HomeMy WebLinkAboutPermit Sidewalk 2014-1-16 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR97477
Phone: 541-726-3753
OREGON Building ! Public Works Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-PW2014-00007
www.springfield-or.gov permitcenter @springfieid-or gov
PROJECT STATUS: Issued ISSUED: 01/16/2014 EXPIRES: 07/15/2014
STATUS DATE: 01/16/2014 APPLIED: 01/16/2014
SITE ADDRESS: 599 56TH ST 1,Springfield,OR 97478 SCOPE:
ASSESOR'S PARCEL NO: 1702331404800 TYPE OF STRUCTURE:
PROJECT DESCRIPTION: City Repair of 15 feet of setback sidewalk
OWNER: SNYDER JOINT TRUST Phone Number:
ADDRESS: 37122 TREE FARM RD
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION A
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
ROGGE CONCRETE LLC CCB 183518 08111/2014 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.
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Owner or Contrabtor Signature Date
ATTENTION: Oregon low requires you to
follow rules adopt :d by the Oregon Utility
Notification Center. Those rules are set forth NOTICE;
in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone COMMENCED for the Oregon Utility Notification CO'�MENCED OR IS ABANDONED FOR
Center is 1-800-332-2344). ANY 180 DAY PERIOD.
Springfield Building Permit 1/16/2014 2:05:29PM Page 1 of 1