HomeMy WebLinkAboutPermit Sidewalk 2005-1-28
-~
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
",,",,"H CITY OF SPRINGFIELD. .
Building/Combination Permit
PERMIT NO: COM2005-00114
ISSUED:
APPLIED: 01128/2005
EXPIRES:
VALUE:
SITE ADDRESS: 4806 CAMELLIA ST
ASSESSOR'S PARCEL NO.: 1702324402100
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: use initials
PROJECT DESCRIPTION: Sidewalk replace City Contractor-maintenance will inspect no fee
Residential
Owner: PARKINSON YVONNE
Address: 4806 CAMELLIA ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Applicant
Contractor
THOMAS ROGGE
License
Expiration Date Phone
BUILDING INFORMATION.
# 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 I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Total:
Handicapped:
ATTENTION: Orego~la\t(l~tres you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
1I1 UJ-\n ::1~0 ;-JM!.lI.. "...~I', OAR sse 9~1
I PUBLIC IMPROVEMENTS 10090. You may obtain copies of the rules by
caSld~lilkmwar. (Note: the tele ~hon~
nurng*r fOl;}ID~nOr~g9.n Utility Noti ~e 5'
e8n~r/iSr-aU0-332.2344).
Overlay Dist:
# Street Trees Rqd: ,
Paved Drive Rqd:
% of Lot Coverage:
Notes: City Contractor no fee
Description
Type of Construction
I Valuation Description I M[J)l~t[E:
$ Per Sq Ft Square Fool~~S PERMIT SHA~L EXPIRE _I~ THE WORK
or multiplier or Bid Amd.\wtrHOR1ZED ~~mtR THIS 1D,-~~Mrflf~lli1~
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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: COM2005-00114
ISSUED:
APPLIED: 01128/2005
EXPIRES:
VALUE:
Total Value of Project
Fees paidJ
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$0.00
I Plan Reviews,
To Request aninspection 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 workperformed 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.
~ ~
o:.r !r::,,"ct"":~~C .
l .....J.. 8; - fJ5:'
Date
Pal.!:e 2 of2