HomeMy WebLinkAboutPermit Curb Cut 2006-02-14F
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: COM2006-00184
ISSUED:
APPLIEDz 0211412006
EXPIRBS:
VALUE:
SITE ADDRESS: 980 21ST ST
ASSESSOR'S PARCEL NO.: 1703361
Springfield TYPE OF WORI(: Curbcut
203500
TYPE OF USE: Remodel
PROJECT DESCRIPTION: P20405 City Project driveway relocate no fee-Refer to JeffPashall
Residential
Owner:
Address:
MARTIN JACK D & NANCY MAE
980 N 21ST ST
SPRINGFIELD OR 97477
Contractor Tvpe Contractor License Expiration Date Phone
FORMATION
# 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:
Notes:
# 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 ofLot Coverage:
NOTICE:
THIS PEBMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANOONED FOR
ANY 180 DAY PERIOD.
REQUIRED PARKING
Total:
Handicapped:
Compact:
nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
$ Per Sq Ft
or multiplier
Sidewalk Type:
Downspouts/Drains:
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Pase I of2
Value Date Calculated
-
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Valuation Description 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: COM2006-00184
ISSUED:APPLIED: 02fi4t2006
EXPIRES:
VALUE:
: Fee Description
Total Value of Project
Date Paid Receipt Number
Total Amount Paid
Amount Paid
$0.00
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.
red Insnections
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 located at the front of the property, and the approved set of plans will remain on the site at all, times during construction.
,r7 "'.'. ,').-, .. .'-1" ^-A - /,/-zL7r
Owner or eontractors Signature Date
Pase2 of?
F ees !-rrft
225 i"ifth Street
Springfield, Oregon 97 477
541:726-3759 Phone
^ity of Springfield Official Receipt
-;evelopment Services Department
Public Works Department
RECEIPT#: 1200600000000000158 Date: 0211412006 9:22:56AM
Jnb/Journal Number
02-00757-01
Description
Plan Review Fire & Life Safety
Amount Due
325.00
Item Total:$325.00
Payments:
Tlpe of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check KDA CONSTRUCTION djb 14737 In Person
Payment Total:
s32s.00
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