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HomeMy WebLinkAboutPermit Sidewalk 2013-11-1 SPRINGFIELD 225 Fifth St i CITY OF SPRINGFIELD Spring feld,OR 97477 Cam% Phone:541-726-3753 OREGON Building / Public Works Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-PW2013-00215 . www.springfield-or.gov perrnitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 11/01/2013 EXPIRES: 04/30/2014 STATUS DATE: 11/01/2013 APPLIED: 11/01/2013 SITE ADDRESS: 3194 GATEWAY LOOP,Springfield,OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703222002501 TYPE OF STRUCTURE: PROJECT DESCRIPTION: 10 feet of City Sidewalk repair OWNER: SYLMA COMPANY Phone Number: ADDRESS: 2390 LARIAT DR EUGENE OR 97401 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lie 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. fin\ I- 10-\ 3 Owner or Contractor ignature Date ATT ENT!ON: Orson Irw renuires you to i3T)C[. fo"oc rams enter.T Those the Oregon are tory :HIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- UTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by ;OMf1"EPJCED OR IS ABANDONED FOR calling the center. .(Note: the telephone number for the Oregon Utility Notification AY 1 SO DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 11/1/2013 3:15:43PM Page 1 of 1