HomeMy WebLinkAboutPermit Curb Cut 2002-07-08SPRIiIGFIELD
Job# 02-00806-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
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Page 1 of 2
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2118 00006th St Spr
AssessorsMap#: 17032621
Lot: Block: Addition:
Job Number: 02-00806-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 02217
Subdivision:
clTY oF SPRTNGF7ELD, OREGON
Owner: Kathy Jensen
Address: 21 1B 6th Street
Scope Of Work: Curbcut
Phone Number:
City/State/Zip:
New
removing existing approach and replacing with new approach.
541-747-8101
Springfield, OR97477
Value: $0
Contractor Type
Contractor - ROW
Gontractor
Scott Brown Construction lnc
7245 North A St, Springfield, OR 97478
Registration #
64344
Expiration Date
911012003
Phone
541-726-7706
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 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 lnspections
Public Works
GC-Standard -After forms are erected but prior to placement of concrete
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Accessory:Total:
Job# 02-00806-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Public Works
0710812002 9851 1New Curbcut
Total Public Works
$75.00
$75.00
Grand Total
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information herein is true and corect, and I further certify that any and atl 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.
The City may inspect the work site described in this permit at any time during a one year period
following the receipt by the City of Springfield notice of completion of the described work and specify,
at the City's sole descression, any additional restoration work required to return the site to a standard
acceptable to the City. The permittee will be notified in writing of any work required and will have thirty
(30) days from the date of the notice to complete the work. Work not completed at the end of the
thirty days will be performed by the City and the costs will be billed to the permittee.
I further agree to ensure that all required inspections are requested at the proper time, that the
address readable from the street, and the approved set of plans will remain on the site at all
during
ature Date
$7s.00
project
times
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