HomeMy WebLinkAboutPermit Sidewalk 2002-09-05{ P^s"t orz
SPRrIlICiFIELED
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 6590 Thurston Rd Spr
AssessorsMap#: 17023412
Lot: Block: Addition:
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-01 063-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 00300
Subdivision:
063-0102-01Job#
GITY OF SPRINGFIELD,OREGON
Owner: Thurston Grange
Address: 6590 Thurston Rd
Scope Of Work: Sidewalk
Phone Number:
City/State/Zip:
New
Springfield, OR 97478
Value: $0
Sidewalk only for 17023412 tl 201 and 300. Part of Eagtes Ftight.
Contractor Type
Contractor - ROW
Contractor
Eugene Sand & Gravel lnc
Po Box 1067, Eugene, OR 97440-1067
Registration #
44524
Expiration Date
2123t2005
Phone
541-683-6400
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
office use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To reque.st an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will 6e made the following
working day.
Required lnspections
Public Works
-After forms are erected but prior to placement of concreteSW-Gurbside
Gonstruction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main:
# Of Stories: Height (feet):
Gurrent Units: Proposed Units:
Census Code: Does not apply
Accessory Tota!:
I
Job# 02-01063-01 Page2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Public Works
New Sidewalk
Total Public Works
0910512002 10526 70 $75.00
$7s.00
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information 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, applicable City
Standard Specifications and Drawings, and the laws of the State of Oregon pertaining to the work
described herein. I further certify that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I also understand the City may inspect the work described
on this permit any time during a one year period following notice of completion, at the City's
nature
$7s.00
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Date