HomeMy WebLinkAboutPermit Sidewalk 2014-6-13 SPRINGFIELD h225Fifth St
a
isitte
CITY OF SPRINGFIELD Springfield,OR 97477
l Phone: 541-726-3753
OREGON Building / Public Works Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-PW2014-00078
www.springfeld-or.gov permitcenteraspringfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/13/2014 EXPIRES: 12/09/2014
STATUS DATE: 06/13/2014 APPLIED: 06/13/2014
SITE ADDRESS: 922 OLD ORCHARD LN,Springfield,OR 97477 SCOPE:
ASSESOR'S PARCEL NO: 1703234303500 TYPE OF STRUCTURE:
PROJECT DESCRIPTION: City curb and gutter repair of 30 feet •
OWNER: REHBERGER STEVEN J&R K Phone Number:
ADDRESS: 922 OLD ORCHARD LN
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
9504 Curbcut—Standard
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. //
r ." alt I. 7. 1%- s1•1 •
Owner or Contractor Signatur Date
ATTENTION: Oregon law requires
follow rules adopted by the Oregon you i
Utility
Notification Center. Those rules are s t forth t H SIPERMIT SHALL EXPIRE IF THE WORK
n OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
UTiORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone C1[ IMENCED OR IS ABANDONED FOR
number for the Oregon Utility Notification Put' 130 DAY PERIOD.
Center is 1-800-332-2344).
Springfield Building Permit 6/13/2014 9:48:28AM Page 1 of 1