HomeMy WebLinkAboutPermit Sidewalk 2014-10-02SPRINGFIELD -- 225 Fifth St
6:nOREGON
CITY OF SPRINGFIELD Springfield,OR97477
Phone: 541-726-3753
Building / Public Works Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-PW2014-00162
v .springfieldacgov permitcenter@spnngfield-or.gov
PROJECT STATUS:
Issued ISSUED: 10/02/2014 EXPIRES: 03/31/2015
STATUS DATE:
10/02/2014 APPLIED: 09/30/2014
SITE ADDRESS: 546 5TH ST, Springfield, OR 97477 SCOPE:
ASSESOR'S PARCEL NO:
1703352405500 TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
20 feet of Sidewalk repair done by City and 40 feet by owner
OWNER: BESWICK JULIA ANN & RICHARD Phone Number:
ADDRESS: 546 N 5TH 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
SRUNNOWNEMMMMEMMMd
Inspections
9506 Sidewalk - Setback
Sidewalk - Setback: 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 fr nt of the property, and the approved set of plans will remain on the site at all times during
constructs
i
L
Owner or ntractor Signature Date
S PERfviIT SHALL EXPIRE IF THE WORK
;01WED UNDER THIS PERMIT IS NOT
1ENCED OR IS ABANDONED FOR
�0 DAY PERIOD,
ATTENTION; Oregon law requires you t0
1`01101V 1`11108 adopted by the Oregon Utility
n
Notification
01,0010 thter rough O rules aro set forth
0090, Yoll may obtain copies of tile ruleAR s by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332.2344),
Springfield Building Permit 10/2/2014 9:05:03AM Page 1 of 1