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HomeMy WebLinkAboutPermit Sidewalk 2004-9-17 .. . CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-01138 ISSUED: 09/17/2004 APPLIED: 09/14/2004 EXPIRES: 03/17/2005 VALUE: ~. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 5411-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4856 DAISY ST ASSESSOR'S PARCEL NO.: 1702324404000 Springfield TYPE OF WORK: Sidewalk ATTENTION: Oregon law requires you to follow ruiT:Yl~E((j)Ft:U:SE: the CRre'jiailn Utility Residential PROJECT DESCRIPTION: REPAIR SIDEWALK FOR CIT)f~lNIIlENA"lJ~iID!.N(jlFJIDErules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies or me rUles oy calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-33~-~;j44). I CONTRACTOR INFORMATION I Owner: WENETTA PAUL F Address: 4856 DAISY ST SPRINGFIELD OR 97478 Contractor Type General Contractor THOMAS ROGGE CONSTRUCTION License 110976 Expiration Date 05/11/2005 Phone 741-8134 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: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: , I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rgd: Handicapped: Paved bj-TvllRq~( L EXPIRE IF THE ~0JIrn4ct: % ofLqfr~Bv:eEagMIT SHAL S PERMIT IS NOT , AUTHORIZED UNDER lHI _.,~~'" M'I \(' hQHlnnNED FOR .. . I 111\/11\1'''-''-1' 'L.,.I.I V" .- I PUBLIC IMP~py.f\::M~N!~ IIERI,OD. Sidewalk Type: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 of 2 _~~_~~~~II~I' . . ( , .' . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-01138 ISSUED: 09/17/2004 APPLIED: 09/14/2004 EXPIRES: 03/17/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fees paidJ Fee Description Amount Paid Date Paid Receipt Number Total Amount Paid $0.00 I Plan Reviews I Public Works Review 09/1412004 09/14/2004 APP SB SIDEWALK REPAIR FOR CITY MAINTENANCE. NO FEE. 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 Re~ Inspections I 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 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 ofany 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. ~ q-/7- 8~ Owner or Contract Date Paee 2 of2