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
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