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HomeMy WebLinkAboutPermit Sidewalk 2004-10-5 'L. .. CITY VI< ~rKll~ljt<l1!,LD Building/Combination Permit AJTF"ITloN. flr..n'l'1 ''''I' "'{'IIlr.." '/1'11.... Status Issued follow rules adopted by the Oregon Uti1PERMIT NO: COM2004-01189 . Notification Center. Those rules are set flSSuED' 10/0512004 225 Fifth Street, Sprmgfield, OR in OAR 952-001-0010 through OAR 952-O\1Pl'LIEO' 09/2412004 541-726-3753 Phone . . . 541.726-3676 Fax 0090. You may obtain copies ofthe rule~PlRES: 04/0512005 541-726-37691nspection Line calling the center. (Note: the telephonW ALUE: number for the ,OrAnon lltilitv Nnti!i",,!inn r...nt..r j" 1_Rnn_~~?_?~AA\ SITE ADDRESS: 2268 DORNOCH ST ASSESSOR'S PARCEL NO.: 1703272207642 Springfield TYPE OF WORK: Sidewalk TYPE OF USE: PROJECT DESCRIPTION: CITY MAINTENANCE SIDEWALK REPAIR, NO FEE Repair Residential Owner: ROHDE DONALD J & KAYCIE J Address: 2268 DORNOCH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Contractor THOMAS ROGGE CONSTRUCTION License 110976 Expiration Date 05/1112005 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 Front yard 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 NOTICE: Sidewalk Type: THIS PERMIT SHALL EXPIRE IF THE WOFDownspoutslDrains: AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR. ANY 180 DAY PERIOD. Notes: I Valuation Descriotion , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 012 l. .) CITY VI' ~PRI1~ljN~LD Status Issued Building/Combination Permit PERMIT NO: COM2004-01189 ISSUED: 10/05/2004 APPLIED: 09/24/2004 EXPIRES: 04/05/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726.3753 Phone 541-726-3676 Fax 541.726.3769 Inspection Line I f,\'f'~ Paitl I Fee Description . Amount Paid Date Paid Receipt Number Total Amount Paid $0.00 I Plan Reviews I Public Works Review 09/24/2004 09/24/2004 APP SB CITY MAINTENANCE SIDEWALK REPAIR, 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 Rf'olJirf'tI rn~nf'rtinn~ 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 trne 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 of plans will remain on the site at all times during construction. O.:.I":K"" ~; {o-s - O~ Date Pa!!e 2 on