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HomeMy WebLinkAboutPermit Sidewalk 2006-05-18GFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax S4l-726-37 69 Inspection Line PERMIT NO: COM2006-00589 ISSUED: APPLIED: 05/1812006 EXPIRES: VALUE: SITE ADDRESS: 554 4TH ST APT I ASSESSOR'S PARCELNO.: 1703352406100 PROJECT DESCRIPTION: Repair existing sidewalk heaved by tree Springfield TYPE OF WORK: Sidewalk TYPE OF USE: use initials Owner: Address: POSEY LANCE B & TANA L PO BOX 70s39 EUGENE OR 97401 Contractor Type Right of Way Contractor LANCE POSEY License Expiration Date Phone )R INFORMATION # 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: TBIZED UNDER THIS PERr\4tT lS ENCED OR IS ABANDONED FOR lil DAY PER|OD. Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building:nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ofLot Coverage: Sidewalk Type: Downspouts/Drains;TH AU CO AAr $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 Value Date Calculated *r}' f, I,UILDTNU INT Ur(1VTA T TUI\ I Valuation Description I Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00589 ISSUED: APPLIED: 05/1812006 EXPIRES: VALUE: Total Value of Project Fee Description Sidewalk Repair Permit Total Amount Paid Amount Paid $r0.00 $10.00 Date Paid 5fi8t06 Receipt Number 2200600000000000620 )aid 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. nsnections 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 front of the property, and the approved set of plans will remain on the site at all ring s Owner or Signature Date Paee 2 of 2 il_a 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ci^' of Springfield Official Receipt L .:lopment Services Department Public Works Department RECEIPT #: 2200600000000000620 Date: 0511812006 l:32:53PM Job/Journal Number coM2006-00589 Description Sidewalk Repair Permit Amount Due r 0.00 Item Total:$10.00 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check LANCO INVESTMENTS cas 2607 In Person Payment Total: s 10.00 -$ro-J-d' cReceintl Page I of I 5n8t2006 tnutaeFlllis