HomeMy WebLinkAboutPermit Sidewalk 2004-07-30Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00945ISSUED: 0713012004APPLIED: 0713012004EXPIRES: 01/3012004
VALUE:
SITE ADDRESS: 244 6TIJ
ASSESSORTS PARCEL NO.: 1703353100700
PROJECTDESCRIPTION: Sidewalk
Owner:
Address:a{}
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TYPE OFWORK: Sidewalk
TYPE OF USE: Repair Residential
REQUIRED PARKING
Total:
Handicapped:
Compact:
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Contractor Type
Applicant
Right of Way
C g6
CITY
THOMAS
PUBLIC WKDEPT
Path:
Building:nla
# 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:
#
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
of
License Expiration Date Phone
05/r112005 541-513-1075
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
Description Type of Construction
Page 1 of2
Value Date Calculated
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Building/Combination Permit
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00945ISSUED: 0713012004
APPLIEDT 0713012004EXPIRES: 01/3012004
VALUE:
Total Value of Project
Date Paid Receipt Numbertr'ee Description
Total Amount Paid
Amount Paid
$0.00
Plan Reviews
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.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
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.
Date {Owner or Contractors
Pase2 of2
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Kequrreo InsDectrons I