HomeMy WebLinkAboutPermit Sidewalk 2013-7-12 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR97477
CJ Phone:541-726-3753
OREGON Building / Public Works Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
• PERMIT NO: 811-PW2013-00145
vavw.springfeld-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/12/2013 EXPIRES: 01/07/2014
STATUS DATE: 07/12/2013 APPLIED: 07/12/2013
SITE ADDRESS: 4034 VIRGINIA AVE,Springfield, OR 97478 • SCOPE:
ASSESOR'S PARCEL NO: 1702314405400 TYPE OF STRUCTURE:
PROJECT DESCRIPTION: 12 feet of City Sidewalk repair
OWNER: ROBINETTE WILLIAM K Phone Number:
ADDRESS: 243 W I ST
SPRINGFIELD OR 97477
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 i
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.
Owner or Contractor Signatu 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 NOTICE:
calling the center. (Note: the telephcind
number for the Oregon Utility Notification THIS PERMIT SHALL EXPIRE 1F THE WORK •
Center is 1-800-332-2344). AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
•
Springfield Building Permit 7/12/2013 11:53:51AM Page 1 of 1