HomeMy WebLinkAboutBuilding Sidewalk 2014-7-2 SPRINGFIELD 225 Fifth St
1.Lataitti
CITY OF SPRINGFIELD Springfield,OR97477
1,` ''°Ler Phone: 541-726-3753
' '' OREGON Building / Public Works Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-PW2014-00088
www.spri ngfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/02/2014 EXPIRES: 12/28/2014
STATUS DATE: 07/02/2014 APPLIED: 07/02/2014
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SITE ADDRESS: 1566 MAIN ST,Springfield,OR 97477 SCOPE:
ASSESOR'S PARCEL NO: 1703363104702 TYPE OF STRUCTURE:
PROJECT DESCRIPTION: City sidewalk repair
OWNER: SCHUCK EDWARD B SR&GLADYS A Phone Number:
ADDRESS: 33451 VAN DUYN RD
EUGENE OR 97408 -
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
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.i
T: 1 7— ?— H
Owner or Contractor Sig ture 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-
ANY 180 DAY PERIOD. 0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for is 1-800-332-2344). r►
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