HomeMy WebLinkAboutPermit Building 2005-3-31
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. CITY OF SPRINGFIELD'
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-00366
. -ISSUED:
APPLIED:
EXPJ_RES:
ATTENTION: Oregon law requlresW!tJ~E:
. follow rules adopted by the Oregon Utility
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03/31/2005
SITE ADDRESS: 2139 DORNOCrfM:'I'\M l:t:>"-UU I-IJU1~ [WRHR~d~fi~~ORK: Sidewalk
ASSESSOR'S PARCEL NO.: 170327:ffi1,Q,You may obtal1fco~les ofilia rules by
calJlng the center. (Note:,~he ~~SE: Repair
PROJECT DESCRIPTION: Sidewalk ,.Qp'~r.w.tn.~9lCl'il~illnW\l!'MRli/ilSl>ect no fee
Center Is 1-800-332-2344).
Residential
Owner: HANSEN-STAVER LINDA M
Address: 36425 ALDER BRANCH RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Right of Way
Contractor
THOMAS ROGGE
License
Expiration Date Phone
741-8134
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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
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Notes:
I Valu~tion Descriotion I
III
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 of2
~
.
. CITY OF ~rKll~ld11~LD
Building/Combination Permit
PERMIT NO: COM2005-00366
ISSUED:
APPLIED: 03/31/2005
EXPIRES:
VALUE:
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlon Line
Total Value of Project
Fp.p.~~
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$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.
'. Rp.nuirp.d Insnp.p.tin.II.LI
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 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 ore requested at the proper time, that each address is readable from the
street, that the permit cord is located at the front ofthe property, and the approved set of plans will remain on the site at all
times during construction.
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Owner o~ contractor:~~;;-- Date
Poee Z ofZ