HomeMy WebLinkAboutPermit Sidewalk 2006-02-28Status pendin!
?11!r!th Srreet, Springrietd, oR
541-72G3753 phone
547-726-3676Fax
541-7 26-37 69 Inspecrion Line
Building/Combination Permit
O: COM2006-00237
02/28/2006
U ilurle
SITE ADDRESS: 9t8 tST ST I
ASSESSOR'SPARCELNO.: 1703352212,
TYPE OF USE:PROJECT DESCRrprroN: city contractor no fee pw Maintenance wil inspect
Sidewalk
use initials
Owner:
Address:
Contractor Type
HALVERSON NANCY
17620 SW FULTON DR
TUALATIN OR 97062
License
Right of way
Contractor
THOMAS ROGGE
Expiration Date Phone
741-8134
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
.. Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
NOTiC
THIS PERMIT SHALL EXPIRE IF THE WOR
AUTHORIZED UNDER THIS PERMIT IS NO
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
REQTIIRED PARKING
Total:
Handicapped:
Compact:
nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Sidewalk Type:
poronrno,,tr/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmountDescription Tvpe of Construction
Page I of2
VaIue Date Calculated
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Valuation Description I
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2006-00237
ISSUED:APPLIED: 0212812006
EXPIRES:
VALUE:
Total Value of Project
Fee Description Amount Paid Date Paid Receipt Number
Total Amount Paid $0.00
To Request an inspection call the24 hour recording at 726-3769. AII 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 Springtield 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.
2 r&.6(cTtt\
Owner or Contractors Date
Reouired Insnect
Pase2 of2
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