HomeMy WebLinkAboutPermit Sidewalk 2013-9-16 SPRINGFIELD m 225 Fifth St •
• CITY OF SPRINGFIELD Springfield,OR 97477
• • Phone: 541-726-3753
OREGON Building / Public Works Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-PW2013-00176
www.springfield-or.gov permitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/16/2013 EXPIRES: 03/15/2014
STATUS DATE: 09/16/2013 APPLIED: 09/16/2013
SITE ADDRESS: 246 H ST,Springfield,OR 97477 SCOPE:
ASSESOR'S PARCEL NO: 1703352213100 TYPE OF STRUCTURE:
PROJECT DESCRIPTION: 10 feet of City Sidewalk Repair and 5 feet of owner repair
OWNER: SLATTERY LORRAINE W Phone Number:
ADDRESS: 246 H 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
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 Si ure 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
calling the center. (Note: the telephone
THIS PERMIT SHALL EXPIRE IF THE WORK number for the Oregon Utility Notification
1UTHORIZED UNDER THIS PERMIT IS NOT Center is 1-800-332-2344).
'ONIMENCED OR IS ABANDONED FOR •
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"" 180 DAY PERIOD.
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Springfield Building Permit 9/16/2013 1:10:30PM Page 1 of 1
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