HomeMy WebLinkAboutPermit Sidewalk 2005-09-12Building/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: COM2005-01248
ISSUED:APPLIED: 0911212005
EXPIRES:
VALUE:
SITE ADDRESS: 554 4TH ST APT l0 Springfeld TYPE OF WORK: Sidewalk
ASSESSOR'S PARCEL NO.: 1703352406100
TYPE OF USE: use initials
PROJECT DESCRIPTION: City Contractor s/w replace no fee PW Maintenance will inspect
Owner:
Address:
Contractor Type
Right of Way
POSEY LANCE B & TANA L
PO BOX 70539
EUGENE OR 97407
Contractor
THOMAS ROGGE
License Expiration Date Phone
741-8134
CONTRACTOR INFOR]V
# 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:
Yo ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Sidewalk Type:
Downspouts/Drains
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
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Value Date Calculated
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Yaluation Description I
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: COM2005-01248
ISSUED:APPLIED: 09ll2l}001
EXPIRES:
VALUE:
Fee Description
Total Value of Project
Date Paid Receipt Number
Total Amount Paid
Amount Paid
$0.00
tr'ees
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. AII 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 wilt 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.
f 44A \3 o.g
Owner or Contractors Date
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