HomeMy WebLinkAboutPermit Sidewalk 2005-5-20
CITY OF SPRINGFIELD'
Building/Combination Permit
Status Pending PERMIT NO: COM2005-00597
. . AI I cNTlON: Oregon law requIres you to ISSUED:
225 Fifth Street, Sprmgfield, OR.: II w rules adopted by the Oregon Utility APPLIED-
541-726-3753 Phone . fO. 0 -
541-726-3676 Fax Notification Center. Those rules are set fortfEXPIRES:
541-726-3769 Inspection Line In OAR 952-001-0010 through OAR 952-001\' ALUE:
QcaD, You mav obtain cooies of the rules bv
~~lIin~ th~ ,.~nt~" 1f\lnt~hp tplpnhoJ:lfl
SITE ADDRESS: number for the Oregon Utility NotificatiptlPE OF WORK: Sidewalk
ASSESSOR'S PARCEL NO.: 1703262~Oter is 1-800-332-2344).
TYPE OF USE: use initials
PROJECT DESCRIPTION: New Sidewalk and community post box encroachment permit also
OS/2012005
.' Owner: BARKELEW BILLY D & DIANA L
Address: 65 SHADY LOOP
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
License
Expiration Date Phone
Contractor Type
Right of Way
Contractor
BRAD CONCRETE UNLIMITED
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
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Downspouts/Drains:
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I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Description
Type of Construction
Value
Date Calculated
Pa2e 1 of2
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00597
ISSUED:
APPLIED: OS/20/2005
EXPIRES:
VALUE:
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
Amount Paid
Receipt Number
Date Paid
Total Amount Paid
$0.00
I Plan Reviews,
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Reouired Insoections I
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 of 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.
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Owner or ~tractors Signature
Date
Pa2e 2 of2