HomeMy WebLinkAboutPermit Sidewalk 2005-01-03Building/Combination Permit
Status Pending PERMIT NO: COM2005-00008
225 Fifth Street, Springfield, oR ISSUED:
s4t_726_37s3 phone
--E-----, --- APPLIED: 0l/0312005 ' :
S4t-726-3676tax ATTENTION: Oregon law requires dilH*ES:*r"r"rrr r,'n*,.. "*. ol"J',:.H:,;l::lJ,lT,:rr:1:,::.r::iy,T5l;"',
SITE ADDRESS: 2138 9TH ST 0090. You may obtar TYPE OF WORK: Sidewalk
ASSESSOR'S PARCEL NO.: 1703261201013 the center. (Note: the tel USE: use initials Residential
PROJECT DESCRIPTION:
Owner: FRASIEURWAyT\E J & MJ
Address: 2138 N 9TH ST SPRINGFIELD OR 97477
Contractor Type Contractor
will inspect
License Expiration Date Phone
number for the
Sidewalk rentac$6,n$fr
CONTRACTOR INF(
# of Units:
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:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o 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:
IIlhr
nla
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE
THIS PEF
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
)
Value Date Calculated
lr U lLfrll\ t lL\ I \rl(lvfA I l(JI\ |
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: COM2005-00008
ISSUED:
APPLIED: 01/0312005
EXPIRES:
VALUE:
tr'ees Paid
Fee Description Amount Paid
$0.00
Date Paid Receipt Number
Total Amount Paid
Reouired Insnections
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.
AV^l-o3^os
Owner or Contractors Date
Paee2 of2
I
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.