HomeMy WebLinkAboutPermit Sidewalk 2001-06-19Job# 01-00644-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
SPRINGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 439 S 00004th St Spr
AssessorsMap#: 17033534
Lot: Block: Addition:
Job Number: 01 -00644-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot #: 3900
Subdivision:
oITY OF SPRTNGFIELD, OREGON
Owner: Shawn and Adrina Saker
Address: 439 S 4th Street
Scope Of Work: Sidewalk
Phone Number:
City/State/Zip:
Repair
Springfield, OR
Value: $0
Sidewalk repair. City has contracted with Hamaker to perform work. Maintenance will inspect.
Gontractor Type
Contractor - ROW
Contractor
Hamaker Construction Co lnc
Po Box 2704, Eugene, OR 97402
Registration #
1 09585
Expiration Date
10t26t02
Phone
541-344-8779
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24hour recording at726-3769. 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
Public Works
Sidewalk -After excavation is complete, forms and sub base material is in place.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
# Of Stories: Height (feet):
Current Units: Proposed Units
Gensus Code: Does not apply
Main:Accessory:Total:
Job# 01-00644-01 Page 2 ot 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Sidewalk Repair
Total Public Works
06t22t2001 00000000 1 $10 00
$10.00
Grand Total
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
descression.
$10.00
Signature Date
PuUIic Worfs
Jun 19 O1 1O:25a
SENI 8Y: SPflINOFIELD Pttl;
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TELEPHONE tCost 120.3753
APPTICATION
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