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HomeMy WebLinkAboutPermit Sidewalk 2013-8-7 SPRINGFIELD 225 Fifth St isat CITY OF SPRINGFIELD Springfield,OR 97477 hilik01.1EGON Phone:541-726-3753 Building / Public Works Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-PW2013-00158 www.spdngfieldor.gov permitcenter©springfieldor.gov PROJECT STATUS: Issued ISSUED: 08/07/2013 EXPIRES: 02/02/2014 STATUS DATE: 08/07/2013 APPLIED: 08/07/2013 SITE ADDRESS: 888 S 32ND PL,Springfield,OR 97478 SCOPE: ASSESOR'S PARCEL NO: 1802062105623 TYPE OF STRUCTURE: PROJECT DESCRIPTION: 20 Feet of City sidewalk repair for setback sidewalk OWNER: GRAY NICHOLAS S Phone Number: ADDRESS: 7701 E OSBORN RD APT 306W SCOTTSDALE AZ 85251 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone ROGGE CONCRETE LLC GCB 183518 08/11/2014 541-513-1075 INSPECTIONS REQUIRED r 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. S - id -9 Owner or Contractor Signature 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- NOTICE: 0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the telephc: ro AUTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR Center is 1-800-332-2344). ANY 180 DAY PERIOD. Springfield Building Permit 8/7/2013 10:09:44AM Page 1 of 1