HomeMy WebLinkAboutPermit Sidewalk 2007-05-11Owner:
Address:
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
SITE ADDRESS: 244410TH ST
ASSESSOR'S PARCEL NO.: 1703261202400
PROJECTDESCRIPTION: sidewalk repair
Springfield
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
NOTICE;
HIS
COMMENCED OR IS ABAN
ANY 180 DAY PERIOD
Building/Combina tion Permit
PERMIT NO: COM2007 -00679ISSUED: 05/ll/2007
APPLIED: 0511rt2007
EXPIRESz llllll2007
VALUE:
TYPE OF WORK: Sidewalk
TYPE OF USE:
License Expiration Date Phone
REQUIRED PARKING
Total:
HandicaPPed:
ComPact:
MARILYN D JOLE REVOCABLE TRUST
62808 NE TIMBERLINE CRT
BEND OR 97701
Contractor TYPe Contractor
# of Units:
Primary OccuPancY GrouP:
SecondarY OccuPancY GrouP:
Primary Construction TYPe
SecondarY Construction TYPe:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street ImProvements:
Storm Sewer Available:
Special Instruction:
Notes:
)
BPfifl,EBlibhueT
DownsPouts/Drains:
$ Per Sq Ft
or multiPlier
Square.Footage
or Bid AmountDescriPtion TYPe of Construction
Pase 1 of2
Value Date Calculated
v
# of Stories:
rn
Stafus Issued
Fee Description
Sidewalk Repair permit
Building/Combin ation Permif
3?: Iifth Streer, springfierd, oR
541-726-3753 phone
54t-726-3676 Fax
541 -7 26-j7 69 Iuspecfion Line
Total Value of project
O: COM2007-0067L
05/11/2007
05n1t2007
17/11/2007
Receipt Number
3200700000000000269
Sidewalk Repair. JLP
PERMIT N
ISSUED:
APPLIED:
EXPIRES:
VALUE:
Amount Paid
$10.00
$10.00
Date Paid
5nu07
Total Amount Paid
Public Works Review 0511u2007 05nu2007 APP JLP
To Request an inspection call the24 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
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
construction.
S.t (-ol-
Date
Pase? of2
225 Fitth Street
if,1,1f:T;ff::: s7477 C-r' of Springfield Official Receiot^ elopnrent Services O"pu.t_"ij
Public Works Department
RECEIPT #:
Description
Sidewalk Repair permit
320070000000000026s Date:05/17/2007 t:3e:t4pM
Job/Journal Number
coM2007-00679 Amount Due
10.00
Item Total:$10.00Payments:Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount paid
Cash STEVE JOLE jlp cash In Person $10.00
Payment totat:
-$i6ffi
cReceintl Page I of I stll/2007