HomeMy WebLinkAboutPermit Sidewalk 2005-10-17Status 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: COM2005-0I454
ISSUED:APPLIED: 1011712005
EXPIRES:
VALUE:
SITE ADDRESS: 746 6TH ST follow rules
atYPE ttiPcnfoRlo Curbcut
ASSESSOR'SPARCELNO.: 1703352110300 the Oregon Utili tyotification Center.Thos TYPE OF USE : use initials
PROJECTDESCRIPTION: Drivewayreplace R 952-001_0010 th
You may obtain copies of the rule
rough OAR 952_OO1-
ephoneeOwner:
Address:
Owner:
Address:
Contractor Type
Right of Way
WEILER JULIA IRENE
746 N 6TH ST
SPRINGFIELD OR 97477
GAMBRILL JAMES P
746 N 6TH ST
SPRINGFIELD OR 97477
number for the O regon Utility Notification
Center is 1-800-332-2344).
Contractor
PAT SLOAN
License Expiration Date Phone
CONTRACTOR INFORMATION
BUILD
# 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:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDEH THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Page 1 of2
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-4
Status Pending
225 Fifth Stree! Springfield, OR
541-726-3753 Phone
541-726-3676Ftx
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-01454
ISSUED:
APPLIED: l0ll7l200S
EXPIRES:
VALUE:
Description Tvpe of Construction
Fee Description
Total Amount Paid
Total Value of Project
Date Paid
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount Value
Receipt Number
Date Calculated
Amount Paid
$0.00
Fees Paid
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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
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.
t'n;lr( i l"-l/-lrJ^-ilry;"*,* signature
Page2 of2
Date
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Valuation Description
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225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Qity of Springfield Official Receipt
:velopment Services Department
Public Works Department
RECEIPT #: 220050000000000r451 Date: 1011712005 11:41:30AM
Job/Journal Number
coM2005-01454
Description
Curbcut Permit
Amount Due
80.00
Item Total:$80.00
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check ruLIA WEILER CAS In Person
Payment Total:
$80.00
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