HomeMy WebLinkAboutPermit Sidewalk 2006-10-27OF SPRINGFTELD
Buildin g/Co mbination Permit
Status: Issued
225 Fifth Street, Springfield' OR
541-7263753 Phone
541-726-3676Fa;x
541:72637 69 Inspection Line
PERMIT NO: COM2006-01384ISSUED: 1012712006
APPLIEDz 1012712006E)PIRES: 0412712007
VALUE:
SITE ADDRESS: 484 19TH ST Springfield TYPE OF
ASSESSOR'S PARCEL NO.: 1703361310300
TYPE OF USE:
PROJECT DESCRIPTION: Sidwalk Repair -- Work done by City Contractor
Sidewalk
Expiration Date Phone
541-741-8134
Owner:
Address:
Owner:
Address:
Contractor TVpe
General
ROTHROCK RANDOLPH G
484 19TH ST
SPRINGFIELD OR 97477
ROTHROCK GERALDINE M
484 19TII ST
SPRINGFIELD OR 97477
Contractor
TOM ROGGE . CITY CONTRACTOR
License
INFORMATI
OFFICE,COPY
BUILDIN(
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondara Construction
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm SewerAvailable:
Special Instuction:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkhd
Overlay Dist:
# Street Trees
Paved Drive Rqd:
"/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft
Sq Ft Other:
Occupant Load:nla
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutJDrains
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
lof2
--5P**'a0Flg,0
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fa.x
541-7 2637 69 I nspection Lin e
- CMY OF SPRINGFIELD
Buildin g/Co mbin ation Permit
PERMIT NO: COM2006-01384ISSUED: 1012712006
APPLE,Dz 1012712006
E)PIRESz 0412712007
VALUE:
Descrbtbn Tvpe of Construction
I Fee Descrbtion
Total Amount
Total Value of Project
Date Paid
$ Per Sq Ft
or muhip[er
Square Footage
or Bful Amount Value
Receipt Number
Date Calculated
Amount Paid
$0.00
Fpps Peid
Plan Reviews
To Request an inspection call the24 hour recording at 72G3769. 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.
R enrrirerl Insneefions
By signature,I state and agree, that I have carefully examined the completed ryplictrion 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 SpringfieH and the Laws of tre 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 trat only contractors and employees who are in compliance with ORS 701.005 wiII 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 stree! thd the permit card b located at fte front of the property, and the approved set of plans will remain on the site
at all times
i/a
Owner or Contractors
2of2
Date
ll- l-dq
Valuation Descrintion I