HomeMy WebLinkAboutPermit Sidewalk 2003-3-21
Status: Issued
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: COM2003-00197
ISSUED: 03/21/2003
APPLIED: 03/21/2003
EXPIRES: 09/21/2003
VALUE:
SITE ADDRESS: 611 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703264311300
Springfield TYPE OF
Sidewalk
TYPE OF USE: Repair Residential
PROJECT DESCRIPTION: sidewalk only due City street tree. Work performed under a contract from the
Maintenace Department
Owner: JORANGERARLO C & LYNETTE R
Address: 611 CENTENNIAL BLVD SPRINGFIELD OR 97477
I CUI"'I1RACIOR INFORMATION I
Contractor Type
Owner
Right of Way
Contractor
JORANGERARLO C & LYNETTE R
THOMAS ROGGE
License
Expiration Date Phone
541-513-1075
BUILDING INFORMATION.
# of Buildings:
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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
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:
!pUBLIC IMPROVEMENTS I
Street
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains
Notes:
1 of 2
Status: Issued
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: COM2003-00197
ISSUED: 03/21/2003
APPLIED: 03/21/2003
EXPIRES: 09/21/2003
VALUE:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
Square Foota2e
Value
Date Calculated
Total Value of Project
I Fees Paid.
Fee Description
Amount Paid
Date
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.
I Reauired Insuections .
1 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 certity 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 ofplallS will remain on the site
at all ti~r() c,onstruction. '"J
/ ( IA/', .) - cJ 1 - <:) ~
Ow~er o~ :trac4~ig~ature Date
2 of 2