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HomeMy WebLinkAboutPermit Sidewalk 2014-7-1 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 I&zPhone: 541-726-3753 REGON Building / Public Works Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-PW2014-00087 vmvaspringfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/01/2014 EXPIRES: 12/27/2014 STATUS DATE: 07/01/2014 APPLIED: 07/01/2014 SITE ADDRESS: 1254 N ST,Springfield,OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703264111900 TYPE OF STRUCTURE: PROJECT DESCRIPTION: 15 feet of City sidewalk repair OWNER: WILSON RALPH F&MELBA R Phone Number: ADDRESS: 1254 N ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION II 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 Sig Mature Date NOTICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth . COMMENCED OR IS ABANDONED FOR In OAR 952-001-0010 through OAR 952.001- CO COY ME CE PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center Is 1-800-332-2344). Springfield Building Permit 7/1/2014 9:19:48AM Page 1 of 1