HomeMy WebLinkAboutPermit Sidewalk 2006-6-15
CITY OF SPRINGFIELD
Building/Combination Permit
Status: Pending PERMIT NO: COM2006-00745
225 Fifth Street, Springfield, OR A, T,TENTION: Oregon law requires yo~ !~oIS:~L~~~' 06/1512006
541-726-3753 Phone follow rules adopted by the Oregon Utili IRES:
541-726-3676 Fax . . NGtitic2tion Center. Those rules are set!o ALUE' .
541-726-3769 Inspection LlDe :,: C\R 952-001-0010 through OAR 952-00 - .
'J~:JJ, yOU may UUlc:lIlII.UjJit:;;:) vi ~I,c .u\"'", L,
SITE ADDRESS: 4860 CAMEfiJj('1sihe center. ~r\1018~ m~ le~I~~l1E OF
ASSESSOR'S PARCEL NO.: 17023i.f4th~oothe. Oregon urIRff'~ I
Center IS 1-800-332-2344). TYPE OF USE:
PROJECT DESCRIPTION: City contractor no fee PW mainten will inspect
Sidewalk
use initials
Owner: BENSON JOHN R & JILL M
Address: 4860 CAMELLIA ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Right of Way
Contractor
THOMAS ROGGE
License
Expiration Date Phone
741-8134
I BUILDING INFORMATIONI
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street
NOTRLIC IMPROVEMENTS' .,
THIS PERMIT SHALL EXPIRE IF THE WO&Kvalk Type:
AUTHORIZED UNDER THIS PERMIT IShlMnspouts/Drains
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description ~
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Status: Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00745
ISSUED:
APPLIED: 06/15/2006
EXPIRES:
VALUE:
Total Value of Project
Fees Paid I
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount
$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.
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 permij e,~~ 'oeated at the froo tof the p rope rty. aod the app roved set of plan, wiD remain on th e ,;te
at all tim~stru~J(\.. ( _ ) s; _ c0
Owner or Contractors Sign';; Date
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