HomeMy WebLinkAboutPermit Sidewalk 2003-09-18Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3675Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2003-00927ISSUED: 0911812003APPLIED: 09/1812003EXPIRES: 03/1812004
VALUE:
SITE ADDRESS: 1133 5TH ST
ASSESSOR'S PARCEL NO.: 1703263402600
PROJECT DESCRIPTION: Application for second driveway
Springfield TYPE OF WORK:
TYPE OF USE:
Miscellaneous
Alteration Residential
Owner:
Address:
ELLIOTT JESSE
1133 N sTH ST SPRINGFIELD OR 97477
Contractor Type Contractor License Expiration Date Phone
CONTRACTOR INFORMATION
Valuation
BUILDING 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 lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
THIS PERMIT IS NOT
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
REQUIRED PARKING
Total:
Handicapped:
Compact:
Date Calculated
'ETBACI$IHP'ERT#I8ilithFrontyard setbaclg g y M EN C ED 0 R lS [$[frf pQffirp$pist:
:lffl:::3::[; ANy 180 DAY PERroD. f:ff1l;;ltfl'
Rearyard Setback %o of Lot Coverage:
Solar Setbacks:
Total Value of Project
Page I of2
PUBLIC IMPROVEMENTS
Description Type of Construction Yalue
ar
)t
Sidewalk Type:
Downspouts/Drains:
F
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO : COM2003-00927ISSUED: 09/18/2003APPLIED: 09/1812003EXPIRES: 03/1812004
VALUE:
Fee Description
Curbcut - Additional Driveway
Total Amount Paid
Amount Paid
$3s.00
$3s.00
Date Paid
9/18/03
Receipt Number
2200200000000001551
Plan Reviews
To Request an inspection call the24 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.
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 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.
a q-Lr-c')
Owner or Contractors Date
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Keourreo InsDectrons I
' 225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springiield Official Receipt
Development Services Department
Public Works Department
Receipt #: 2200200000000001551 Date: 09/18/2003 tt22tltP][I
coM2003-00927 Curbcut - Additional Driveway 35.00
Item Total:$35.00
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number Authorization Number How Received Amount Paid
Check JESSE R ELLIOT mas l 533 In Person
Payment Total:
$3s.00
$35.00
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