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HomeMy WebLinkAboutPermit Sidewalk 2003-6-2 " :-LiZ.-~ ., ~~- ,_ CITY OF SPRll~hl<lELD Building/Combination Permit 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection LIne PERMIT NO ISSUED: APPLIED: EXPIRES VALUE: COM2003-00437 06/02/2003 06/02/2003 12/02/2003 Status Issued SITE ADDRESS 1952 CENTENNIAL BLVD ASSESSOR'S PARCEL NO 1703254307600 SprIngfield TYPE OF WORK SIdewalk TYPE OF USE PROJECT DESCRIPTION sIdewalk repaIr for the CIty Owner BITLER DELORES Address 1952 CENTENNIAL BLVD SPRINGRIELD OR 97477 .-\ \e\\):~J,.J ,~O\.\..\I': , iJ'O-' ",\).V~'_l".ul\I"- _~(\ C'C,-(','t,'t,-;ouai( I.CONTRACT0R INFORMATION' \'(1\)'-' f.,\I\I\(\ ~ i~.' t--~"" 6'O'\J~ ~ Contractor Type ~~,€oWttact8~~~ ul'e\o.~_\-\)\)-tgol\'C~I\I\~\ LIcense Owner ,:;.0'\ o~BfiitER 'DELORES\-\) \Ue0u (Ii ",o\~ '<i RIght ot Way a~~,~TH'01\I~AS(RO~G..GE~ ~~nO'e sa~, ~\:;\ I I 110976 \~r::rtS'o ~i.e sa\"~\).\f.,o.'I'~BmUDiNG INFORMATION I \0\ \as uo~aiO e \ N''C' , # of BUIldIngs ,\\11\\(\ ~ c.'" \\(\'0 # of Stories PnInary Occupancy Group ,n HeIght of Structure Secondary Occupancy Group Type of Heat Pnmary ConstructIOn Type Water Type Secondary Construction Type Range Type # of Bedrooms Energy Path SETBACKS I DEVELOPMENT INFORMATION I Front yard Setback S,de I Setback Sldc 2 Setback Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage I PUBLIC IMPROVEMENTS I Street Improvements Storm Sewer AvaIlable Special InstructIOn New ReSIdential ExpIratIon Date Phone 05/11/2005 541-513-1075 Lot SIZe Sq Ft 1st Floor. Sq Ft 2nd Floor Sq Ft Basement. Sq Ft Garage/Carport Sq Ft Other ImperVIous Surface Area REQUIRED PARKING Total HandIcapped Compact SIdewalk Type Downspouts/Drams Notes I ValuatIOn DescrmtIon I DeSCrIptIOn Tvpe of ConstructIOn Square Footaee $ PerSq Ft Paee 1 of2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00437 ISSUED. 06/02/2003 APPLIED. 06/0212003 EXPIRES: 12/02/2003 VALUE' 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fa, 541-726-3769 InspectIOn Line Total Value of ProJect I Fees PaId' Fee Descnphon Amount PaId Date PaId ReceIpt Numher Total Amount PaId $000 I Plan RevIews I To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectIon requested before 7:00 a.m WIll be made the same workmg day, mspectlOns requested after 7 00 a m. wIll be made the followmg work day I ReoUlred I nsnectIons , 1 SIdewalk - Setback After forms are erected but pnor to placement of concrete By sIgnature, I state and agree, that 1 have carefully examined the completed apphcahon and do hereby certIfy that all informatIOn hereon IS true and correct, and I further cerhfy that any and all work performed shall be done In accordance WIth the Ordinances of the CIty of Spnngfield and the Laws of the State of Oregon pertaining to the work descnbed herein, and that NO OCCUPANCY Will be made of any structure WIthout permIssIOn of the Commumty ServIces DIVISIOn, Budding Safety I further cerhfy that only contractors and employees who arc In comphance WIth ORS 701 005 Will be used on thIS project I further agree to ensure that all reqUIred IIlspectlOns .re requested at the proper hme, that each address IS readable from the street, that the permIt card IS located .t the front of the property, and the approved set of plans WIll remain on the SIte at all times dunng constructIOn ~ ~i'. I -cJ~-()3 O"ner or cont/'Vftft Slgnalure Date Paee 2 of 2