HomeMy WebLinkAboutPermit Sidewalk 2014-07-15SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR97477
C�'- Phone: 541-726-3753
OREGON Building / Public Works Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-PW2014-00097
% a .springfield-oroov permitcenter@spdngfield-orgov
PROJECT STATUS: Issued ISSUED: 07/15/2014 EXPIRES: 01/10/2015
STATUS DATE: 07/15/2014 APPLIED: 07/15/2014
SITE ADDRESS: 1006 55TH PL, Springfield, OR 97478 SCOPE:
ASSESOR'S PARCEL NO:
PROJECT DESCRIPTION:
1702331200109
16 feet of City Sidewalk Repair
OWNER: SNYDER JOINT TRUST
ADDRESS: 37122 TREE FARM RD
TYPE OF STRUCTURE:
Phone Number:
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone
ROGGE CONCRETE LLC CCB 183518 08/11/2014 541-513-1075
Inspections
9506 Sidewalk - Setback
INSPECTIONS REQUIRED
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
By signature, I slate 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 Slate 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 Signatur Date
NOTICE:
TI -IIS PERMIT SHALL EXPIRE IF THE WORT(
AUTHORIZED UNDER PHIS PERMIT IS NOT
CO"MENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those ndeS are set forth
In OAR 952-001-0010 through OAR 952-001-
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 7/15/2014 9:11:11AM Page 1 of 1