HomeMy WebLinkAboutPermit Sidewalk 2005-03-10Building/Combination Permit
Status Pending
225Fifth Street, Springfield, OR
541-126-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line ATTENTION: Oregon law
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SrTE ADDRESS: 8S8 19TH ST ln OAR 952-001
PERMIT NO: COM2005-00280
ISSUED:
APPLIED: 03/10/2005
EXPIRES:
VALUE:
util
ASSESSOR'S pARCEL NO.: 170336219psf,. You may
Sidewalk
calling the center. (Note: thTytEi0tstlSE: use initialsPROJECTDESCRIpTION: Sidewatk reproDDLbrflhtu&dob' n U t r lity Notification
Center is 1 -800-332-2344
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obtain copreS of thc 'rries by
Owner:
Address:
Contractor Type
Right of way
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improyements:
Storm Sewer Available:
Special Instruction:
WERTH EUGENE & ALICE V
858 N I9TH ST
SPRINGFIELD OR 97477
Contractor
THOMAS ROGGE
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Buitding:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Expiration Date phone
741-8134
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
License
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
nla
Sidewalk Type:
Downspoutsfl)rains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
HU IiIUHiI.TU UNL/bH
C0tvrfviElJCED 0B lS p
ANY 1BO t]AY PERIOD
$ Per Sq Ft
or multiplier
:XPIRE lF THE W0RK
rHIS PERMIT IS NOT
BANDONED FORNotes:
Square Footage
or Bid Amount
Description Type of Construction
Page I of2
Value Date Calculated
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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: COM2005-00280
ISSUED:APPLIED: 0311012005
EXPIRES:
VALUE:
Total Value of Project
Date Paid Receipt NumberFee Description
Total Amount Paid
Amount Paid
$0.00
E ees Pa
Plan Reviews
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.
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 Springlield 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 70f .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.
3-ro ^c<./7.^
Owner or Contractors Signature Date
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Kequrreo rnsDecuonsl