HomeMy WebLinkAboutPermit Sidewalk 2005-05-17Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 2647 69 Inspection Line
PERMIT NO: COM2005-00582
ISSUED:
APPLIEDT 05117/2005
EXPIRES:
VALUE:
0wner:
Address:
Owner:
Address:
SITE ADDRESS: 1505 18TH ST
ASSESSOR'SPARCELNO.: 1703253400300
PROJECTDESCRIPTION: Sidewalk
Springlield TYPE OF WORJ(: Sidewalk
es
in OAR 952-001 -0010 through OAR 952'001'
0090. You maY obtain coPies of the rules bY
calling the cente r, (Note: the telePhone
numbe r for the Oregon Utility Notification
Center is 1 -800-332 -2344\'
use initials
Expiration Date Phone
741-8134
BELL HELEN L TE
4460 ALTURA ST
EUGENE OR 97404
CRIS PETTIT INSURANCE
1505 N ISTH ST STE B
SPRINGFIELD OR 97477
Contractor Type
Right of Way
Contractor
THOMAS ROGGE
License
# of Units:
Primary Occupancy Group:
Secondary Occupancy GrouP:
Primary Construction TyPe
Secondary Construction TYPe:
# of Bedrooms:
Frontyard Setback:
Side 1 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:
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:
0ccupant Load:nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
PUBLIC IMPROYEMENTS
Notes:
Page I of2
NOTICE:
THIS PERMIT SHALL EXPIRE IF IHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMI\4ENCED OR IS ABANDONED FOR
ANY 1BO DAY PERIOD.
uI, v ll,L(Jrlvl|lN r rl\ryJ
Building/Combination Permit
Status Pending
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00582
ISSUED:
APPLIEDz 0511712005
EXPIRES:
VALUE:
Description Type of Construction
Fee DescriDtion
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
ees Paid
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.
Reouired Insnect
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 70f .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.
cfu;.P-n--
Owner or Contractors @;;
Pase 2 of 2
Date
5' t7^oS
Valuation Description I
I