HomeMy WebLinkAboutPermit Sidewalk 2003-06-02Status lssued
225 Fifth Street, SPringfield' OR
541-726-3753 Phone
541-126-3676 Fax
541 -1 26'31 69 InsPection Line
527 12TH ST
NO.: 1703351408900
THO MAS ROGGE
Springfield
# of Stories:
Height of Structure
Type of Heat:
Water TYPe:
Range TYPe:
EnergY Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
PERMIT NO:
NSUED:
APPLIED:
EXPIRES:
License Expiration Date
05/11/2005
Phone
541-513-1075
Buildin g/ C o mb in atio n P e r mit
coM2003-00436
0610212003
0610212003
r210212003
VALUE:
TYPE OF WORK: Sidewalk
TYPE OF USE: use initials
SITE ADDRESS:
ASSESSOR'S PARCEL
PROJECT DESCRIPTION:
Owner:
Address:
Owner
LOIS ANN BRUUN REVOCABL-ETRUSTs;;;ii' 5i" SinTxGFIELD oR e7417
Contractor TYPe Contractor
iors nNN BRuuN REvocABLE TRUsr
110976
Right
#
Pr Group:
Seconda ry OccuPancY GrouP:
PrimarY Construction TYPe
SecondarY Construction TYPe:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street ImProvements:
Storm Sewer Available:
Special Instruction:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/CarPort
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKTNG
Total:
HandicapPed:
Compact:
Sidewalk Type:
Downspouts/Drains:
Sguare FootageDescription Type of Construction $ per Sq Ft
Page 7 of 2
Value Date Calculated
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Notes:
Valuation Description I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2003-00436ISSUED: 0610212003
APPLIEDz 0610212003
EXPIRESz 1210212003
VALUE:
Total Value of Project
Date Paid Receipt Number
Fee Description
Total Amount Paid
Amount Paid
$0.00
F ees Paid
Plan Reviews
To Request an inspection call the 24 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.
I Sidewalk - Setback: 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 at the proper time, that each address is readable from the
street, that the permit card is tocated at the front of the property, and the approved set of plans will remain on the site at all
times during
C- t - os
Owner or ature Date
Pase 2 oI 2
Keoulreo lnsDecilons I