HomeMy WebLinkAboutPermit Sidewalk 2014-09-29SPRINGFIELD --
225 Fifth St
CITY OF SPRINGFIELD
Springfield,OR97477
480t.
Phone: 541-726-3753
- OREGON Building / Public Works Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-PW2014-00160
ADDRESS: 935 1ST ST
% mv.spdngfield-ocgov
permileenter@spdngfield-ocgov
PROJECT STATUS: Issued ISSUED: 0912912014
EXPIRES: 03/2812015
STATUS DATE: 09/29/2014 APPLIED: 09/2912014
SITE ADDRESS: 935 IST ST, Springfield, OR 97477
SCOPE:
ASSESOR'S PARCEL NO: 1703352213000 TYPE OF STRUCTURE:
PROJECT DESCRIPTION: City Repair of 20 feet seback sidewalk
OWNER: PAULUS LEE J & ELLEN H
Phone Number:
ADDRESS: 935 1ST ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type
Lie No Lie Exp Phone
ROGGE CONCRETE LLC CCB
183518 08/11/2016 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 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 SigUL
1110IT SHALL EXPIRE IF THE WORK
OI;I7ED UNDER THIS PERMIT IS NOT
[ [ICED OR IS ABANDONED FOR
i0 DAY PERIOD.
10-2 — ►Ll
Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules 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 9/29/2014 1:54:13PM Page 1 of 1