HomeMy WebLinkAboutPermit Building 2002-4-23
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SPRINGFIELD
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I Job# 02-00345-02 I
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Page 1 of2
CITY OF SPRINGFIELD, OREGON
225 Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00345-02
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6833 Jessica St Spr
Assessors Map#: 18020314
Lot: 4 Block: Addition:
Owner:
Rick Hernandez
6833 Jessica
Address:
Scope Of Work: Sidewalk
Tax Lot #: 03500
Subdivision:King Solomon
Phone Number: 541-954-8549
City/State/Zip: Springfield, OR 97478
New Value: $0
This is a copy with a new Sequence Number. This is for the sidewalk only, Imbler is the city
contractor to finish work for bond, See Ron Sather if vou have ouestions, See bo #02-00345-01
Contractor Type Contractor Registration # Expiration Date Phone
Contractor - ROW Imbler Construction 72393 1/29/2001 541-954-9600
PO Box 246, Veneta, OR 97487
Quad Area:
# Of Units:
Constr. Type: (VN) Wood Frame
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group: Dwelling
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769, All inspections 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
working day,
Required Inspections
I Public Works I
-After forms are erected but prior to placement of concrete
SW-Curbside
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
Private Garage/Carp/Stor
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: New SF - detached
Total:
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Fee
New Sidewalk
Total Public Works
Grand Total
Job# 02-00345-02
Paid On Receipt#
Public Works
04/23/2002 8709
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Page 2 of 2
Value/Quantity
88
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information 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, applicable City
Standard Specifications and Drawings, and the laws of the State of Oregon pertaining to the work
described herein, I further certify that only contractors and employees who are in compliance with
ORS 701,055 will be used on this project. I also understand the City may inspect the work described
on this permit any time during a one year period following notice of completion, at the City's
descre~ ~
Signature
Date
, Fee Amount
$75,00
$75,00
$75,00
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