HomeMy WebLinkAboutPermit Sidewalk 2013-5-15 SPRINGFIELD- 225 Fifth St jaat
CITY OF SPRINGFIELD Springfield,OR 97477
1 = C + Phone:541-726-3753
L.. • '16. OREGON
Building / Public Works Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-PW2013-00094
www.spri ngfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 05/15/2013 EXPIRES: 11/10/2013
STATUS DATE: 05/15/2013 APPLIED: 05/15/2013
SITE ADDRESS: 620 65TH ST,Springfield,OR 97478 SCOPE:
ASSESOR'S PARCEL NO: 1702341300420 TYPE OF STRUCTURE:
PROJECT DESCRIPTION: City sidewalk repair
OWNER: MENKE WILLIAM J&KAREN R Phone Number:
ADDRESS: 620 N 65TH ST
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION I
-
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
ROGGE CONCRETE LLC CCB 183518 08/11/2014 541-513-1075
INSPECTIONS REQUIRED
•
Inspections
9508 Sidewalk •
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.
Owner or Contractor fri ature Date
ATTENTION: Oregon law requires you to NOTICE:
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK
UNDER THIS PERMIT IS NOT .
in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR
by
0090. You may obtain Copies of the rules
calling the center. (Note: the telepF ANY 180 DAY PERIOD.
. number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 5/15/2013 3:54:57PM Page 1 of 1