HomeMy WebLinkAboutPermit Sidewalk 2005-1-27
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: cOM2005-00108
ISSUED:
APPLIED: 01127/2005
EXPIRES:
ATTENTION: Oregon law reqM~~WID:to
fnllnw rulp.s adooted bv the Oreaon Utilitv
t..lntifi/"'.:ltinn ~,:>nt,:>r Thnc:,:> rt JI':>C:::lr,:> C:At fnrth
SITE ADDRESS: 4807 CAMELLIA ST in OAR 952.001S~fih~fi.~rQ)ul:.l~~'IDt: Sidewalk
ASSESSOR'S PARCEL NO.: 1702324402801D90. You may obtain copies of the rules by
calling the center. (Note~E~tJSE~ use initials
PROJECT DESCRIPTION: Sidewalk replacflQ.~t!J~Pfl!rl!i-;WOr~p~tffi.I~r ~ljtiIJrJl...lliJvJ1Maintenance
Center is 1-800-332-2344).
Residential
Owner:
Address:
PATRICK JAMES C & NIKKI C
4807 CAMELLIA ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Applicant
Contractor
THOMAS ROGGE
License
Expiration Date Phone
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
! PUBLIC IMPROVEMENTS I
btlJJ U ,L~. Sidewalk T e:
Fully Im.q~~seldERMIT SHALL EXPIRE IF THE WORK yp
AUlt,e~RIZED UNDER THIS PERMRol~~~~rts/Drains:
COMfl/iENCED OR IS ABANDOf~ED FOR
Inspected by Art Ireland (mainten~J'~~) 180 DAY PERIOD.
Curbside 5'
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Desc;iption I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2;e 1 of 2
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: cOM2005-00108
ISSUED:
APPLIED: 01127/2005
EXPIRES:
VALUE:
Total Value of Project
L Fees Paid I
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$0.00
I Plan Reviews,
To Request an inspection caU 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.
L 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.
~ V~\.r-- l~a7-~
Owner or Contractors Sig~~re Date
Pa2;e 2 of 2