HomeMy WebLinkAboutPermit Sidewalk 2005-05-03Building/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: COM2005-00522
ISSUED:APPLIED: 05/0312005
EXPIRES:
VALUE:
SITE ADDRESS: 150 28TH ST I Springfield TYPE OF WORK: Sidewalk
ASSESSOR'S PARCEL NO.: 1703364100200
TYPE OF USE: use initials
PROJECT DESCRIPTION: Sidewalk replace existing Commercial property
ydrOwner:
Address:
Owner:
Address:
Owner:
Address:
Contractor Type
Right of Way
GET N GO GROCERY
I5O N 28TH ST
SPRJNGFIELD OR 97477
CAMPBELL CEILLE WTE
27411 SW CAMPBELL LN
wEsT LINN OR 97068-9s30
CAMPBELL W LEIGH TE
27411 SW CAMPBELL LN
WEST LINN OR 97068-9530
bllow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
h OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies ol the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
center is 1 -800-332 -23441,
License Expiration Date PhoneContractor
MAX EHLERS
CONTRACTOR INFORMATION
m
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Pase 1 of2
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Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00522
ISSUED:APPLIED: 05/0312005
EXPIRES:
VALUE:
Description Type of Construction
Fee Description
Total Amount Paid
Total Value of Project
Date Paid
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount Value
Receipt Number
Date Calculated
Amount Paid
$0.00
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.
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 the front of the property, and the approved set of plans will remain on the site at all
times
Vlh 3 , ?-teo{
Owner Signature
Pase2 of2
Date {)
Valuation Description I
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