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HomeMy WebLinkAboutPermit Sidewalk 2003-8-26 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-0080I ISSUED: 08/2612003 APPLIED: 08/20/2003 EXPIRES: 02/26/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3348 DOUGLAS DR ASSESSOR'S PARCEL NO.: 1802062103200 Springfield TYPE OF WORK: Sidewalk TYPE OF USE: PROJECT DESCRIPTION: Sidewalk repair for Springfield Maintenance Repair Residential Owner: Address: RASMUSSEN GEORGENE S reS ~ou \0 3348 DOUGLAS DR SPRINGFIELD OR 974Zl!, \aoN reo,U\ gon U\iliW , N\IUI.'.U,t:l\,j b~\neore e\\ort BOWSBY SCOTT F p..Tl EO .. IAS adop\e~ rules are S 'l-Oo 3348 DOUGLAS DR SPtm/<;FiELo' 8R191478hose Ugh O~p, 95 I S I . :_.;\ir.a\iOn _::~ "M 0 \hro _. lhe rU e " Op.f'. 9~"'-V- ' _",I "in cop'v~_ MIAO\,\OIl" " 90,1/€0N'fRACTOlNNFORMATION,:,.iOn 00 calling tII" v. Oregon U""',;." 44), Contractor oImtierlor\he, 1_1300-33'l-o'ticense Expiration Date THOMAS ROGGE cen\ens 110976 05/1112005 Phone 541-513-1075 Owner: Address: Contractor Type Right of Way I BUILDING INFORMATION I # of Buildings: 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: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Impervious Surface Area: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEV"LundENT huuKlvlATION , REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Overlay Dist: rr..'f... # Street Tr\\\~~di\\t. '-NO Oi ~~~~~~~\i t-~~~~~~ ~~: i \fi\\O\,\\lr.G Qrr.. \'21 ~~~ ~ Ot-l\W1i\f'\'\ O:L1'\:;i~ C~~'i ,\~lilOmInMPRbvEMENTS' Sidewalk Type: DownspoutslDrains: Notes: Pa~e 1 of2 . . . \...11:t' OF ~rtOl'\jld<lJi,L1J Status Issued Building/Combination Permit PERMIT NO: cOM2003-00801 ISSUED: 08/26/2003 APPLIED: 08/20/2003 EXPIRES: 02/26/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project F...... tlWlJ 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. I R..lJUir..r1 Tnsn..dlow 1 Sidewalk - Setback: After forms are erected but prior to placement of concrete. By signature, 1 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 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. ~'rnct~:" A,,:,~ Date \J ;)7 .200"Z Pal!e 2 of2