HomeMy WebLinkAboutPermit Sidewalk 2005-6-22
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. CITY OF SPRINGFIELD'
Building/Combination Permit
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Status Pending
225 Fifth Street, Springfield, OR
" 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
ATTENTION: Oregon law requires you RMIT NO: COM2005-00779
follow rules adopted by the Oregon Util SUED:
Notification Center. Those rules are set f Pt~~:
in OAR 952-001-0010 through OAR 952- rLUE..
0090. You may obtain copies of the rules by .
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SITE ADDRESS: 2309 DORNO~ffr TOr me, uregon \;I.tII~~ ~~YTlWPf OF WORK: Sidewalk
ASSESSOR'S PARCEL NO.: 1703272207~o91ter IS 1-800-~J1l-~3~4).
TYPE OF USE: use initials
PROJECT DESCRIPTION: City contractor sidewalk replace no fee PW Mainten will inspect
06/22/2005
Owner: SPLICHAL RICHARD J
Address: 2309 DORNOCH ST
SPRINGFIELD OR 97477
, CONTRACTOR INFORMATION I
Contractor Type
,Right of Way
Contractor
THOMAS ROGGE
License
Expiration Date 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:
nla
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
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:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOJ1HC!E:
THIS PERMIT SHALL EXPIRE IF THE WORK Downspouts/Drains:
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Sidewalk Type:
Notes:
'I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00779
ISSUED:
APPLIED: 06/22/2005
EXPIRES:
VALUE:
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Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726':'3769 Inspection Line
Total Value of Project
~
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$0.00
I Plan Reviews I
I 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.
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.
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Owner or Contractors Signatu
Date
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