HomeMy WebLinkAboutPermit Sidewalk 2005-07-12.;,
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Building/Combination Permit
Status Pending PERMIT NO: COM2005-00889
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s4t-726-3769 Inspection Line in OAR 952-001-0010 through OAR 952-OU$LUE:
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SITE ADDRESS: 746 iTIJ ST number for the Oregon g(Htyg{dili&YBil OF WORK: Sidewalk
ASSESSORTS PARCEL NO.: 17033s211000ffter is 1-800-032-2344).- TYPE OF USE: use initials
PROJECT DESCRIPTION: Sidewalk repair for home owner to be inspected by Gene Enos P K
lhe foltat
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Owner:
Address:
Contractor Type
Right of Way
DEEM MARTHA
746 N sTH ST
SPRINGFIELD OR 97477
Contractor
THOMAS ROGGE
License
tto976
Expiration Date
0s/11/2005
Phone
541-513-1075
CONTRACTOR INFORMATION
m
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 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:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of2
Value Date Calculated
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Valuation Description I
Status Pending
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00889
ISSUED:APPLIED: 0711212005
EXPIRES:
VALUE:
Total Yalue of Project
Date Paid Receipt NumberFee Description
Total Amount Paid
Amount Paid
$0.00
Fees Paid
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.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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 et 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.
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Owner or Contractors i,w"Date
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