: PROJECT DESCRIPTION: ISSUED: 09/08/2014 APPLIED: 09/08/2014 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@spdngfield- r.gov EXPIRES: SCOPE: 1702331101100 TYPE OF STRUCTURE: City sidewalk repair due to tree damage and water leak OWNER: ALLDREDGE DAVID C & DIANA Y ADDRESS: 822 N 57TH ST 03/06/2016 Phone Number: SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lic No Lie Exp Phone Inspections 9505 Sidewalk - Curbside RODNEY 1 ROY CUMMINS CCB 141771 03/24/2016 541-689-8959 INSPECTIONS REQUIRED 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. 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 fropt of the property, and the approved set of plans will remain on the site at all times during Owner or POTIC:E: 7111S PERMIT SHALL EXPIRE IF THE WORK AU11iORIZED UNDER THIS PERMIT IS NOT COii'lMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ® g®/ / Date 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). Springfield Building Permit 916/2014 9:07:45AM Page 1 of 1