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HomeMy WebLinkAboutPermit Sidewalk 2013-5-22 SPRINGFIELD - 225 Fifth St lis. CITY OF SPRINGFIELD Springfeld,OR 97477 l�°% Phone: 541-726-3753 OREGON Building / Public Works Permit Inspection Inspection Phone: Fax: 541-726-3676 PERMIT NO: 811-PW2013-00103 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/22/2013 EXPIRES: 11/17/2013 STATUS DATE: 05/22/2013 APPLIED: 05/22/2013 SITE ADDRESS: 6305 B ST,Springfield,OR 97478 SCOPE: • ASSESOR'S PARCEL NO: 1702343101400 TYPE OF STRUCTURE: • PROJECT DESCRIPTION: 10 feet of City repair of sidewalk OWNER: RIGGS STEVEN L&NORMA J Phone Number: ADDRESS: 6305 N B ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone ROGGE CONCRETE LLC CCB 183518 08/11/2014 541-513-1075 INSPECTIONS REQUIRED 1 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 front of the property,and the approved set of plans will remain on the site at all times during construction. Owner or Contractor nature 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 "QTice calling the center. (Note: the telephc n:: THIS P number for the Oregon Utility Notification 9UT ERMIT S Center is 1-800-332-2344). ;O� HOR/ZED U HA�t EXPRE I/1 80 DAED�E��S ABANDrt MIT IS NOT OD EO FOR Springfield Building Permit 5/22/2013 4:59:05PM Page 1 of 1 •