HomeMy WebLinkAboutPermit Sidewalk 2004-04-01F
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00364ISSUED: 0410112004
APPLIED: 0410112004
EXPIRES: - 1010112004
VALUE:
SITE ADDRESS: 145518TH ST Springfield TYPE OF WORK: Sidewalk
ASSESSOR'SPARCELNO.: 1703253401600
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Sidewalk permit, curb replacement and small repair ( one panel on the north side of
property)
Y ou\oOwner: DOW DOUGLAS DMD
Address: 1455 N 18TH ST SPRINGFIELD OR 97477 \aN (
\
Contractor Type
Right of Way PACIFIC
-001 -00 10
Note
fl,
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot
04t26t2006
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area :
Date Phone
688-9567
REQUIRED PARKTNG
Total:
Handicapped:
Compact:
# of Units:
Primary Occupancy Group:
Secondary 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:
Notes:
$'-
$ Per Sq Ft
or multiplier
Sidewalk Type:
DownspoutslDrains:
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
Description Type of Construction
Pase I of2
Value Date Calculated
Valuation Description
F RIN
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00364ISSUED: 0410112004APPLIED: 041011200'4
EXPIRES:- 1010112004
VALUE:
Fee Description
Curbcut Repair
Sidewalk Permit
.A.mount Paid
$30.00
$7s.00
$10s.00
Total Value of Project
Date Paid
4nt04
4nt04
Receipt Number
2200400000000000309
2200400000000000309
Total Amount Paid
Iees Paid
Plan Reviews
To Request an inspection call tlne 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 - Curbside: After forms are erected but prior to placement of concrete.
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certify that all
information hereon is truJand 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 "n.o.u
th"t all required inspections are requested at the proper time, that each address is readable from the
street, tSat ttre 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.
A'-J-r Ll ' I " gt-l
Owner or Contractors Signature Date
Pase2 of2
Keourred lnspecuons I
iil;iL,1tu,,", st({ _;1lff#',';::#3:lfltiljl:
2200400000000000309 Date:l:38:28PM
loM2m-001a
toM2m-m3s
Dsdptlon
Sidewalk Pcmit
Curbcul Repair
Amutrt Due
75.00
30.00
s105.00
IyF of Prym.t Prld By Redvd 8y Brlch Nrmhr Numhr Uo* R@ltd Atuutrt' prid
:t""t
P.yhent Totrl:
-sifsId'