HomeMy WebLinkAboutPermit Sidewalk 2014-2-24 SPRINGFIELD 225 Fifth St
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• CITY OF SPRINGFIELD Springfield,OR 97477
C Phone: 541-726-3753
OREGON Building / Public Works Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
. PERMIT NO: 811-PW2014-00021-
Pwnv.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 02/24/2014 EXPIRES: 08/23/2014
STATUS DATE: 02/24/2014 APPLIED: 02/24/2014
SITE ADDRESS: 6944 JESSICA DR,Springfield,OR 97478 ' SCOPE:
ASSESOR'S PARCEL NO: 1802022303200 TYPE OF STRUCTURE:
PROJECT DESCRIPTION: City repair work
OWNER: KINNEE SARA K Phone Number:
ADDRESS: 6944 JESSICA DR
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION r
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
9505 Sidewalk-Curbside • Sidewalk-Curbside: 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.
. (.7.-.41 Vt.-- PIA •
Owner or Contractor SignattLe Date
ATTENTION: Oregon law requires you to
NOTICE: follow rules ado to
THIS p Notification Center. Those the
ules arrest forth
th
AUTHOERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001-
RIZEDI UNDER THIS p 0090. You may obtain copies of the rules by
COMMENCED OR IS ERMIT IS NOT calling the center. (Note: the telephone
ANY 180 D AY PERIOD.ABANDONED FOR number for the Oregon Utility Notification
Center is 1-500-332-2344),
Springfield Building Permit 2/24/2014 3:58:22PM Page 1 of 1