HomeMy WebLinkAboutPermit Sidewalk 2006-05-19Status Pending
225 Fifth Street, SPringfield' OR
541-726-3153 Phone
541-126-3616 Fax
541-1 26-37 69 InsPection Line
SITE ADDRESS:1068 2OTH ST
1703361201600
Sidewalk rePlace
ASSESSOR'S PARCEL NO':
PROJECT DESCRTPTION:
Building/Combination Permit
PERMIT NO: CO M2006-00594
TSSUED:
APPLIED:
EXPIRES:
VALUE:
05/19/2006
Springfield TYPE OF WORK: Sidewalk
TYPE OF USE: use initials
License ExPiration Date Phone
Owner:
Address:
BRYAN MATTHEW A
1068 N 2OTH ST
SPRTNGFIELD OR 97477
Contractor TvPe Contractor
# 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:
oh ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/CarPort
Sq Ft Other:
OccuPant Load:nla
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street ImProvements:
Storm Sewer Available:
Special [nstruction:
Notes:
ZED UNDER'
CEt] OR IS A
iJA.1 PERIOD
(PIRE IF THE W(
HIS PERIJ/llT lS r'
}ANDONED FOR
Sidewalk TYPe:
DownsPouts/Drains:
REQUIRED PARKING
Total:
IIandicaPPed:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Valuation Description
Description Type of Construction
Pasel of2
Value Date Calculated
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Status Pending
225 Fifth Street, SPringfield' OR
541-726-3753 Phone
541-126-3676 Fax
541-726-37 69 Inspection Line
Fee Description
Sidewalk Permit
Date Paid
5n9t06
Building/Combination Permit
PERMIT NO: COM2006-00594
ISSUED:APPLIED: 05/1912006
EXPIRES:
VALUE:
Receipt Number
3200600000000000259
Total Value of Project
Total Amount Paid
Amount Paid
s80.00
$80.00
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.
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 rd is located at the front of the property, and the approved set of plans will remain on the site at all
times during
5
Owner or Date
red Insnections
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225 Fifth Street
Springfield, Oregon 97 47 7
541-726-3'159 Phone
Cit , of Springfield Official Receipt
D. .opment Services Department
Public Works Department
RECEIPT #: 3200600000000000259 Date: 0511912006 8:16:54AM
Job/Journal Number
coM2006-00594
Description
Sidewalk Permit
Amount Due
80.00
Item Total:$80.00
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check MATTHEW BRYAN cas In Person
Payment Total:
$80.00
-s8o-o-d-
3787
cReceint I Page I of I sfi9t2006
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